基于数据挖掘分析陈庆英主任治疗儿童慢性咳嗽的临证经验  

Director Chen Qingying's clinical experience in treating chronic cough in children based on data mining analysis

作　　者：黄琳 刘瑜 梁游龙 潘利忠 陈庆英 冯才祥 肖丽群 刘宏英 HUANG Lin;LIU Yu;LIANG Youlong;PAN Lizhong;CHEN Qingying;FENG Caixiang;XIAO Liqun;LIU Hongying(Ganzhou Traditional Chinese Medicine Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市中医院,江西赣州341000

出　　处：《临床医药实践》2025年第5期333-337,346,共6页Proceeding of Clinical Medicine

摘　　要：目的:以数据挖掘为基础总结陈庆英主任在治疗儿童慢性咳嗽中的临证经验。方法:选取2023年6月—2024年6月就诊于赣州市中医院儿科(由陈庆英主任接诊)的慢性咳嗽患儿220例,对纳入处方的中药进行统计,且据此构建数据库。通过中医传承辅助系统(V2.5)的应用,分别对中药的如下情况展开统计:四气、归经分布、五味、使用频率。另外,对其组方规律、核心中药、新方组合进行分析。结果:共收录处方382张,其中涉及的中药数达101味,总的使用频次是6117次。在处方涉及的101味中药当中,四气无论是为温的中药,还是为寒的中药,均有着较高的使用频率,依次是45.10%和29.36%;五味分布中,苦、辛类中药使用频率较高,分别是35.02%和26.92%;归肺经中药的使用频率为29.70%,归胃经中药为17.97%,而归脾经中药为15.69%,其使用频率在各归经当中均较高;在各种中药当中,有3味的使用频率≥190次,分别是:陈皮、紫菀、法半夏、茯苓。在中药组合中,使用频率大于100次的共16组,核心中药11味(如浙贝母、陈皮、法半夏、地龙等)。采用无监督熵层次聚类算法,在新方组合方面共得到5组。结论:陈庆英主任将儿童慢性咳嗽的病机作为着眼点,所选用的中药以味辛苦、性温寒者居多,并且善从脾经、肺经、胃经着手治疗;在其所用中药中,共有核心中药11味,可据患儿病情临证施治。Objective:To summarize Director Chen Qingying's clinical experience in treating chronic cough in children based on data mining.Method:A total of 220 children with chronic cough who visited the department of pediatrics at ganzhou traditional chinese medicine hospital from June 2023 to June 2024(treated by Director Chen Qingying)were selected for statistical analysis of the Chinese herbal medicines included in the prescription,and a database was constructed based on this data.Through the application of the traditional Chinese medicine inheritance assistance system(V2.5),statistics were conducted on the following aspects of traditional Chinese medicine:four qi,guijing distribution,five flavors,usage frequency.Additionally,analyze the following aspects:prescription rules,core traditional chinese medicine,new combination.Results:A total of 382 prescriptions were collected,involving 101 traditional Chinese medicines,with a total usage frequency of 6117 times.Among the 101 traditional Chinese medicines involved in the prescription,both warm and cold herbs have a high frequency of use for the four qi,accounting for 45.10%and 29.36%respectively.Among the five flavors,bitter and pungent Chinese herbal medicines are used more frequently,accounting for 35.02%and 26.92%respectively.The frequency of using traditional Chinese medicine for the gui lung meridian is 29.70%,for the gui stomach meridian it is 17.97%,and for the gui spleen meridian it is 15.69%.Their frequency of use is relatively high among all gui meridians.Among various traditional Chinese medicines,there are 3 herbs with a usage frequency of≥190 times,namely:Chenpi,Chenpi Aster,Fa Banxia,Poria cocos.In the combination of traditional Chinese medicine,there are a total of 16 groups with a frequency of use greater than 100 times,and 11 core Chinese medicines(such as fritillaria thunbergii,chenpi peel,pinellia ternata,dilong,et al).Conclusion:Director Chen Qingying focuses on the pathogenesis of chronic cough in children,and the selected traditional Chinese medicin

关 键 词：慢性咳嗽 儿童 数据挖掘 用药规律 临证经验 

分 类 号：R272.6[医药卫生—中医儿科学]