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Research on the distribution of the syndrome types of early diabetes nephropathy and medication rules of qi-yin deficiency syndrome based on data  mining

Published on Mar. 31, 2026Total Views: 22 times Total Downloads: 5 times Download Mobile

Author: WANG Zhongjiang 1 DONG Nengfeng 2 LI Bo 3

Affiliation: 1. Department of Pharmacy, Danfeng County Hospital, Shangluo 726200, Shaanxi Province, China 2. College of Traditional Chinese Medcine, Baoji Vocational & Technical College, Baoji 721000, Shaanxi Province, China 3. Department of Pharmacy, Chang'an District Traditional Chinese Medicine Hospital, Xi'an 710100, China

Keywords: Diabetes nephropathy Qi-yin deficiency type Data mining Medication rules Association rules Factor analysis

DOI: 10.12173/j.issn.1004-4337.202503022

Reference: Wang ZJ, Dong NF, Li B. Research on the distribution of the syndrome types of early diabetes nephropathy and medication rules of qi-yin deficiency syndrome based on data  mining[J]. Journal of Mathematical Medicine, 2026,39(3): 200-210. DOI: 10.12173/j.issn.1004-4337.202503022[Article in Chinese]

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Abstract

Objective  To statistically analyze the distribution of syndrome types of early diabetes nephropathy based on literature reports, and explore the medication rules of qi- yin deficiency syndrome of early diabetes nephropathy based on data mining.

Methods  Relevant literature published in CNKI, WanFang Data, and VIP databases were retrieved, and the syndromes and herbal compositions related to early diabetic nephropathy were extracted. Microsoft Office Excel 2017 software was used to statistically analyze the distribution of syndrome types, and various data mining methods were used to explore the medication rules of qi-yin deficiency syndrome.

Results  A total of 442 articles were included, involving 459 prescriptions, mainly in the form of decoctions, granules and capsules. There were 329 prescriptions that clearly defined the clinical syndrome type of early diabetic nephropathy, with qi-yin deficiency type being the main type. 214 prescriptions for qi-yin deficiency syndrome involved 134 kinds of traditional Chinese medicine, represented by Astragali Radix, Poria, Corni Fructus, Dioscoreae Rhizoma, Rehmanniae Radix, Salviae Miltiorrhizae Radix Et Rhizoma. These therapeutic traditional Chinese herbs were mainly of the categories of tonifying deficiency, clearing heat, and promoting blood circulation and detoxification; and their medicinal properties were mostly cold and mild; the medicinal flavors were mainly sweet and bitter, and often entered the kidney meridian, liver meridian, and spleen meridian. According to Zipf's law, there were 16 high-frequency traditional Chinese herbs with 31 associated combinations among them; 6 common factors with values greater than 1 were extracted among high-frequency traditional Chinese medicine by means of factor analysis.

Conclusion  This study explored and summarized the distribution of syndrome types of early diabetes nephropathy and the medication rules of qi-yin deficiency type based on data mining, which can provide corresponding references for clinical prescription and medication.

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References

1. Lei Q, Hou X, Liu X, et al. Artificial intelligence assists identification and pathologic classification of glomerular lesions in patients with diabetic nephropathy[J]. J Transl Med, 2024, 22(1): 397. DOI: 10.1186/s12967-024-05221-8.

2. Emara AM, El Bendary AS, Ahmed LM, et al. Evaluation of serum levels of sestrin 2 and betatrophin in type 2 diabetic patients with diabetic nephropathy[J]. BMC Nephrol, 2024, 25(1): 231. DOI: 10.1186/s12882-024-03663-2.

3. Tuttle KR, Agarwal R, Alpers CE, et al. Molecular mechanisms and therapeutic targets for diabetic kidney disease[J]. Kidney Int, 2022, 102(2): 248-260. DOI: 10.1016/j.kint.2022.05.012.

4. 钟司宇, 孙亚东, 邢颖, 等. SGLT2抑制剂联合RAAS阻断剂干预早期糖尿病肾病进展[J]. 中国老年学杂志, 2020, 40(21): 4526-4529. [Zhong SY, Sun YD, Xing Y, et al. Intervention of SGLT2 inhibitor combined with RAAS blocker on the progression of early diabetes nephropathy[J]. Chinese Journal of Gerontology, 2020, 40(21): 4526-4529.] DOI: 10.3969/j.issn.1005-9202.2020.21.014.

