基于数据挖掘的四川省儿科名中医刘小凡教授治疗小儿鼻鼽用药规律研究OA
Medication rules of Professor Liu Xiaofan,a famous pediatrician in Sichuan Province,in treating infantile rhinitis based on data mining
目的 运用数据挖掘技术分析并总结四川省儿科名中医刘小凡教授治疗小儿鼻鼽的用药规律.方法 收集刘教授 2023 年 2 月~2024 年 10 月门诊治疗的小儿鼻鼽患者共 150 例,运用Excel 2010 建立数据库,对数据库中处方进行药物频次、性味归经、毒性药物和药物组合关联规则分析.结果 共收集 150 首方,涉及中药 110 味,用药频次前 11 位分别为甘草、白芷、夏枯草、藁本、辛夷、焦栀子、化橘红、酒川芎、桔梗、炒莱菔子、前胡.药物四气以温、寒药居多,五味以辛为主,辅以酸、咸,归经以肝、胃、肺、脾居多.两味药物组合关联关系 25 组,三味药物关联关系 67 组,四味药物关联关系 78 组.结论 刘教授治疗小儿鼻鼽用药以寒温并举,辛酸兼施为主,主张鼻肺同治,选用自拟方上咳合剂 3 为基础加减治疗.
Objective Analyzing and summarizing the medication rules of Professor Liu Xiaofan,a famous Pediatric TCM physician in Sichuan Province,for treating infantile rhinitis using date mining techniques.Methods A total of 150 pediatric patients with rhinits treated by Professor Liu in outpatient clinics between February 2023 and October 2024 were enrolled.A database was established using Excel 2010,and analyses were conducted on herb frequency,four properties and five flavors,meridian tropism,use of toxic herbs,and herb combination association rules within the prescriptions.Results A total of 150 prescriptions involving 110 Chinese medicinal herbs were analyzed.The 11 most frequently used herbs were Glycyrrhizae Radix et Rhizoma,Angelicae Dahuricae Radix,Prunellae Spica,Ligusticum Rhizoma,Magnoliae Flos,Gardeniae Fructus,Citri Reticulatae Pericarpium Viride,Chuanxiong Rhizoma(wine-processed),Platycodi Radix,Raphani Semen(stir-fried),and Peucedani Radix.Herbal properties were primarily warm and cold,with flavors mainly being sour,pungent,and salty.The meridians most commonly targeted were the liver,stomach,lung,and spleen.Analysis revealed 25 pairs of two-herb combinations,67 three-herb combinations,and 78 four-herb combinations with significant association rules.Conclusion Professor Liu's treatment of infantile rhinitis emphasizes the combination of cold and warm herbs,with a focus on sour and pungent flavors.He advocates integrated treatment of nose and lungs,often using his self-formulated prescription,Shangke Mixture 3,as a foundational therapy with modifications based on presentation.
陈文文;刘小凡
电子科技大学医学院附属妇女儿童医院·成都市妇女儿童中心医院药学部,四川 成都 611731成都中医药大学附属医院·四川省中医医院,四川 成都 610075
医药卫生
变应性鼻炎儿童名医经验数据挖掘
Allergic rhinitisChildrenExperience of prestigious doctorData mining
《四川中医》 2026 (1)
7-16,10
国家自然科学基金项目(82204970)四川省中医药管理局面上项目(2023MS008).
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