基于数据挖掘的国家级名老中医治疗肿瘤用药规律研究  

Analysis on the Medication Rules of National TCM Masters for the Treatment of Phymatosis Based on Data Mining

作　　者：宋京美[1,2] 吴嘉瑞[1] 姜迪 

机构地区：[1]北京中医药大学,北京100102 [2]北京市卫生局临床药学研究所,北京100035

出　　处：《中国中医药信息杂志》2015年第6期50-53,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家科技支撑计划(2007BAI10B01);北京市中医药科技发展基金项目(JJ-2010-70)

摘　　要：目的探讨国家级名老中医治疗肿瘤的用药规律。方法收集国家级名老中医治疗肿瘤处方,采用关联规则apriori算法和复杂系统熵聚类方法,确定处方中各单味药物频次、药物组合频次、药物之间的关联规则和核心组合等。结果高频药物包括黄芪、半夏、茯苓、白花蛇舌草、生地黄等;高频药物组合包括"白术,茯苓""陈皮,茯苓""白术,党参""茯苓,党参"等;置信度为1的关联规则包括"三棱→莪术""牡丹皮,桃仁→赤芍"等;新处方包括"莪术,三棱,穿山甲,夏枯草,续断""重楼,沙参,皂角刺,海藻,昆布"等。结论名老中医治疗肿瘤处方多用补脾益气、清热解毒、活血化瘀之品,符合中医标本兼治之用药原则。Objective To explore the medication rules of national TCM masters’ treatment for phymatosis. Methods The prescriptions for phymatosis of national TCM masters were collected to build a database. The methods of association rules with apriori algorithm and complex system entropy cluster were used to achieve frequency of individual herbs, frequency of medicine combinations, association rules of herbs and core medicine combinations. Results In the prescriptions for phymatosis, Chinese medicinal herbs with the highest frequency were Astragali Radix, Pinelliae Rhizoma, Poria, Herba Oldenlandiae, Rehmanniae Radix Exsiccata, and so on. Medicine combinations with the highest frequencywere Atractylodis Macrocephalae Rhizoma-Poria, Citri Reticulatae Pericarpium-Poria, Atractylodis Macrocephalae Rhizoma-Codonopsis Radix, and Poria-Codonopsis Radix. The medicine association rules of confidence coefficient 1 were Sparganii Rhizoma→Curcumae Rhizoma, and Moutan Cortex, Persicae Semen→Paeoniae Radix Rubra. The new prescriptions composited by “Curcumae Rhizoma, Sparganii Rhizoma, Manis Squama, Prunella Spica, Dipsacus Asperoides”, or “Paridis Rhizoma, Adenophorae Radix, Gleditsiae Spina, Sargassum, Laminariae Thallus”. Conclusions Chinese medicinal herbs used in the prescriptions of national TCM masters for the treatment of phymatosis were often with the actions of invigorating the spleen and benefiting qi, clearing away heat and toxic material, and promoting blood circulation to remove blood stasis, which were complied with the medication rule of treating both the incidental and fundamental aspects in TCM.

关 键 词：肿瘤 名医经验 用药分析 关联规则 聚类算法 

分 类 号：R2-05[医药卫生—中医学] R273