5. Zuo C, Xu G. Efficacy and safety of mineralocorticoid receptor antagonists with ACEI/ARB treatment for diabetic nephropathy: a meta-analysis[J]. Int J Clin Pract, 2019: e13413. DOI: 10.1111/ijcp.13413.

6. 余江毅, 倪青, 刘苏. 糖尿病肾病病证结合诊疗指南[J]. 中医杂志, 2022, 63(2): 190-197. [Yu JY, Ni Q, Liu S. Guidelines for diagnosis and treatment of combination of disease and syndrome for diabetes kidney disease[J]. Journal of Traditional Chinese Medicine, 2022, 63(2): 190-197.] DOI: 10.13288/j.11-2166/r.2022.02.018.

7. 王文茹, 张旭明, 李纪新, 等. 益气养阴类中成药治疗早期糖尿病肾病的网状Meta分析[J]. 中国中药杂志, 2023, 48(14): 3949-3964. [Wang WR, Zhang XM, Li JX, et al. Network Meta- analysis of Qi-supplementing and Yin-nourishing Chinese patent medicines in treatment of early diabetic nephropathy[J]. China Journal of Chinese Materia Medica, 2023, 48(14): 3949-3964.] DOI: 10.19540/j.cnki.cjcmm.20230314.501.

8. Yang X, Hu C, Wang S, et al. Clinical efficacy and safety of Chinese herbal medicine for the treatment of patients with early diabetic nephropathy: a protocol for systematic review and meta-analysis[J]. Medicine (Baltimore), 2020, 99(29): e20678. DOI: 10.1097/MD.0000000000020678.

9. 钟赣生. 中药学[M]. 北京: 中国中医药出版社, 2018.

10. 国家药典委员会. 中国药典[M]. 北京: 中国医药科技出版社, 2020.

11. Zhong Y, Qi Y, Jiang Z, et al. Analysis of medication rules and application characteristics of Chinese patent medicine containing borneol based on data mining[J]. Heliyon, 2023, 9(11): e21232. DOI: 10.1016/j.heliyon.2023.e21232.

12. 吴春兴, 孟梅, 刘海亮, 等. 《消渴病古今名家验案全析》中糖尿病组方规律研究[J]. 中央民族大学学报(自然科学版), 2024, 33(3): 81-88. [Wu CX, Meng M, Liu HL, et al. The regularity of prescriptions for diabetes in "Comprehensive Analysis of Proven Cases of Ancient and Modern Famous Experts on Diabetes"[J]. Journal of MinZu University of China (Natural Sciences Edition), 2024, 33(3): 81-88.] DOI: 10.3969/j.issn.1005-8036.2024.03.010.

13. Zhang X, Wu CX, Wang BL. Exploring dosage patterns of Chinese herbal medicine for recurrent headaches: a data mining analysis[J]. Journal of Chinese Pharmaceutical Sciences, 2024, 33(2): 110-122.] DOI: 10.5246/jcps.2024.02.010.

14. 陈静, 曹峰, 李文, 等. 早期糖尿病肾病证候分布及影响因素的研究[J]. 世界科学技术-中医药现代化, 2014, 16(3): 649-653. [Chen J, Cao F, Li W, et al. Research on traditional Chinese medicine syndrome distribution and influential factors of early-stage diabetic nephropathy[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2014, 16(3): 649-653.] DOI: 10.11842/wst.2014.03.039.

15. 刘存蓉, 史晓伟, 罗向霞. 早期糖尿病肾病的证型分布及其治疗的理论研究[J]. 辽宁中医杂志, 2024, 51(7): 40-43. [Liu  CR, Shi XW, Luo XX. Theoretical study on syndrome distribution and treatment of early diabetic nephropathy[J]. Liaoning Journal of Traditional Chinese Medicine, 2024, 51(7): 40-43.] DOI: 10.13192/j.issn.1000-1719.2024.07.012.

