基于数据挖掘李顺民治疗慢性肾脏病用药规律及特点研究.PDF

·326 · 国际中医中药杂志2017年4月第39卷第4期 Int J Trad Chin Med, April 2017, Vol. 39, No.4 ·论著 · 基于数据挖掘李顺民治疗慢性肾脏病 用药规律及特点研究 戈娜 郭维加 杨栋 孙惠力 易铁钢 李顺民 【摘要】 目的 利用数据挖掘技术探究李顺民教授基于脾肾相关、从脾治肾理论辨治慢性肾脏病 的经验。方法 采集 2014 年 1 月－2016 年 3 月深圳市中医院信息中心记录的李顺民诊治的慢性肾脏病患 者的门诊病案，建立 Access 数据库，运用结构化查询语言对数据进行计算处理，采用 Cytoscape 2.8 软件 对结果可视化，分析李顺民辨治慢性肾脏病用药经验规律及特点。结果 李顺民临诊多选用黄芪、山药、 生地黄、芡实等补益脾肾药物配伍祛湿、活血之品辨治不同时期的慢性肾脏病。辨治以脾肾为主，兼顾 肺、肝，用药多寒温并用、苦辛通降、并喜用甘药。结论 本研究利用数据挖掘技术，对李顺民辨治的 慢性肾脏病病案进行用药规律挖掘，较为客观的反应了李顺民从脾治肾的用药规律，为临床辨治慢性肾 脏病提供思路。 【关键词】 名医经验；慢性肾脏病；数据挖掘；李顺民 Experiences of professor Li Shunmin in treating chronic kidney disease with data mining * * Ge Na , Guo Weijia, Yang Dong, Sun Huili, Yi Tiegang, Li Shunmin. Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China Corresponding author: Li Shunmin, Email: zyylishunmin@126.com 【Abstract 】 Objectives Explore the experiences of professor Li Shunmin in treating chronic kidney diseases (CKD) according to spleen and kidney theory. Methods Information of medical records was acquired from Shenzhen TCM hospital information management department. It included the records from Jan, 2014 to Mar, 2016. Access database was established and SQL was used for data processing. Cytoscape 2.8 software was used to visualize the results and analyze the treatment characteristics in CKD. Results Professor Li used herbs of nourishing spleen and kidney to treat CKD. The herbs included Astragalus membranaceus, Rhizoma Dioscoreae, Rehmannia glutinosa and Gordon Euryale. The rules of treatment included invigorating spleen and kidney, and regulating liver and lung. The characteristics of using herbs included combination of cooling and warming herbs, bitter and pungent herbs, and sweet her