ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (6): 522-525.

• 小儿中药应用研究 • 上一篇    下一篇

基于数据挖掘探析贾六金教授治疗儿童慢性咳嗽的用药特点

  

  • 出版日期:2021-12-25 上线日期:2023-12-05

Medication features of Professor Jia Liujin in treating children with chronic cough based on data mining

  • Published:2021-12-25 Online:2023-12-05

摘要: 目的基于中医传承辅助系统(V2.5)探析贾六金教授治疗儿童慢性咳嗽的用药特点。方法收集2018年5月至2020年5月于山西中医药大学附属医院贾六金教授门诊治疗的152例慢性咳嗽患儿处方,利用中医传承辅助平台软件建立病案数据库,采用关联规则、复杂系统熵聚类等数据挖掘方法,并结合临床贾六金教授治疗儿童慢性咳嗽的学术经验,进行各种药物的使用频次、组方规律和新方分析。结果在筛选收集的377首中药处方,111味中药中,药物频率在30%以上的分别为姜半夏、陈皮、茯苓、桔梗、杏仁、炙麻黄等20味药,药物组合频次在40%以上分别是姜半夏-陈皮,姜半夏-茯苓,陈皮-茯苓等,核心处方为"三拗汤合六君子汤",同时产生新方8首。结论贾六金教授治疗儿童慢性咳嗽,主要从"痰、虚"论治,用药以清补为主,佐以温润;从五脏出发,注重补益肺脾,兼清伏邪;遣方用药,临证施治。

关键词: 慢性咳嗽, 数据挖掘, 用药特点, 三拗汤合六君子汤

Abstract: ObjectiveTo study the medication features of Prof. Jia Liujin in treating children with chronic cough based on the TCM inheritance Auxiliary System(V2.5).MethodsThe prescriptions of 152 cases of chronic cough in children were collected, who visited Prof. Jia Liujin's in the Outpatient Department of Affiliated Hospital of Shanxi Medical University from May 2018 to May 2020.The case database was established by the TCM inheritance platform software. The association rules and complex system entropy clustering were employed to analyze the frequency of medication, the rules of prescribing and the novel formulars based on Prof. Jia Liujin's academic experience in treating children with chronic cough.ResultsA total of 377 prescriptions were screened and collected. Among 111 kinds of Chinese drugs, the frequency was over 30% for 20 drugs, including ginger pinellia, tangerine peel, poria cocos, platycodon grandiflorum, apricot, and herba ephedrae, the frequency of drug combination was over 40% was ginger pinellia-tangerine peel, ginger pinellia-poria cocos, and tangerine peel-poria cocos; the core prescription was San'ao decoction with Liujunzi decoction;meanwhile,8 novel formulars were developed.ConclusionThe treatment of chronic cough in children by Prof. Jia Liujin is mainly based on the theory of "sputum and deficiency", and the medication is mainly for moistening tonification assisted by warming and smoothing. It is based on five organs and focuses on tonifying lung and spleen and eliminating evil.The medication is made based on clinical symptoms.

Key words:

Chronic cough, Data mining, Medication features, San'ao decoction with Liujunzi decoction