16. 马琳娜, 王韧舟, 王鑫. 健脾补肾活血方联合前列地尔治疗糖尿病肾病的临床疗效及对血清炎性因子的影响[J]. 世界中西医结合杂志, 2020, 15(10): 1894-1897. [Ma LN, Wang  RZ, Wang X. Effect of Jianpi Bushen Huoxue decoction combined with alprostadil on the clinical efficacy of diabetic nephropathy and serum inflammatory factors[J]. World Journal of Integrated Traditional and Western Medicine, 2020, 15(10): 1894-1897.] DOI: 10.13935/j.cnki.sjzx.201028.

17. 吴乙偲, 谭菲, 易露露, 等. 黄芪提取物调控Nrf2/ARE信号通路对糖尿病肾病大鼠氧化应激的影响[J]. 中国临床药理学杂志, 2024, 40(15): 2217-2221. [Wu YC, Tan F, Yi LL, et  al. Effects of Astragalus extract regulating Nrf2/ARE signaling pathway on oxidative stress in diabetic nephropathy rats[J]. The Chinese Journal of Clinical Pharmacology, 2024, 40(15): 2217-2221.] DOI: 10.13699/j.cnki.1001-6821.2024.15.014.

18. Zhu Z, Zhang Q, Liu L, et al. Clinical efficacy and safety of astragalus injection combined with ACEI/ARB in the treatment of diabetic kidney disease: protocol for a systematic review and meta-analysis[J]. Medicine (Baltimore), 2022, 101(49): e31490. DOI: 10.1097/MD.0000000000031490.

19. 云莉, 倪雅丽. 以山药为主的中药复方治疗糖尿病肾病的RCT疗效Meta分析[J]. 中国中医药现代远程教育, 2023, 21(5): 48-51. [Yun L, Ni YL. A Meta-analysis of the RCT effect of traditional Chinese medicine compound with Chinese Yam as the bases in the treatment of diabetic nephropathy[J]. Chinese Medicine Modern Distance Education of China, 2023, 21(5): 48-51.] DOI: 10.3969/j.issn.1672-2779.2023.05.019.

20. Zhong Y, Jin R, Luo R, et al. Diosgenin targets CaMKK2 to alleviate type II diabetic nephropathy through improving autophagy, mitophagy and mitochondrial dynamics[J]. Nutrients, 2023, 15(16): 3554. DOI: 10.3390/NU15163554.

21. 孔旭萍, 高继宁, 韩康, 等. 基于数据挖掘的高继宁教授治疗糖尿病肾病气阴两虚兼湿瘀证用药规律研究[J]. 亚太传统医药, 2021, 17(7): 155-158. [Kong XP, Gao JN, Han  K, et al. Exploration of medication rules of Gao Jining treating diabetic kidney disease with both Qi and Yin deficiency and wet stasis syndrome based on data mining[J]. Asia-Pacific Traditional Medicine, 2021, 17(7): 155-158.] DOI: 10.11954/ytctyy.202107047.

22. Wu C, Wang J, Zhang R, et al. Research progress on Cornus officinalis and its active compounds in the treatment of diabetic nephropathy[J]. Front Pharmacol, 2023, 14: 1207777. DOI: 10.3389/fphar.2023.1207777.

23. Ma W, Wang KJ, Cheng CS, et al. Bioactive compounds from Cornus officinalis fruits and their effects on diabetic nephropathy[J]. J Ethnopharmacol, 2014, 153(3): 840-845. DOI: 10.1016/j.jep.2014.03.051.

24. 唐冠兰, 王振刚, 滕晓洁, 等. 水蛭在糖尿病肾病中的研究与应用[J]. 实用中医内科杂志, 2023, 37(4): 57-59. [Tang  GL, Wang ZG, Teng XJ, et al. Study and application of Leech in diabetic nephropathy[J]. Journal of Practical Traditional Chinese Internal Medicine, 2023, 37(4): 57-59.] DOI: 10.13729/j.issn.1671-7813.Z20220779.

