Objective To explore the prescription rules of traditional Chinese medicine in the treatment of diabetes mellitus based on data mining, in order to provide relevant references for the clinical treatment.
Methods The traditional Chinese medicine prescriptions in the treatment of diabetes mellitus were retrieved in Yaozhi network, and the prescription rules of traditional Chinese medicine were summarised by using frequency statistics, associated rules, and factor analysis.
Results A total of 344 traditioanl Chinese medicine formula were included, involving 190 traditional Chinese medicine with 3 371 compatibility and 13 high-frequency traditional Chinese medicine. The attribute analysis of traditional Chinese medicine found that these traditional Chinese medicine treating diabetes mellitus mostly belonged to the categories of tonifying, heat-clearing, and astringency, which were mainly cold, sweet, and entered spleen, kidney meridians, stomach meridians, and lung meridians. The association rules finally obtained 36 traditional Chinese medicine combinations, while factor analysis extracted 5 common factors.
Conclusion Based on data mining, this study found the high-frequency traditional Chinese medicine, the attribute association and common compatibility in the treatment of diabetes mellitus, which can provide reference for clinical treatment of diabetes.
1.Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9th edition[J]. Diabetes Res Clin Pract, 2019, 157: 107843. DOI: 10.1016/j.diabres.2019.107843.
2.Zhang L, Liu M. Analysis of diabetes disease risk prediction and diabetes medication pattern based on data mining[J]. Comput Math Methods Med, 2022, 2022: 2665339. DOI: 10.1155/2022/2665339.
3.中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华糖尿病杂志, 2021, 13(4): 315-409. [Chinese Diabetes Society. Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition)[J]. Chinese Journal of Diabetes Mellitus, 2021, 13(4): 315-409.] DOI: 10.3760/cma.j.cn115791-20210221-00095.
4.郭立新, 王正珍, 纪立农, 等. 中国2型糖尿病运动治疗指南(2024版)[J]. 中国全科医学, 2024, 27(30): 3709-3738. [Guo LX, Wang ZZ, Ji LN, et al. Guideline for exercise therapy of type 2 diabetes mellitus in China (2024 edition)[J]. Chinese General Practice, 2024, 27(30): 3709-3738.] DOI: 10.3969/j.issn.1000-6710.2024.06.001.
5.缪卫红. 2型糖尿病的中医治疗研究进展[J]. 实用老年医学, 2023, 37(2): 116-118, 127. [Miao WH. Research progress in traditional Chinese medicine treatment of type 2 diabetes[J]. Practical Geriatrics, 2023, 37(2): 116-118, 127.] DOI: 10.3969/j.issn.1003-9198.2023.02.003.
6.王宇, 任雪阳, 李留洋, 等. 基于数据挖掘和复杂网络的枸杞子提取物保健食品组方规律及质量控制分析 [J]. 食品与发酵工业, 2023, 49(22): 199-207. [Wang Y, Ren XY, Li LY, et al. Analysis on formula regularity and quality control of health food containing Lycium barbarum extract based on data mining and complex network[J]. Food and Fermentation Industries, 2023, 49(22): 199-207.] DOI: 10.13995/j.cnki.11-1802/ts.034468.
7.钟赣生. 中药学[M]. 北京: 中国中医药出版社, 2018.
8.国家药典委员会. 中华人民共和国药典(2020年版) [M]. 北京: 中国医药科技出版社, 2020.
9.吴春兴. 基于文献计量和数据挖掘探讨石菖蒲的研究热点及应用规律[D]. 宜春: 宜春学院, 2023. [Wu CX. Study on the research hot spots and application rules of Acori Tatarinowii Rhizoma based on bibliometrics and data mining[D]. Yichun: Yichun University, 2023.] DOI: 10.27928/d.cnki.gycxy.2023.000036.
10.Shu J, Wang K, Liu Y, et al. Trichosanthin alleviates streptozotocin-induced type 1 diabetes mellitus in mice by regulating the balance between bone marrow-derived IL6+ and IL10+ MDSCs[J]. Heliyon, 2023, 10(1): e22907. DOI: 10.1016/j.heliyon.2023.e22907.
11.陈金鹏, 张克霞, 刘毅, 等. 地黄化学成分和药理作用的研究进展[J]. 中草药, 2021, 52(6): 1772-1784. [Chen JP, Zhang KX, Liu Y, et al. Research progress on chemical constituents and pharmacological actions of Rehmannia glutinosa[J]. Chinese Traditional and Herbal Drugs, 2021, 52(6): 1772-1784.] DOI: 10.7501/j.issn. 0253-2670.2021.06.028.
12.Chan CM, Chan YW, Lau CH, et al. Influence of an anti-diabetic foot ulcer formula and its component herbs on tissue and systemic glucose homeostasis[J]. J ethnopharmacol, 2007, 109(1): 10-20. DOI: 10.1016/j.jep.2006.06.003.
13.Sun L, Di YM, Lu C, et al. Additional benefit of Chinese medicine formulae including Dioscoreae rhizome (shanyao) for diabetes mellitus: current state of evidence[J]. Front Endocrinol (Lausanne), 2020, 11: 553288. DOI: 10.3389/fendo.2020.553288.
14.张淑娟, 张育贵, 牛江涛, 等. 黄芪的研究进展及其质量标志物预测分析[J]. 中华中医药学刊, 2022, 40(2): 151-155. [Zhang SJ, Zhang YG, Niu JT, et al. Research progress of Huangqi (Astragali Radix) and prediction of its quality markers[J]. Chinese Archives of Traditional Chinese Medicine, 2022, 40(2): 151-155.] DOI: 10.13193/j.issn.1673-7717.2022.02.035.
