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基于数据挖掘探讨辽宁中医治疗胃溃疡用药特点OA

Exploration of the Characteristics of Medication Used in the Treatment of Gastric Ulcer in Liaoning Chinese Medicine Based on Data Mining

中文摘要英文摘要

目的 为探究辽宁中医药大学附属医院治疗胃溃疡的用药规律及特点,为胃溃疡的临床用药提供参考.方法 检索并筛选辽宁中医药大学附属医院脾胃病科治疗胃溃疡的处方并通过古今医案云平台对所含中药进行使用频次分析、属性分析、关联分析、聚类分析和复杂网络分析.结果 纳入胃溃疡病例123例,获得182条中药处方,常用中药为陈皮、白术、柴胡、茯苓、黄连等;药性以温、平、微寒、寒居多,药味以苦、甘、辛居多,多归脾、胃、肺、肝经;关联分析得到药物组合16个;聚类分析得到5类药物;复杂网络分析得到核心处方:陈皮、白术、柴胡、茯苓、黄连、白芍、厚朴、白及、三七、延胡索、黄芪、炙甘草、榼藤子、党参.结论 辽宁中医治疗胃溃疡以疏肝理气、燥湿健脾为主,兼以清热、活血、止痛、敛疮.选方常使用柴胡疏肝散合四君子汤为基础方辨证化裁.对于活动期的治疗重视清热药的使用.

Objective To investigate the patterns and characteristics of medication used in the treatment of gastric ulcer in the affiliated hospital of Liaoning university of traditional Chinese medicine,and to provide a reference for the clinical use of medication in gastric ulcer.Methods The prescriptions of the department of spleen and gastroenterology of affiliated hospital of Liaoning university of traditional Chinese medicine for treating gastric ulcer were retrieved and screened,and the contained Chinese herbs were analyzed for frequency of use,attribute analysis,correlation analysis,cluster analysis,and complex network analysis through the ancient and modern medical case cloud platform.Results 123 cases of gastric ulcer were included,and 182 traditional Chinese medicine prescriptions were obtained.The commonly used Chinese herbs were Chenpi(Citri Reticulatae Pericarpium),Baizhu(Atractylodis Macrocephalae Rhizoma),Chaihu(Bupleuri Radix),Fuling(Poria),Huanglian(Coptidis Rhizoma),etc.;the properties of the medicines were mostly warm,flat,slightly cold,and cold,and the flavors of the medicines were mostly bitter,sweet,and pungent,and most of them belonged to the spleen,stomach,lung,and liver meridians;the association analysis yielded 16 combinations of the medicines;the clustering analysis yielded 5 classes of medicines;and the complex network analysis yielded the core prescriptions:Chenpi(Citri Reticulatae Pericarpium),Baizhu(Atractylodis Macrocephalae Rhizoma),Chaihu(Bupleuri Radix),Fuling(Poria),Huanglian(Coptidis Rhizoma),Baishao(Paeoniae Radix Alba),Houpo(Magnoliae Officinalis Cortex),Baiji(Bletillae Rhizoma),Sanqi(Notoginseng Radix Et Rhizoma),Yanhusuo(Corydalis Rhizoma),Huangqi(Astragali Radix),Zhigancao(Glycyrrhizae Radix Et Rhizoma Praeparata Cum Melle),Ketengzi(Entadae Semen),Dangshen(Codonopsis Radix).Conclusion Liaoning Chinese medicine treats gastric ulcers by dredging the liver and regulating Qi,drying dampness and strengthening the spleen,and at the same time clearing heat,activating blood circulation,relieving pain,and astringing sores.Chaihu Shugan Powder(柴胡疏肝散)and Sijunzi Decoction(四君子汤)are often used as the basic formula for diagnosis and treatment.For the treatment of the active stage,the use of heat-clearing medicines is emphasized.

陈力铭;李言;刘国政;周丽杰;孙阳阳;肖景东

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学附属第四医院,辽宁 沈阳 110101辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学附属医院,辽宁 沈阳 110032

医药卫生

胃溃疡用药规律数据挖掘古今医案云平台辽宁中医

gastric ulcermedication patterndata miningancient and modern medical case cloud platformLiaoning Chinese medicine

《辽宁中医药大学学报》 2026 (4)

111-117,7

国家自然科学基金项目(82074296)辽宁省教育厅高校科研基金项目(L202063)

10.13194/j.issn.1673-842X.2026.04.018

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