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基于数据挖掘分析古籍文献治疗骨关节炎用药规律OA

Analysis of Medication Rules for Treating Osteoarthritis in Ancient Traditional Chinese Medicine Books Based on Data Mining

中文摘要英文摘要

目的:通过数据挖掘技术分析古籍文献中关于中医药治疗骨关节炎(OA)的用药规律.方法:通过检索和分析第5版《中华医典》中中国古代医学典籍,纳入与OA治疗相关的条文,运用Excel软件提取相关方药信息,并对中药的使用频次、关联度、聚类及复杂网络进行分析.结果:从古籍中共提取出850个药方,涉及620味中药.其中,使用频次前3的中药分别为当归、防风和肉桂.所使用的药物以补虚、解表、活血祛瘀、温里为主,性味多辛温,归经主要集中在脾、肝、肾经.通过关联分析、聚类分析及复杂网络分析,当归、防风和肉桂被确定为治疗OA的核心药物组合.结论:中医药治疗OA的思路常立足于"虚""寒""瘀"的核心病机,选用当归、防风、肉桂、附子、独活等药物,体现了扶正祛邪的治疗原则,并注重整体治疗的思路.

Objective:To analyze the medication rules of traditional Chinese medicine(TCM)in the treatment of osteoarthritis(OA)in ancient TCM books using data mining techniques.Methods:Ancient TCM books,including the 5th edition of Zhong Hua Yi Dian(Chinese Medical Classics),were searched and analyzed.Passages related to OA treatment were included.Excel software was used to extract information from relevant formulas.Analysis of the frequency,association,clustering,and complex network of the Chinese medicines was performed.Results:A total of 850 prescriptions involving 620 distinct Chinese medicines were extracted from the ancient TCM books.The three most frequently used Chinese medicines were Angelicae Sinensis Radix,Saposhnikoviae Radix,and Cinnamomi Cortex.The primary therapeutic actions of the Chinese medicines used were deficiency-tonifying,exterior-releasing,blood-invigorating and stasis-dispelling,and interior-warming.The properties and flavors of the herbs were predominantly pungent and warm,with their channel tropism mainly focusing on the spleen,liver,and kidney channels.Through association analysis,cluster analysis,and complex network analysis,Angelicae Sinensis Radix,Saposhnikoviae Radix,and Cinnamomi Cortex were identified as the core medicinal combination for treating OA.Conclusion:The TCM approach to treating OA is often based on the core pathogenesis of"deficiency,""cold,"and"stasis."The selection of Chinese medicines such as Angelicae Sinensis Radix,Saposhnikoviae Radix,Cinnamomi Cortex,Aconiti Lateralis Radix Praeparata,and Angelicae Pubescentis Radix embodies the therapeutic principle of supporting healthy qi to eliminate pathogens,emphasizing a holistic treatment approach.

陈扬;马玮玮;袁启鹏;蔡泽斌;罗序澳;李华南

江西中医药大学临床医学院,江西 南昌 330004江西中医药大学临床医学院,江西 南昌 330004江西中医药大学临床医学院,江西 南昌 330004江西中医药大学临床医学院,江西 南昌 330004江西中医药大学临床医学院,江西 南昌 330004江西中医药大学临床医学院,江西 南昌 330004||江西中医药大学附属医院,江西 南昌 330006

医药卫生

骨关节炎数据挖掘中医古籍用药规律

OsteoarthritisData miningAncient traditional Chinese medicine booksMedication rules

《新中医》 2026 (5)

14-21,8

第二届江西省国医名师邓运明国医名师传承工作室建设项目(赣人社字[2021]201号)江西省中医药管理局重点研究室、临床研究基地(第三批)建设项目(赣中医药科教字[2022]8号)江西省科学技术厅省级科技专项基金(科技计划第三批)项目(赣科资发[2024]20号)

10.13457/j.cnki.jncm.2026.05.003

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