[1]冯周利,宋忠阳,朱鹏,等.基于数据挖掘探究张志明主任医师治疗耳鸣的用药规律[J].西部中医药,2024,37(12):77-81.[doi:10.12174/j.issn.2096-9600.2024.12.18]
　FENG Zhouli,SONG Zhongyang,ZHU Peng,et al.Chief Physician Zhang Zhiming′s Medication Rules of Treating Tinnitus Based on Data Mining[J].Western Journal of Traditional Chinese Medicine,2024,37(12):77-81.[doi:10.12174/j.issn.2096-9600.2024.12.18]
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基于数据挖掘探究张志明主任医师治疗耳鸣的用药规律
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年12期
页码:
77-81
栏目:
二次研究
出版日期:
2024-12-15

文章信息/Info

Title:
Chief Physician Zhang Zhiming′s Medication Rules of Treating Tinnitus Based on Data Mining
作者:
冯周利1, 宋忠阳2, 朱鹏1, 王忻2, 张昺磊1, 李爱玉1, 李赋1, 张志明,,
1.甘肃中医药大学中医临床学院，甘肃 兰州 730000
2.甘肃中医药大学附属医院，甘肃 兰州 730000
3.甘肃省中医院，甘肃 兰州 730050
Author(s):
FENG Zhouli1, SONG Zhongyang2, ZHU Peng1, WANG Xin2, ZHANG Binglei1, LI Aiyu1, LI Fu1, Director: ZHANG Zhiming,,
1.TCM Clinical College, Gansu University of Chinese Medicine, Lanzhou 730000, China
2.Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou 730000, China
3.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
耳鸣; 中医传承辅助平台; 张志明; 用药规律
Keywords:
tinnitus; TCMISS; medication rules
分类号:
R276.1
DOI:
10.12174/j.issn.2096-9600.2024.12.18
文献标志码:
A
摘要:
目的挖掘张志明主任医师治疗耳鸣的用药规律，凝练其辨治思路，为指导理论研究及临床用药提供参考。 方法收集门诊中药处方，基于中医传承辅助平台（V2.5）建立数据库，运用关联规则分析、改进的互信息法、复杂系统熵聚类等数据挖掘方法分析组方规律。 结果筛选出治疗耳鸣的处方141首，得到高频用药钩藤、炒白术、法半夏、天麻、柴胡、代赭石、川牛膝、川芎，提取出法半夏、炒白术、天麻、钩藤、柴胡、川牛膝、川芎等7味核心药物及28组核心药物组合，推演出5组耳鸣新方。 结论张志明主任医师强调从“清阳不升，风痰瘀阻”论治耳鸣，确立了“周流气血，升举清阳”的诊治思路。
Abstract:
ObjectiveTo provide the reference for guiding theoretical research and clinical application of drugs by unearthing chief physician Zhang Zhiming's medication rules of treating tinnitus. MethodsThe outpatient herbal prescriptions were collected, the methods of data mining including association rule analysis, improved mutual information method and entropy clustering of complex systems were applied to analyze the laws of prescription formulation. ResultsAll 141 prescriptions of treating tinnitus were screened, high-frequency medicines were obtained involving Gouteng (Uncariae ramulus cum Uncis), fried Baizhu (Atractylodes macroce-phala Koidz.), Fabanxia (Pinelliae Rhizoma Praeparatum), Tianma (Gastrodiae rhizoma), Chaihu (Bupleuri Radix), hematite, Chuanniuxi (cyathulae radix) and Chuanxiong(Chuanxiong rhizoma), seven core drugs covering Fabanxia, fried Baizhu, Tianma, Gouteng, Chaihu, Chuanniuxi and Chuanxiong, and 28 core drug combinations were extracted, meanwhile five new prescriptions for tinnitus were derived. ConclusionChief physician Zhang Zhiming empha-sizes the treatment of tinnitus from "clear Yang does not rise, wind, phlegm and blood stasis obstructing", confirming the thinking of the diagnosis and treatment of "promoting Qi and blood circulation, lifting clearing Yang".

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备注/Memo

备注/Memo:
冯周利（1993—），女，硕士学位，医师。研究方向：内科疾病的中医药防治。国家卫健委胃肠肿瘤诊治重点实验室开放基金课题（NLDTG2020014）；国家中医药管理局全国名中医张志明工作室建设项目（国中医药办人教函〔2022〕245号）；高端人才承担省科技计划项目（甘科技〔2021〕20号-9）；甘肃省科技计划项目（18JR2FA001）；甘肃省卫健委甘肃省名中医张志明传承工作室建设项目（甘卫中医函〔2022〕50号）。
更新日期/Last Update: 2024-12-15