首页|期刊导航|中医临床研究|基于数据挖掘技术分析不育验方与验案的用药规律及潜在机制

基于数据挖掘技术分析不育验方与验案的用药规律及潜在机制OA

Medication rules and mechanisms of empirical prescriptions and cases for treating infertility based on data mining

中文摘要英文摘要

目的:基于数据挖掘和生物信息学方法剖析不育的历代方剂和文献验案的用药规律,以及其核心方药的潜在作用机制.方法:收集《中国方剂数据库》和中国知网期刊文献中治疗不育相关处方并筛选,借助中医传承计算平台3.0 的数据挖掘模块分析药物频数和组方配伍规律,通过对比靶点移除前后整体网络拓扑特征的变化评估药物干预不育的网络稳定性情况,并推荐临床用药组方等级.运用DAVID 数据库对Ⅰ级核心方药进行过程及通路富集分析.利用GEO 数据库中不育临床数据集进行通路富集分析.结果:本研究共筛选出 166 首验方,综合分析得到 3 个Ⅰ级推荐核心组方,其用药思路以补虚为原则,在此基础上加用收涩、温里等药物,缓急并举.从期刊文献验案中共筛选出 179 首有效处方,分析得到 1 个Ⅰ级推荐核心组方,现代验案的治疗原则也以补虚为主,同时兼顾清热、活血化瘀等治法,扶正祛邪兼顾.Ⅰ级推荐核心组方的基因本体过程和京都基因与基因组百科全书通路主要富集到类固醇激素受体信号、线粒体三磷酸腺苷(adenosine triphosphate,ATP)结合和代谢过程等,与GEO 临床数据富集的重要通路具有一致性.结论:本研究初步探究了不育的验方和验案的用药规律,以及4 个Ⅰ级推荐核心方药相关的生物学通路,为中医优势病种的临床防治和新药处方筛选与评估提供参考.

Objective:This study employs data mining and bioinformatics to analyze the medication rules of empirical prescriptions and cases for treating infertility,and to predict the potential mechanisms of the core herbal combinations.Methods:Prescriptions for infertility were collected from Chinese Medicine Formula Database and CNKI.The Traditional Chinese Medicine Inheritance Support System V3.0 was used to analyze herb frequencies and compatibility rules.Network stability was assessed by comparing topological features before and after target removal to inform clinical grading recommendations.DAVID database was used for GO and KEGG pathway enrichment analysis of the GradeⅠ core prescriptions.Enrichment was also performed on clinical infertility datasets from the GEO database.Results:From 166 historical formulas,three GradeⅠ core prescriptions were identified,characterized by tonifying deficiency as the principal method,supplemented by astringent and interior-warming herbs.From 179 modern journal-documented prescriptions,one Grade Ⅰ core formula was identified,also primarily tonifying deficiency,while incorporating heat-clearing and blood-activating methods.Enriched pathways for GradeⅠ prescriptions,consistent with GEO clinical data,included steroid hormone receptor signaling,mitochondrial ATP binding,and metabolic processes.Conclusion:This study elucidates the medication rules of effective historical and modern prescriptions for infertility.The identified GradeⅠ core formulas and their associated biological pathways provide a reference for clinical prevention,treatment,and novel drug screening for infertility.

张丰荣;李煜;常梦丽;王欢欢;徐核;张毅;唐仕欢

中国中医科学院中药研究所,北京,100007||天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津,300381中国中医科学院中药研究所,北京,100007中国中医科学院中药研究所,北京,100007中国中医科学院中药研究所,北京,100007中国中医科学院中药研究所,北京,100007中国中医科学院中药研究所,北京,100007中国中医科学院中药研究所,北京,100007

医药卫生

数据挖掘不育验方验案用药规律

Data miningInfertilityEmpirical prescriptionEmpirical caseMedication rules

《中医临床研究》 2026 (18)

13-22,10

中国中医科学院科技创新工程项目(CI2021A03705CI2023E001TS)国家重点研发计划项目(2018YFC1704101).

10.3969/j.issn.1674-7860.2026.18.002

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