基于数据挖掘分析王庆来教授治疗骨质疏松症的用药规律OA
Exploring the Professor WANG Qinglai's Medication Rules in the Treatment of Osteoporosis Based on Data Mining
目的 运用数据挖掘技术探讨王庆来教授诊治骨质疏松症的用药特征及配伍模式.方法 整理 2018 年 1 月-2024 年 12月王教授诊疗骨质疏松症的有效医案,筛选合格处方 220 份,建立Excel数据库.应用SPSS Statistics 25.0 及Modeler 18.0 软件系统分析药物频次、性味归经、关联规则及聚类特征.结果 研究涉及 131 味中药,累计使用频次达 3212 次,高频药物以川芎、香附等为主.药性分布显示温性及平性药物占主导地位,辅以寒性药材.药味构成以甘、苦、辛三味为核心,酸淡为补充.归经分布集中于肝、脾两经,其次为肾、肺、心经.核心药物类别包括补虚类、活血类与理气类药材.关联规则中,川芎-柴胡-香附组合与茯苓-泽泻-山药配伍呈现显著关联特性.高频药物聚类形成三个特征群组:C1(川芎、香附等)、C2(茯苓、山药等)、C3(地黄、白术等).结论 王庆来教授治疗骨质疏松重视肝脾肾三脏协调,主张扶正固本与活血通络并重,核心用药涵盖川芎、茯苓、山药等,特色配伍包括"川芎-杜仲、茯苓-泽泻"等组合.
Objective To explore the medication characteristics and dispensing rules of Professor WANG Qinglai' s diagnosis and treatment of osteoporosis using data mining techniques.Methods The effective medical records of Professor WANG in the diagnosis and treatment of osteoporosis from January 2018 to December 2024 were sorted out,220 qualified prescriptions were screened,and an Excel database was established.SPSS Statistics 25.0 and Modeler 18.0 software systems were used to analyze drug frequency,taste and meridian tropism,association rules and clustering characteristics.Results The study involved 131 traditional Chinese medicines,with a cumulative frequency of 3212 times.The high-frequency drugs were mainly Chuanxiong and Xiangfu.The distribution of medicinal properties showed that warm and flat drugs were dominant,supplemented by cold property of drug.The flavor of the medicine was centered on the three flavors of sweet,bitter and pungent,supplemented by sour and light.The meridian distribution was concentrated in the liver and spleen meridians,followed by the kidney,lung and heart meridians.The core drug categories included tonic,blood-activating and qi-regulating herbs.In the association rules,the combination of Chuanxiong-Chaihu-Xiangfu and the compatibility of Fuling-Zexie-Shanyao showed significant association characteristics.High-frequency drug clustering formed three characteristic groups:C1(Chuanxiong,Xiangfu,etc.),C2(Fuling,Shanyao,etc.),C3(Dihuang,Baizhu,etc.).Conclusion Professor WANG Qinglai's treatment of osteoporosis emphasizes harmonizing the liver,spleen,and kidney systems,integrating the principles of fortifying healthy qi and consolidating the root with activating blood circulation and unblocking collaterals.Core herbs such as Chuanxiong,Fuling,and Shanyao form the therapeutic foundation,while signature combinations include"Chuanxiong-Duzhong"and"Fuling-Zexie".
朱一波;张亚辉;王庆来
浙江中医药大学附属温州市中医院骨伤科,浙江 温州 325000浙江中医药大学附属温州市中医院骨伤科,浙江 温州 325000浙江中医药大学附属温州市中医院骨伤科,浙江 温州 325000
医药卫生
中医药数据挖掘骨质疏松症用药规律王庆来名医经验
Chinese medicineData miningOsteoporosisMedication rulesWANG QinglaiExperience of famous doctors
《医学信息》 2026 (7)
36-40,57,6
1.浙江省中医药科学研究基金项目(编号:2019ZB122)2.浙江省名老中医专家传承工作室建设项目(编号:GZS2021034)
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