文章摘要
基于数据挖掘分析中医治疗精液不液化的用药规律
Analysis of the medication rule of semen non-liquefaction treated by traditional Chinese medicine based on data mining
投稿时间:2024-05-25  修订日期:2024-06-26
DOI:
中文关键词: 精液不液化  数据挖掘  临床研究  用药规律  中医中药  
英文关键词: Semen is not liquefied  Data mining  Clinical research  Medication law  Traditional Chinese medicine  
基金项目:
作者单位邮编
张伟涛 北京市和平里医院 100013
郑林克* 北京中西医结合医院 100038
黄念文 北京中医药大学 
孟建 北京市和平里医院 
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中文摘要:
      目的:分析中医药治疗精液不液化的用药规律,指导临床遣方用药。方法:检索知网、万方、维普等数据库收录的中医治疗精液不液化的临床研究文献,根据纳入标准选择研究所需的处方,录入中医传承系统,对中药的药味、归经、功效、频次及药物之间关联度进行统计分析。结果:共纳入151首方剂,涉及中药196味,使用频次药物前5位分别是丹参、黄柏、生地黄、甘草、赤芍。药物功效以清热类、补虚类为主;药味以甘、苦居多;药性以寒、温为最;归经主要集中在肾、肝、脾经。“黄柏-知母”药对出现频次最高;置信度居首位的药物组合为“知母,熟地黄→黄柏”;聚类分析得到5个核心类方。结论:中医治疗精液不液化用药灵活,总体上遵循“扶正祛邪,恢复气化功能”的治疗原则,多以补肾化浊为基础,辅以清热、健脾、活血、行气等法,重视以知柏地黄丸、右归丸、程氏萆薢分清饮、桃红四物汤等方为基础方的化裁应用。
英文摘要:
      To analyze the medication rules of traditional Chinese medicine in the treatment of semen liquefaction, and guide the clinical prescription. Methods: Search the clinical research literature on the treatment of non-liquefaction of semen by traditional Chinese medicine included in databases such as HowNet, Wanfang and Vip, select the prescription required for the study according to the inclusion criteria, enter it into the traditional Chinese medicine inheritance system, and conduct statistical analysis on the taste, meridian tropism, efficacy, frequency and correlation between drugs of traditional Chinese medicine. Results: A total of 151 prescriptions were included, involving 196 traditional Chinese medicines. The top five drugs used frequently were Salvia miltiorrhiza, Cortex Phellodendri, Radix Rehmanniae, Glycyrrhizae and Radix Paeoniae rubra. The efficacy of drugs is mainly heat-clearing and tonifying; The medicine tastes sweet and bitter; Cold and warm are the most important drugs; Meridians mainly focus on kidney, liver and spleen. "Phellodendron chinense - Anemarrhena asphodeloides" has the highest frequency of occurrence; The drug combination with the highest confidence is "Anemarrhena, Radix Rehmanniae Preparata → Cortex Phellodendri"; Cluster analysis obtained five core clusters. Conclusion: Traditional Chinese medicine is flexible in the treatment of non-liquefaction of semen, and generally follows the guiding principle of "invigorating the right and eliminating the evil, and restoring the function of gasification". It is mainly based on tonifying the kidney and removing turbidity, supplemented by heat clearing, spleen strengthening, blood circulation, and qi circulation, and attaches importance to the application of chemical medicine based on Zhibai Dihuang Pill, Yougui Pill, Cheng"s Bixie Fenqing Decoction, and Taohong Siwu Decoction.
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