Summary of the rule of Zhou Yuhong's prescription for immune thrombocytopenia by data mining
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摘要: 目的 通过对周郁鸿教授治疗免疫性血小板减少症中药处方的整理、分析,总结周教授治疗ITP的组方用药规律。 方法 整理筛选2010年1月—2015年12月间,周郁鸿教授在浙江中医药大学附属第一医院门诊治疗的免疫性血小板减少症患者处方1 102首,其中男性46人,女性71人,以中医传承系统(V2.5)软件为平台,专人录入,双人审核,建立数据库,采用关联规则Apriori算法、复杂系统熵聚类等数据挖掘分析方法,统计中药使用频次,分析中药之间的关联规则,挖掘核心药物组合及新处方。 结果 对处方进行分析,中药使用频次前五位的是仙鹤草、黄芪、茜草、茯苓、紫草。组方用药关联规则分析,前五对分别是“黄芪,仙鹤草”“茜草,仙鹤草”“炙甘草,仙鹤草”“黄芪,茜草”和“茯苓,炒麦芽”。中药药对规则分析,前五对分别是“当归,黄芪”“党参,仙鹤草”“炙甘草,仙鹤草”“白术,仙鹤草”“酸枣仁,仙鹤草”。中药用药关联度分析,前五位分别是“黄芪,牡丹皮”“白芍,紫草”“茯苓,水牛角”“黄柏、旱莲草”“白芍,芦根”。挖掘出30个4~5味中药的核心组合,在此基础上得到9首新处方。 结论 周郁鸿教授运用中医药治疗免疫性血小板减少症经验丰富,临床上她多使用益气滋阴、补益气血、调理肝脾,清热凉血、滋阴凉血及温补脾肾中药。Abstract: Objective To analyzing and summarize the rule of Zhou Yuhong's herbal prescription for immune thrombocytopenia (ITP). Methods A total of 1 102 prescriptions of Professor Zhou Yuhong for ITP disease in the outpatient department of the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine between January 2010 and December 2015 were collected; the patients included 46 males and 71 females. On the platform of the software of Chinese Medicine Inheritance System (V2.5), the prescriptions were entered by specialists and checked by two persons to establish the database. The association rule mining (Apriori algorithm), entropy of complex system and other data mining methods were used to count the frequency of the herbs in prescriptions, analyze the association rules between traditional Chinese medicine, and mine core prescription herbs combinations and new prescriptions. Results According to the analysis of the prescriptions, the top five herbs were Agrimonia pilosa, Astragalus membranaceus, Radix rubiae, Poria cocos and Radix lithospermi. The association rule analysis for drugs-selecting revealed that the top five pairs were "Astragalus membranaceus and Agrimonia pilosa", "Radix rubiae and Agrimonia pilosa", "Roasted licorice and Agrimonia pilosa", "Astragalus membranaceus and Radix rubiae", "Poria cocos and Fried malt". The TCM synergy rules showed that the top five pairs of Chinese medicines were "Angelica sinensis and Astragalus membranaceus", "Codonopsis pilosula and Agrimonia pilosa", "Roasted licorice and Agrimonia pilosa", " Atractylodes macrocephala and Agrimonia pilosa", "Semen ziziphi spinosae and Agrimonia pilosa". Relevance analysis of traditional Chinese medicines showed that the top five were "Astragalus membranaceus and Peony bark", "Paeonia lactiflora and Radix lithospermi", "Poria cocos and Buffalo horn", "Cortex Phellodendri and Eclipta", "Paeonia lactiflora and Reed rhizome". Thirty core herbs combinations including 4-5 Chinese medicines were excavated and nine new prescriptions were obtained on this basis. Conclusion Professor Zhou Yu-hong has a rich experience in the treatment of ITP with traditional Chinese medicine. She do well in use of Chinese medicines such as benefiting Qi and nourishing YIN, nourishing Qi and blood, regulating liver and spleen, clearing heat and cooling blood, warmly invigorating spleen and kidney.
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