15.马艳春, 段莹, 胡建辉, 等. 黄芪治疗糖尿病及其并发症研究进展[J]. 中医药学报, 2022, 50(6): 103-107. [Ma YC, Duan Y, Hu JH, et al. Research progress of Astragalus membranaceus in treating DM and its complications[J]. Acta Chinese Medicine and Pharmacology, 2022, 50(6): 103-107.] DOI: 10.19664/j.cnki.1002-2392.220141.
16.Li C, Zhang K, Liu L, et al. Study of the mechanism of Astragali Radix in treating type 2 diabetes mellitus and its renal protection based on enzyme activity, network pharmacology, and experimental verification[J]. Molecules, 2023, 28(24): 8030. DOI: 10.3390/molecules28248030.
17.邢颖, 何雄, 张润顺, 等. 基于2 843例2型糖尿病患者中医门诊处方的核心方药规律分析[J]. 世界科学技术-中医药现代化, 2020, 22(9): 3241-3248. [Xing Y, He X, Zhang RS, et al. Analysis on the law of core prescriptions based on traditional Chinese medicine outpatient prescriptions for 2 843 patients with type 2 diabetes mellitus[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2020, 22(9): 3241-3248.] DOI: 10.11842/wst.20191020009.
18.田甜, 高思华, 张诗扬, 等. 基于数据挖掘的《中华医典》消渴病证治规律研究[J]. 世界中医药, 2023, 18(23): 3433-3443. [Tian T, Gao SH, Zhang SY, et al. Law of syndrome differentiation of diabetes recorded in Chinese medical classics based on data mining[J]. World Chinese Medicine, 2023, 18(23): 3433-3443.] DOI: 10.3969/j.issn.1673-7202.2023.23.021.
19.吴挺超, 何茗苠, 冯皓月, 等. 基于数据挖掘探讨中药复方治疗气阴两虚型2型糖尿病的用药规律[J]. 中草药, 2024, 55(14): 4811-4823. [Wu TC, He MM, Feng HY, et al. Medication rule analysis of traditional Chinese medicine compound in treatment of type 2 diabetes mellitus with qi and yin deficiencies based on data mining[J]. Chinese Traditional and Herbal Drugs, 2024, 55(14): 4811-4823.] DOI: 10.7501/j.issn.0253-2670. 2024.14.018.
20.李雯, 朱坤, 刘美汐, 等. 基于文献分析中医药治疗2型糖尿病用药规律[J]. 中西医结合研究, 2023, 15(6): 404-409. [Li W, Zhu K, Liu MX, et al. The analysis of the medication rule of traditional Chinese medicine in the treatment of type 2 diabetes based on literature[J]. Research of Integrated Traditional Chinese and Western Medicine, 2023, 15(6): 404-409.] DOI: 10.3969/j.issn. 1674-4616.2023.06.008.
21.蔡茹霜, 易艳. 中医药防治糖尿病及其并发症的研究进展[J]. 中国实验方剂学杂志, 2024, 30(17): 275-283. [Cai RS, Yi Y. Traditional Chinese medicine treatment for diabetes and its complications: a review[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2024, 30(17): 275-283.] DOI: 10.13422/j.cnki.syfjx.20240337.
22.中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中华糖尿病杂志, 2018, 10(1): 4-67. [Chinese Diabetes Society. Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2017 edition)[J]. Chinese Journal of Diabetes, 2018, 10(1): 4-67.] DOI: 10.3760/cma.j.issn.1674-5809.2018.01.003.
23.王金曦, 杨宇峰, 石岩. 刘完素论消渴理论框架解析[J]. 辽宁中医药大学学报, 2018, 20(12): 82-84. [Wang JX, Yang YF, Shi Y. Analysis of the framework of LIU Wansu's theory of thirst theory[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2018, 20(12): 82-84.] DOI: 10.13194/j.issn.1673-842x.2018.12.023.
24.李婧, 林雅静, 张翠静, 等. 清热养阴调糖饮加减治疗2型糖尿病临床研究[J]. 辽宁中医杂志, 2023, 50(3): 112-115. [Li J, Lin YJ, Zhang CJ, et al. Clinical study of modified Qingre Yangyin Tiaotang Decoction in treatment of type 2 diabetes mellitus[J]. Liaoning Journal of Traditional Chinese Medicine, 2023, 50(3): 112-115.] DOI: 10.13192/j.issn.1000-1719.2023.03.032.
25.陈婷婷. 六味地黄汤对II型糖尿病患者的临床疗效及血液指标影响观察[J]. 亚太传统医药, 2015, 11(6): 123-124. [Chen TT. Observation on the clinical efficacy and blood indexes of Liuwei Dihuang Decoction in patients with type II diabetes[J]. Asia-Pacific Traditional Medicine, 2015, 11(6): 123-124.] https://www.cgvip.com/doc/journal/949680804.
26.解晓静, 邢兆宏. 滋阴清热活血方干预糖调节受损患者的临床研究[J]. 中医药学报, 2013, 41(2): 35-37. [Xie XJ, Xing ZH. Impaired glucose regulation intervened by Ziyin Qingre Huoxue prescription[J]. Acta Chinese Medicine and Pharmacology, 2013, 41(2): 35-37.] DOI: 10.3969/j.issn.1002-2392.2013.02.013.