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作 者:朱正望 朱平生[1] 苗艳艳[1] 苗明三[1] ZHU Zheng-wang;ZHU Ping-sheng;MIAO Yan-yan;MIAO Ming-san(Henan University of Chinese Medicine,Zhengzhou 450046,China)
出 处:《中国中药杂志》2021年第9期2344-2349,共6页China Journal of Chinese Materia Medica
基 金:国家国际合作基地项目(2016-65);河南省产学研项目(172107000012)。
摘 要:收集《中国药典》2015年版和《中华人民共和国卫生部药品标准·中药成方制剂》中含大枣的中成药处方,运用数据挖掘技术分析含大枣中成药的用药特点。使用Excel 2019,Clementine 12.0,SPSS 21.0统计软件,采用频数统计、关联规则分析和聚类分析的方法对符合标准的中成药处方进行统计分析。最终纳入含大枣的中成药处方185种,涉及中药402味,高频中药28种,频次最高的前五味中药是大枣、茯苓、生姜、甘草、党参,功效分类以补虚药最常见,药味主要为甘、辛、苦味,药性主要集中在温、平,归经以脾经、肺经、胃经居多,剂型以丸剂、颗粒剂、片剂最多,主治疾病以脾系病最多,关联规则分析得到15个药物组合。治疗脾系病类含大枣中成药处方关联规则分析得到11个药物组合,聚类分析可将药物分为2类。通过以上分析发现,含大枣的中成药组方以补虚药为主,多与甘、辛、苦味,温、平,归脾、肺、胃经的药物配伍,常用于治疗脾系疾病,且以四君子汤为主,为大枣现代临床应用和开发提供指导。Chinese patent medicine prescriptions containing Jujubea Fructus in 2015 edition of Chinese Pharmacopoeia and the Composition Principles of Chinese Patent Drug were collected, and the characteristics of Chinese patent medicine containing Jujubea Fructus were analyzed by using data mining technology. Statistical software Excel 2019, Clementine 12.0 and SPSS 21.0 were used to conduct statistical analysis of conforming Chinese patent medicine prescriptions by means of frequency statistics, association rule analysis and cluster analysis. Finally, a total of 185 Chinese patent medicine prescriptions containing Jujubea Fructus were included in this study, involving 402 Chinese medicines and 28 kinds of high frequency Chinese medicines, with Jujubea Fructus, Poria, Zingiberis Rhizoma Recens, Glycyrrhizae Radix et Rhizoma, and Codonopsis Radix as the top five. The deficiency-nourishing drugs were in the most common efficacy classification, mainly sweet, bitter and pungent, with most medicine properties of warm and gentle, main meridians of spleen lung and stomach, dosage forms of pills, granules and tablets, and main indications of splenic diseases. Fifteen drug combinations were obtained in association rule analysis. Eleven drug combinations were obtained by association rule analysis of Chinese patent medicine containing Jujubea Fructus in the treatment of splenic diseases, and the drugs were divided into two categories by cluster analysis. According to the above analysis, it is found that the Chinese patent medicine prescriptions containing Jujubea Fructus are mainly composed of deficiency-nourishing drugs, mostly compatible with drugs of sweet, bitter and pungent flavors, warm and gentle properties, and spleen, lung, and stomach meridians in the treatment of splenic diseases, with Sijunzi Decoction as the main drug. This study provides guidance for modern clinical application and development of Jujubea Fructus.
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