中医药治疗原发性骨质疏松的用药规律
Study on the medication regularity of traditional Chinese medicine in treatment of primary osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2022.01.016
中文关键词:  中医中药  古今医案云平台:骨质疏松  用药规律
英文关键词:traditional Chinese medicine  cloud platform of the ancient and modern medical record  osteoporosis  drug analysis
基金项目:国家重点研发计划中医药现代化研究重点专项(2018YFC1704300)
作者单位
裘越1 喻嵘2* 熊韬2 武文洁2 1.宁夏医科大学宁夏 银川 750004 2.湖南中医药大学湖南 长沙 410208 
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中文摘要:
      目的 研究近20年原发性骨质疏松病位和用药规律,为临床治疗原发性骨质疏松提供依据和指导。方法 检索2000年1月1日至2020年9月30日中国知网学术期刊数据库,对文献中涉及中医药治疗原发性骨质疏松的病位、处方进行筛选、整理后录入古今医案云平台V1.5.4软件,对病位经行频次分析,中药进行频次分析、四气五味、归经分析,关联规则分析,复杂网络分析以及聚类分析。结果 符合标准的文献共纳入266篇,统计后发现原发性骨质疏松病位以肾为常见,得出频数大于35的中药共20种,系统聚类分析归为6类,关联规律分析得到12组核心药物组合,复杂网络分析得到1组核心药物组合。结论 骨质疏松病位主要在肝、肾、脾,辨证多属于肝肾亏损,脾虚血瘀为主。因此临床上治疗骨质疏松以温补肝肾为主,辅以健脾活血。
英文摘要:
      Objective To study the disease location and medication regularity of primary osteoporosis in recent 20 years and to provide basis and guidance for clinical treatment of primary osteoporosis. Methods CNKI academic journal database was searched from January 1, 2000 to September 30, 2000. The disease location and prescription of traditional Chinese medicine in the treatment of primary osteoporosis were screened, sorted out, and entered into the ancient and modern medical record cloud platform v1.5.4 software. The frequency of disease location was analyzed. The Chinese medicine used was analyzed with frequency analysis, four-gas and five-flavor meridian analysis, cross rule analysis, complex network analysis, and cluster analysis. Results Two hundred and sixty-six articles met the criteria and were included. It was found that kidney was the most common location of primary osteoporosis. There were 20 kinds of traditional Chinese medicine of frequency more than 35. The systematic cluster analysis was classified by 6 categories. Twelve groups of core drug combinations were obtained with correlation analysis, and 1 core drug combination was obtained by complex network analysis. Conclusion The main locations of osteoporosis are the liver, kidney and spleen. The main symptoms are liver and kidney deficiency, spleen deficiency, and blood stasis. Therefore, the clinical treatment of osteoporosis should focus on warm the liver and kidney, supplementing by invigorating the spleen and promoting blood circulation.
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