中医药治疗慢性骨髓炎的用药规律分析OA
Analysis of medication rule of traditional Chinese medicine on chronic osteomyelitis
目的:基于数据挖掘探讨中医药治疗慢性骨髓炎的用药规律.方法:检索并筛选2000-2024年中国知网(CNKI)收录的关于中医药治疗慢性骨髓炎的方剂,采用"中医传承辅助平台(V2.5)"构建中药方剂数据库,开展药物使用频次统计、归经特性分析、组方配伍规律及新方推荐等研究.结果:共纳入83首方剂,包含126味药,其中当归、甘草、黄芪排在药味使用频次的前3位;归经分布多入肝、脾、心经;其中"黄芪,当归"组合出现频次最高,而"党参->黄芪"组合的关联性最高;共得到常用药物组合31个,新方核心药物组合12个,最终演化得到6个推荐的新方.结论:治疗慢性骨髓炎的药物以补气养血、清热解毒和活血化瘀为主,与慢性骨髓炎的基本病机相呼应,核心组方规律及新方药味组合可为临床药物选择提供一定参考.
Objective:To explore the medication patterns of TCM for chronic osteomyelitis treatment based on data mining.Methods:Prescriptions for the treatment of chronic osteomyelitis with TCM were retrieved and screened from the China National Knowledge Infrastructure(CNKI)database from 2000 to 2024.A database was constructed by the'TCM Inheritance Support Plat-form(V2.5)'to analyze the frequency of herb usage,meridian tropism distribution,formulation patterns,and potential novel pre-scription insights.Results:A total of 83 herbal prescriptions and 126 distinct medicinal herbs were included.Angelicae Sinensis Radix,Glycyrrhizae Radix et Rhizoma,and Astragali Radix were the top three most frequently used herbs.The herbs mainly tar-geted the liver,spleen,and heart meridians.The most frequently occurring herb pair was Astragali Radix-Angelicae Sinensis Ra-dix,while the strongest association was observed between Codonopsis Radix and Astragali Radix.A total of 31 commonly used herb combinations and 12 core herb combinations for novel prescriptions were identified,from which 6 recommended new pre-scriptions were ultimately derived.Conclusion:The commonly used herbs for treating chronic osteomyelitis primarily focus on tonifying qi and nourishing blood,clearing heat and detoxification,combined with promoting blood flow to disperse stasis,which align with the fundamental pathogenesis of the disease.The core prescription patterns and novel herb combinations identified could serve as useful references for clinical treatment strategies.
温慧敏;李儒杰;杨芝芳;仲瑞雪
四川省骨科医院,四川成都 610041四川省骨科医院,四川成都 610041四川省骨科医院,四川成都 610041四川省骨科医院,四川成都 610041
医药卫生
慢性骨髓炎数据挖掘用药规律中医传承辅助平台
Chronic osteomyelitisdata miningmedication ruleTCM inheritance assisted platform
《中药与临床》 2026 (4)
54-57,4
国家中医药管理局全国中药特色技术传承人才培训项目(国中医药人教函[2023]96号T20234832005)四川省中医药管理局项目(2023MS55125MSZX08)
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