基于数据挖掘探讨包剑锋教授诊治慢性乙型肝炎肝纤维化用药规律OA
Medication Rule of Bao Jianfeng in Treatment of Chronic Hepatitis B Liver Fibrosisa Study Based on Data Mining
目的 基于数据挖掘技术分析包剑锋教授治疗肝纤维化病案,探讨其治疗肝纤维化的用药特点及组方规律.方法 收集包剑锋教授治疗肝纤维化中药处方 116 例,采用Microsoft Excel 2019 对中药及其属性进行频次分析,运用SPSS Modeler 18.0 Apriori算法对组成药物进行药物关联分析及复杂网络分析,使用Cytoscape 3.13 对其结果进行可视化,最后采用SPSS Statistic 27.0 进行系统聚类分析,寻求高频药物组合.结果 共纳入116 个处方,涉及132 种中药,经数据挖掘研究发现,包剑锋教授在中药使用上善用健脾、活血化瘀、利水渗湿类药,药性以平、温、寒性偏多,药味涉及苦、甘、辛味,归经多以脾、肝、肺、胃经为主.此外,包教授在慢性乙型肝炎肝纤维化用药时重视辨证论治,攻补兼施,肝脾同调,可能为慢性乙型肝炎肝纤维化的临床诊疗提供更多的中医思路.结论 包教授在慢性乙型肝炎肝纤维化用药时重视辨证论治,攻补兼施,肝脾同调,可能为慢性乙型肝炎肝纤维化的临床诊疗提供更多的中医思路.
Objective Based on data mining technology,the medical records of Professor Bao Jianfeng in the treatment of liver fibrosis were analyzed,and the medication characteristics and prescription rules in the treatment of liver fibrosis were discussed.Methods We collected 116 prescriptions of Professor Bao's herbal medicine for liver fibrosis and used Microsoft Excel 2019 to analyze the frequency of herbs and their properties.We used the Apriori algorithm in SPSS Modeler 18.0 to conduct drug association analysis and complex network analysis of the constituent drugs,and visualized the results using Cytoscape 3.13.Finally,we used SPSS Statistic 27.0 to conduct systematic clustering analysis to seek high-frequency drug combinations.Results A total of 116 prescriptions were included,involving 132 kinds of traditional Chinese medicine.The data mining study found that Professor Bao Jianfeng was good at invigorating the spleen,invigorating blood circulation and removing blood stasis,and promoting water infiltration and dampness.The medicinal properties of Professor Bao were more smooth,warm and cold,and the medicinal tastes were bitter,sweet and spicy.In addition,Professor Bao pays attention to syndrome differentiation and treatment,both attack and supplement,and the coordination of liver and spleen in the medication of chronic hepatitis B liver fibrosis,which may provide more traditional Chinese medicine ideas for the clinical diagnosis and treatment of chronic hepatitis B liver fibrosis.Conclusion Professor Bao pays attention to syndrome differentiation and treatment,both attack and supplement,and the coordination of liver and spleen in the medication of chronic hepatitis B liver fibrosis,which may provide more traditional Chinese medicine ideas for the clinical diagnosis and treatment of chronic hepatitis B liver fibrosis.
尤婷婷;龚中芳;张越;田璐璐;刘芳;包剑锋
陕西中医药大学第一临床医学院,陕西 咸阳 712046陕西中医药大学第一临床医学院,陕西 咸阳 712046浙江中医药大学第四临床医学院,浙江 杭州 310053浙江中医药大学第四临床医学院,浙江 杭州 310053浙江中医药大学附属杭州市西溪医院,浙江 杭州 310023浙江中医药大学附属杭州市西溪医院,浙江 杭州 310023
医药卫生
慢性乙型肝炎肝纤维化数据挖掘用药规律中医药治疗包剑锋
chronic hepatitis Bliver fibrosisdata miningmedication ruleTraditional Chinese medicine treatmentBao Jianfeng
《陕西中医药大学学报》 2026 (2)
98-104,7
浙江省中医药管理局项目(2022ZA144)浙江省卫生厅项目(2022KY1019)杭州市农业和社会发展重点项目(20231203A10)杭州市科技局生物医药企业项目(2021WJCY190)
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