基于数据挖掘中医药治疗脏毒的用药规律研究  

dication Regularity of Traditional Chinese Medicine in Treatment of Anal Cryptitis Based on Data Mining

作　　者：郭珊亦 马青原[2] 杨阳[2] GUO Shan-yi;MA Qing-yuan;YANG Yang(Yunnan University of Traditional Chinese Medicine,Kunming,Yunnan 650032;Department of Coloproctology,Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming,Yunnan 650032)

机构地区：[1]云南中医药大学,云南昆明650032 [2]云南省中医医院肛肠科,云南昆明650032

出　　处：《中国肛肠病杂志》2024年第5期15-18,共4页Chinese Journal of Coloproctology

基　　金：云南省科学技术厅项目(202101AZ070001-225)。

摘　　要：目的:基于数据挖掘分析中医古籍中医药治疗脏毒的用药规律。方法:以《中华医典》(第五版)为数据库,检索词=脏毒,搜索相关处方信息,根据制定的纳排标准筛选处方,借助古今医案云平台进行分析。结果:本次共纳入处方140首,涉及中药251味,总频次为1463,其中高频药物为黄连、槐花、当归、枳壳、荆芥穗;药物四气多以温、寒、微寒为主;五味以苦、辛、甘为主;归经以肝、脾、肺、胃为主;功效以清热燥湿、凉血止血、泻火解毒为主。关联规则提示槐花-荆芥穗、枳壳-荆芥穗、黄芩-黄连等为常用药对。结论:治疗脏毒时多以清热、解毒、凉血为主。Objective To analyze the medication regularity of traditional Chinese medicine in ancient Chi-nese medical books in treatment of anal cryptitis based on data mining.Methods The Chinese Medical Code(5th Edition)was used as the database,with anal cryptitis as the search term,and the relevant pre-scription information was searched.The prescriptions were screened according to the inclusion and exclu-sion criteria,and analyzed by using the Cloud Platform of Ancient and Modern Medical Records.Results A total of 140 prescriptions were included,involving 251 Chinese medicinals,with a total frequency of 1463,among which the high-frequency Chinese medicinals were Huanglian(Coptidis Rhizoma),Huaihua(Sophorae Flos),Danggui(Angelicae Sinensis Radix),Zhiqiao(Auranti Fructus)and Jingjiesui(Schi-zonepetae Spica).They are mainly warm,cold and slightly cold in four properties and mostly bitter,acrid and sweet in five tastes.Liver,spleen,lung and stomach are the main channel tropism.The main efficacy is to clear heat and dry dampness,cool blood and stop bleeding,purge fire and remove toxin.Association rules suggested that Huaihua-Jingjiesui,Zhiqiao-Jingjiesui,Huangqin(Scutellariae Radix)-Huanglian were the common medicinal pairs.Conclusion The treatment of anal cryptitis mainly focuses on clearing heat,removing toxin and cooling blood.

关 键 词：脏毒 中医药 数据挖掘 用药规律 

分 类 号：R288[医药卫生—中药学]