基于数据挖掘探讨李冀教授治疗胸痹病的用药规律分析

Analysis of Medication Rules in Li Ji’s Treatment of Chest Obstruction Based on Data Mining

摘要: 目的：探讨李冀教授治疗胸痹病的用药规律及配伍特点。方法：收集李冀教授于2022年01月至2024年12月期间门诊治疗的胸痹病的用药处方151首，通过中医传承计算平台处理，进行一般资料分析、药物分析及方剂配伍分析。结果：针对151首医案进行分析，男性患者70名，女性患者81名；就诊年龄以50~69岁为主。共涉及137种药物，使用频次 ≥ 45的药物共20味；使用中药以补虚类及活血化瘀类为主；关联规则中，常用组合药物有10项(置信度 > 0.9)；共聚类出6条核心药方。结论：李冀教授治疗胸痹病注重清热活血、开郁祛湿、健脾益气，为临床治疗此病提供参考。

Abstract: Objective: To explore the medication rules and compatibility characteristics of Professor Li Ji in treating chest pain syndrome. Methods: A total of 151 outpatient prescriptions for chest pain syndrome treated by Professor Li Ji between January 2022 and December 2024 were collected. Data processing was conducted using the Traditional Chinese Medicine Inheritance Computing Platform, including general information analysis, herb analysis, and prescription compatibility analysis. Results: Analysis of the 151 cases revealed 70 male and 81 female patients, with the majority aged 50~69 years. A total of 137 herbs were involved, with 20 herbs having a frequency of use ≥45. Herbs were primarily categorized as tonifying deficiency and activating blood circulation to remove stasis. Association rules identified 10 commonly used herb combinations (confidence > 0.9). Six core prescriptions were derived through clustering analysis. Conclusion: Professor Li Ji’s treatment of chest pain syndrome emphasizes clearing heat and activating blood circulation, relieving stagnation and eliminating dampness, as well as strengthening the spleen and boosting qi. This study provides a reference for clinical management of the condition.