马怀玉, .金晖, 徐浩然, 戚雅涵, 曾景奇. 基于数据挖掘探讨名老中医治疗腰痛的用药规律研究. 2025. biomedRxiv.202510.00020
基于数据挖掘探讨名老中医治疗腰痛的用药规律研究
通讯作者: 曾景奇, zengjingqi4317@hnucm.edu.cn
DOI:10.12201/bmr.202510.00020
Data Mining-Based Study on the Medication Rules of Renowned Chinese Medicine Practitioners in Treating Back Pain?
Corresponding author: zengjingqi, zengjingqi4317@hnucm.edu.cn
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摘要:?目的:基于数据挖掘技术分析田心义教授治疗腰痛的用药规律。方法:收集田心义教授门诊病历209则,处方209首,涉及中药84味,运用古今医案云平台(V2.3.5)进行频次、属性、归经、关联规则及聚类分析。结果:高频药物包括甘草、黄芪、当归等;药性以温(56.36%)、平(28.95%)为主,药味以甘(62.31%)、辛(54.87%)、苦(41.65%)为主;归经多属肝(52.68%)、脾(47.66%)、肾(33.22%)经。核心功效为强筋骨、补肝肾、祛风湿。关联规则得42组药对,聚类获4类药组。结论:田教授治腰痛以“扶正祛邪,标本兼治”为原则,重在益气血、补肝肾、强筋骨以治本,祛风湿、通经络以治标,体现多靶点整体调节特色。
Abstract: Objective:To analyze the medication rules of Professor Tian Xinyi in treating Back pain based on data mining technology.Methods:A total of 209 outpatient medical records and corresponding prescriptions were collected, involving 84 herbal medicines. The ancient and modern medical case cloud platform (V2.3.5) was used to perform frequency, attribute, channel tropism, association rule, and clustering analyses.Results:High-frequency herbs included Glycyrrhizae Radix (Gancao), Astragali Radix (Huangqi), and Angelicae Sinensis Radix (Danggui), among others. Herbal properties were primarily warm (56.36%) and neutral (28.95%); flavors were mainly sweet (62.31%), pungent (54.87%), and bitter (41.65%). The meridians entered were mostly the Liver (52.68%), Spleen (47.66%), and Kidney (33.22%) meridians. The core efficacies were strengthening bones and tendons, tonifying the liver and kidney, and dispelling wind-damp. Association rule analysis yielded 42 herb pairs, and clustering analysis identified 4 core herb groups.Conclusion:Professor Tian’s treatment of back pain is based on the principle of “supporting healthy qi and eliminating pathogenic factors, addressing both the root and branch,” emphasizing boosting qi and blood, tonifying the liver and kidney, and strengthening bones and tendons to address the root, while dispelling wind-damp and unblocking collaterals to address the branch. The prescription structure is rigorous, reflecting a holistic, multi-target regulatory approach.
Key words: Back pain; Data mining; Medication rule; Tian Xinyi提交时间:2025-10-13
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序号 提交日期 编号 操作 1 2025-10-04 bmr.202510.00020V1
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