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2019, 10, v.21;No.186 146-150
基于中医传承辅助平台探讨消渴病(胃火炽盛证)理论框架用药规律分析
基金项目(Foundation): 辽宁省高等学校创新团队基金项目(LT2014020)
邮箱(Email):
DOI: 10.13194/j.issn.1673-842x.2019.10.039
摘要:

目的:基于中医传承辅助平台系统软件,分析973课题组前期构建的消渴病"三位一体"(概念-命题-专论)理论框架,探讨出中医药治疗消渴病(胃火炽盛证)的组方用药规律,同时为现代临床治疗消渴病(胃火炽盛证)的新药研发提供数据参考。方法:将973课题组前期构建的消渴病"三位一体"理论框架中涉及证候、方药的消渴病理论框架条文进行标准化、数据化、电子化处理,建立数据库,以此来获得规范的数据资料,由双人筛选并完成任务,应用"中医传承辅助平台管理系统(V2. 5)"对筛选出的消渴病(胃火炽盛证)的数据使用关联规则分析、聚类分析、改进的互信息、复杂系统熵聚类、无监督的熵层次聚类等高级数据挖掘方法,分析出治疗此病的用药规律,包括药物四气、五味、归经分布以及用药频次统计,组方规律和新方等。结果:经筛选得出治疗消渴病(胃火炽盛证)的条文为107条,涉及到中药164味;确定条文中药物出现的频次、常用药对及常用组合,并衍生出新的处方6条。结论:973消渴病"三位一体"(概念-命题-专论)理论框架中治疗消渴病(胃火炽盛证)的用药应以黄连、天花粉、麦冬、石膏等寒性药为主,应以清胃火为治疗原则,为临床用药规律及科学研究提供数据支撑。

Abstract:

Objective:Based on the traditional chinese medicine inheritance support system software,analysis on the prescriptions of Chinese medicine for treating diabetes(Blazing of stomach fire syndrome)in the theoretical framework of the"three-in-one"(concept-proposition-monograph)of the 973 group. At the same time,it provides data reference for the development of new drugs for modern clinical treatment of diabetes(Blazing of stomach fire syndrome). Methods:Standardize,digitize and electronically process the theoretical framework of the"three-in-one"theoretical framework of the 973 group,which involves syndromes and prescriptions and establishes a database to obtain standardized data. Data,screened by two people and completed the task,using the"Traditional Chinese Medicine Heritage Aided Platform Management System(V2.5)"to analyze the data of the selected diabetes disease(Blazing of stomach fire syndrome). This was done using association rule analysis,cluster analysis,improved mutual advanced data mining methods;such as information,complex system entropy clustering,unsupervised entropy hierarchical clustering,etc.,analyzing the medication rules for the treatment of this disease;including drug four gas,five flavors,return distribution and frequency of drug use,prescription law,drugs Combinations,etc. Results:A total of 107 articles for the treatment of diabetes(Blazing of stomach fire syndrome)were selected,involving 164 flavors of traditional Chinese medicines;the frequency of occurrence of drugs,commonly used drug pairs and common combinations were determined,and 6 new prescriptions were introduced. Conclusion:The treatment of diabetes(Blazing of stomach fire syndrome)in the theoretical framework of "three-in-one"(concept-proposition-special theory)of 973 diabetes-prediction should be based on cold medicines such as berberine,radices trichosanthis,ophiopogon and gypsum. Clearing the stomach fire as the treatment principle,it provides data support for clinical drug law and scientific research.

参考文献

[1]吴青华,李冰涛,涂珺.复方中药治疗糖尿病的研究进展[J].中国中药杂志,2018,(1):1-8.

[2]蔡洁.2型糖尿病患者的社区护理服务效果评价[J].中国现代药物应用,2018,12(23):140-142.

[3]颜穗珺,李会芳.中国糖尿病的患病概况[J].昆明医科大学学报,2017,38(3):1-5.

[4] Cho N H,Shaw J E,Karuranga S,et al. IDF diabetes atlas:global estimates of diabetes prevalence for 2017 and projections for2045[J].Diabetes Res Clin Pract,2018,138:271.

[5]佚名.素问[M].北京:人民卫生出版社,2012.

[6]张世超,杨宇峰,林芳菲,等.浅谈先秦两汉时期对消渴因机的认识[J].辽宁中医杂志,2015,42(8):1430-1431.

[7]崔东祥,阳易.胃肾相关治消渴[J].内蒙古中医药,1995(3):23.

[8]刘完素.三消论[M].北京:中国中医药出版社,2006.

[9]赵海燕,王勇,吴力武,等.甘草黄酮对2型糖尿病大鼠血糖、血脂等生化指标的影[J].国糖尿病杂志,2012,20(1):65-69.

[10]张明发,沈雅琴.甘草及其有效成分的抗糖尿病药理作用的研究进展[J].抗感染药学,2015,12(1):1-5.

[11]张艳霞.防治糖尿病的常用单味中药及提取物的临床及实验研究概况[J].糖尿病新世界,2018,21(17):197-198.

[12]俞烨晨,刘晓燕.黄连治疗糖尿病及其并发症的临床用量规律[J].四川中医,2018,36(6):199-201.

[13]李琼,叶小利,陈新,等.天花粉降糖作用有效部位的研究[J].长春中医药大学学报,2012,28(1):9-11.

[14]李琼,张鹏,郭晨,等.天花粉凝集素对2型KK-Ay糖尿病小鼠血糖、血脂的调节作用[J].西南大学学报(自然科学版),2016,38(2):182-188.

[15]曹景诚,梁茂新.基于文献分析的麦冬潜在功效探讨[J].中医杂志,2016,57(2):166-169.

[16]曾凡玉,李思瑶,石锴.麦冬多糖的药理研究进展[J].海峡药学,2018,30(1):55-57.

[17]李晶,苏薇薇,王永刚,等.麦冬提取物对实验性2型糖尿病大鼠的保护作用[J].中山大学学报,2017,56(3):119-124.

[18]侯红瑞,陈玲,孙国勇,等.知母多糖对链脲佐菌素诱导糖尿病大鼠的降血糖作用[J].食品工业科技,2018,39(12):69-78.

[19]陈静,张晶,宋海宁.探讨麦冬多糖对糖尿病患者血糖及胰岛素抵抗的影响[J].世界最新医学信息文摘,2015,15(78):107-108.

[20]王世伟,徐宁.玉竹多糖对糖尿病大鼠降糖作用及机制研究[J].辽宁中医杂志,2017,44(8):1739-1741.

[21]李金骁,魏士雄,章程鹏,等.乌梅丸治疗2型糖尿病机理的取象比类法分析[J].时珍国医国药,2018,29(9):2209-2211.

[22]苏亚兵,王宁.橘皮竹茹汤加味联合甲钴胺对糖尿病胃轻瘫患者的疗效及对生活质量的影响[J].临床医学研究与实践,2018,3(20):131-132.

基本信息:

DOI:10.13194/j.issn.1673-842x.2019.10.039

中图分类号:R255.4

引用信息:

[1]霍易飞,曲超,杨宇峰,等.基于中医传承辅助平台探讨消渴病(胃火炽盛证)理论框架用药规律分析[J].辽宁中医药大学学报,2019,21(10):146-150.DOI:10.13194/j.issn.1673-842x.2019.10.039.

基金信息:

辽宁省高等学校创新团队基金项目(LT2014020)

发布时间:

2019-09-16

出版时间:

2019-09-16

网络发布时间:

2019-09-16

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