江汉大学学报(自然科学版) ›› 2024, Vol. 52 ›› Issue (5): 52-61.doi: 10.16389/j.cnki.cn42-1737/n.2024.05.006

• 医学 • 上一篇    

基于《中华医方》的骨折药膏外治组方规律及敷溶介质研究

张 磊,梁诗韵,刘芊含,杨婷媛,王 东*   

  1. 江汉大学 医学部,湖北 武汉 430056
  • 发布日期:2024-10-24
  • 通讯作者: 王 东
  • 作者简介:张 磊(1991— ),男,讲师,主治医师,硕士,研究方向:中医药数据挖掘分析与应用。
  • 基金资助:
    国家级大学生创新创业训练计划项目(202011072018);江汉大学校级科研资助计划项目(2021yb142)

Study on Rules of External Treatment and Application Medium of Fracture Ointment Based on Chinese Medical Formulas

ZHANG Lei,LIANG Shiyun,LIU Qianhan,YANG Tingyuan,WANG Dong   

  1. School of Medicine,Jianghan University,Wuhan 430056,Hubei,China
  • Published:2024-10-24
  • Contact: WANG Dong

摘要: 目 的 基于 R 软件对《中华医方》中药膏外治骨折的方药信息进行数据挖掘,分析中药 药膏外治骨折的用药规律。方 法 从《中华医方》中提取药膏外治骨折的方药信息,采用 Excel 软件对方药信息进行录入,建立“《中华医方》药膏外治骨折的方药数据库”,采用 R 软件对药膏处 方进行频数分析、相关分析、关联规则分析和聚类分析。结 果 共纳入药膏处方 103 首,中药 246 味 ,累 积 使 用 频 次 931 次 。 其 中 ,使 用 频 次 ≥ 10 次 的 中 药 有 23 味 ,累 积 使 用 频 次 388 次 (41. 68%);排名前 5 位的中药依次为乳香、没药、当归、肉桂和白芷;中药功效分类以活血化瘀 药、清热药和补虚药为主,药性以温性为主,药味以辛、苦味为主,归经以肝、脾、心和肾经为主;相 关系数较高的前 5 位中药组合多为活血化瘀药和清热药;统计药膏敷溶介质使用频次前 3 位依次 为酒、生姜汁和醋;组方经关联规则分析得到核心中药组合 16 个,系统聚类分析共得到中药聚类 组合 4 个。结 论 药膏外治骨折以乳香、没药、当归和土鳖虫为核心中药组方,以消肿止痛,活 血化瘀和补肾强筋健骨为治疗原则;经数据挖掘技术得出的用药规律对药膏外治骨折的临床用 药具有一定参考价值,也可为新药研发提供参考。

关键词: 骨折, 药膏, 用药规律, 数据挖掘, R 软件

Abstract: Objective To analyze the prescription and medicine information of Chinese Medical Formulas for the external treatment of fracture based on R software,and to analyze the prescription and medicine pattern of the external treatment of fracture by Chinese medicine cream. Methods The prescription information of ointment for external treatment of bone fracture was extracted from Chinese Medical Formulas,Excel software was used to enter the information of the ointment to establish a ″database of Chinese Medical Formulas for external treatment of bone fracture by ointment″,and R software was used to analyze the frequency,correlation,association rule,and cluster analyses of the ointment prescriptions.Results A total of 103 ointment prescriptions with 246 Chinese herbs were included,and the cumulative frequency of use was 931. Among them,there were 23 Chinese herbs with a usage frequency ≥ 10 times,with a cumulative usage frequency of 388 times(41. 68%). The top 5 herbal medicines were Ruxiang(Olibanum),Moyao(Myrrha),Danggui(Angelicae Sinensis Radix),Rougui(Cinnamomi Cortex),and Baizhi(Angelicae Dahuricae Radix)in order. The efficacy of herbal medicines was mainly classified as activating blood circulation and resolving blood stasis,clearing heat,and tonifying deficiency;the medicinal properties were mainly warm;the taste was mainly pungent and bitter;and the meridians were mainly liver,spleen,heart,and kidney. The top 5 herbal combinations with higher correlation coefficients were mostly blood activators and heat-clearing drugs. The top 3 selected added media were wine,ginger juice and vinegar in order. 16 core herbal combinations were obtained by association rule analysis,and 4 herbal clustering combinations were obtained by systematic clustering analysis.Conclusion The core herbal formulas for external treatment of fracture with Ruxiang(Olibanum),Moyao(Myrrha),Danggui(Angelicae Sinensis Radix), and Tubiechong(Eupolyphaga)are based on the principles of reducing swelling and pain, activating blood stasis,and tonifying the kidney to strengthen the tendons and bones. The dosing rules derived from data mining technology have certain reference values for the clinical use of external treatment of fractures with creams. They can also provide a reference for new drug development.

Key words: fracture, ointment, medication pattern, data mining, R software

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