摘要
目的:基于数据挖掘技术分析广东省中医院妇科门诊治疗经行头痛的中医用药规律,为临床治疗此类疾病提供参考。方法:查找2020年1月—2021年8月广东省中医院妇科门诊病案资料,筛选治疗经行头痛的医案数据,用Excel 2019建立标准化医案数据库,以古今医案云平台V2.3的统计分析、关联分析、聚类分析、复杂网络分析等功能,分析所收集医案的用药频数、性味归经、常用药物组合、核心处方等。结果:共收录有效医案258例,处方258首,涉及中药214种。统计所得高频中药(>40次) 20种,使用频数最高者前4名为白芍、柴胡、当归、川芎;用药以平、温、微寒为主;药味以甘、辛、苦为主;药物归经以肝、脾、肺、肾、心经为主;关联规则分析统计得到药物关联规则18条;聚类分析得到5组处方。结论:广东省中医院妇科治疗经行头痛的中医治法多以补血活血、行气止痛为主,核心处方组成为白芍、当归、柴胡、川芎、炙甘草、白术、茯苓。
Objective:To analyze the administration rule of Chinese medicine in the gynecological outpatient department of Guangdong Hospital of Traditional Chinese Medicine in the treatment of menstrual headache based on data mining technology,and to provide reference for clinical treatment of such diseases. Methods:The authors searched the medical records of the gynecology outpatient department of Guangdong Hospital of Traditional Chinese Medicine from January 2020 to August 2021, screened the medical data for the treatment of menstrual headache, established the standardized medical case database with Excel 2019, and analyzed the frequency of herbal use, natures and flavours, common herbal combinations and core prescriptions of the collected medical cases through the functions of statistical analysis,correlation analysis, cluster analysis and complex network analysis in the Ancient and Modern Medical Cases Cloud Platform V2.3.Results:A total of 258 effective medical cases and 258 prescriptions were included,involving 214 kinds of Chinese herbs.According to the statistics,there were 20 kinds of Chinese herbs with high frequency(over 40 times of use),and the top four were Radix Paeoniae Alba,Radix Bupleuri,Radix Angelicae Sinensis and Rhizoma Chuanxiong. The natures of herbs were mainly neutral, warm and mild cold;the flavours of herbs were mainly sweet, acrid and bitter. The herbs mainly entered into the liver,spleen,lung,kidney and heart channels. There were 18 association rules obtained from the analysis and five prescriptions obtained by cluster analysis. Conclusion:The treatment methods mainly used by the Chinese medicine practitioners in gynecological outpatient department of Guangdong Hospital of Traditional Chinese Medicine are the methods of supplementing blood and invigorating blood and moving qi to relieve pain. The core prescriptions consist of Radix Paeoniae Alba, Radix Angelicae Sinensis, Radix Bupleuri, Rhizoma Chuanxiong, Radix et Rhizoma Glycyrrhizae Praeparata cum Melle,Rhizoma Atractylodis Macrocephalae an
作者
杨柳青
朱晨
区炳雄
YANG Liuqing;ZHU Chen;OU Bingxiong
出处
《新中医》
CAS
2022年第6期14-18,共5页
New Chinese Medicine
关键词
经行头痛
数据挖掘
中药
用药规律
真实世界
Menstrual headache
Data mining
Chinese herbs
Administration rule
Real world
