张敏建辨治男科疾病用药规律的数据挖掘研究与分析
作者单位:

福建中医药大学附属人民医院(福建 福州 350004)

作者简介:

程宛钧,男,副主任医师,副教授。主要从事男科疾病的中医临床研究。E-mail:95657357@qq.com

基金项目:

※基金项目 国家自然科学基金面上项目(No.82074184);2022年全国名老中医药专家传承工作室建设项目(No.国中医药人教函〔2022〕75号);第四批福建省名老中医药专家学术经验继承工作项目(No.闽卫中医函〔2022〕554号);福建省自然科学基金资助项目(No.2020J011044)

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    摘要:

    目的 运用数据挖掘方法分析张敏建教授在男科门诊的病历文本记录,探讨其治疗男科疾病的用药规律及其学术思想。方法 收集2020年7月—2021年5月福建省人民医院男科门诊医疗信息管理系统中张敏建教授的门诊病例有效数据2560条(就诊例次),共计208味药物,用SPSS Statistics 25.0软件对药物进行用药频次、四气五味归经等统计,然后通过SPSS Modeleer 18.0对处方药物进行关联分析及聚类分析。结果 使用频次排名前10位的药物为茯苓、柴胡、甘草、白术、黄芩、当归、半夏、巴戟天、白芍、苍术,温、寒性药物使用频次较高,所用药物主归肝、脾两经;排名前3位的药物功效种类分别为补虚药、利水渗湿药、清热药;核心药物组合为茯苓、黄芩、白术、泽泻、麦冬、白芍、柴胡和甘草;共得到4项聚类,这些聚类为五子衍宗丸、一贯煎、五苓散、逍遥散、温胆汤等方的化裁。结论 通过数据挖掘分析得到了张敏建教授常用方药思路是以肝为治,以“肝司阴器”“五行生克”为原理,巧用治肝八法(疏肝理气、清肝利湿、疏肝清热、柔肝止痛、暖肝散寒、疏肝化瘀、疏肝健脾、滋补肝肾)治疗男科疾病,八法中又以祛湿、疏肝、健脾为重。

    Abstract:

    Objective To analyze the text records of Professor Zhang Minjian's outpatient medical records in andrology by using data mining method, to explore the rule of his drug use in the treatment of andrology diseases, to study the clinical characteristics of famous doctors, and based on Professor Zhang Minjian's academic thoughts, to explore the academic inheritance characteristics of Professor Zhang's drug use in the treatment of andrology diseases. Methods From July 2020 to May 2021, 2560 valid data (number of patients) of male outpatient outpatient medical information management system of Fujian Provincial People's Hospital were collected, with a total of 219 flavors of drugs. Java programming was used, combined with regular expression and Gephi0.9.2 software. K-core analysis method was used to analyze the frequency of drugs, the frequency of four gases and five tastes. Conclusion Through data mining analysis, it is found that Professor Zhang's common prescription ideas are based on the liver as the treatment, and the principle of "liver controls genitals" and "five elements produce grams" is used to treat the eight methods of treating the liver: soothing the liver for Qi, clearing the liver for dampness, soothing the liver for heat, soothing the liver for pain, warming the liver for dispelling cold, soothing the liver for removing blood stasis, soothing the liver for strengthening the spleen, and nourishing the liver and kidney for male diseases. The above suggests that Professor Zhang Minjian's empirical method of distinguishing the basic characteristics of prescription drugs for the treatment of andrology diseases is the inheritance and development of classic andrology prescriptions.

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潘日润,陈熵忠,邓日森,史亚磊,林勇,张敏建,黄伟聪,程宛钧.张敏建辨治男科疾病用药规律的数据挖掘研究与分析[J].,2024,23(7):24-28

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  • 收稿日期:2023-10-31
  • 最后修改日期:2024-01-29
  • 录用日期:2024-02-06
  • 在线发布日期: 2024-10-14