25. 桂厚山, 叶路芬, 陈昕, 等. 基于网络药理学与分子对接技术探究水陆二仙丹治疗糖尿病肾病的作用机制[J]. 通化师范学院学报, 2022, 43(2): 19-27. [Gui HS, Ye LF, Chen X, et al. Based on network pharmacology and molecular docking technology to explore the mechanism of Shuilu Erxian Pill in the treatment of diabetic nephropathy[J]. Journal of Tonghua Normal University, 2022, 43(2): 19-27.] DOI: 10.13877/j.cnki.cn22-1284.2022.02.004.

26. 张欣雨, 张志芳, 祁乐, 等. 含大黄-黄芪-水蛭药组治疗糖尿病肾病的信息学研究[J/OL]. 云南民族大学学报(自然科学版), 2025, (2025-03-19). [Zhang XY, Zhang ZF, Qi L, et al. A quantitative research on the treatment of diabetic kidney disease with Rhubarb-Astragalus-Hirudo containing pharmacological groups based on R language and TF-IDF models[J/OL]. Journal of Yunnan Minzu University (Natural Sciences Edition), 2025, (2025-03-19).] http://kns.cnki.net/kcms/detail/53.1192.N.20250319.1556.004.html

27. Cai L, Chen Y, Xue H, et al. Effect and pharmacological mechanism of Salvia miltiorrhiza and its characteristic extracts on diabetic nephropathy[J]. J Ethnopharmacol, 2024, 319(Pt 3): 117354. DOI: 10.1016/j.jep.2023.117354.

28. 张璇, 姜睿斌, 薛松研, 等. 生地黄及其配伍防治糖尿病肾病微炎症状态的药效机制分析[J]. 现代中西医结合杂志, 2021, 30(35): 3975-3977, 3982. [Zhang X, Jiang RB, Xue SY, et al. Pharmacodynamic mechanism of Radix Rehmanniae and its compatibility in preventing and treating micro inflammation of diabetes nephropathy[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2021, 30(35): 3975-3977, 3982.]  DOI: 10.3969/j.issn.1008-8849.2021.35.022.

29. Wang C, Li S, Meng J, et al. Meta-analysis of Huangqi (Astragalus membranaceus) and Chinese Yam (Rhizoma Dioscoreae) for diabetic nephropathy[J]. Altern Ther Health Med, 2023, 29(8): 840-845. https://pubmed.ncbi.nlm.nih.gov/37856796/

30. 张文顺, 曲超, 佟奕霖, 等. 基于古今医案云平台的中医药治疗早期糖尿病肾病组方规律研究[J]. 中华中医药学刊, 2021, 39(2): 243-247. [Zhang WS, Qu C, Tong YL, et al. Study on medication regularity of traditional Chinese medicine in treatment of diabetic nephropathy based on ancient and modem medical records cloud platform[J]. Chinese Archives of Traditional Chinese Medicine, 2021, 39(2): 243-247.] DOI: 10.13193/j.issn.1673-7717.2021.02.062.

31. 鲁冬梅. 参芪麦味地黄汤对糖尿病性肾病早期气阴两虚证的临床疗效观察[D]. 长沙: 湖南中医药大学, 2023. [Lu  DM. Clinical observation of Shenqi Maiwei Dihuang decoction on early Qi Yin deficiency syndrome of diabetes nephropathy[D]. Changsha: Hunan University of Chinese Medicine, 2023.] DOI: 10.27138/d.cnki.ghuzc.2023.000571.

32. 刘佳, 张志丹, 吕春晓, 等. 滋膵饮治疗糖尿病肾病的临床代谢组学研究[J]. 中国中药杂志, 2024, 49(2): 550-558. [Liu  J, Zhang ZD, Lyu CX, et al. Clinical metabolomics of Zicuiyin in treatment of diabetic kidney disease[J]. China Journal of Chinese Materia Medica, 2024, 49(2): 550-558.] DOI: 10.19540/j.cnki.cjcmm.20231010.501.

33. 吴喜喜. 基于NF-κB、MCP-1探究早期糖尿病肾病"气阴两虚、络脉瘀阻"病机物质基础[D]. 杭州: 浙江中医药大学, 2015. [Wu XX. Inquiry into the material bases of early diabetic nephropathy with the pathogenesis as deficiency of both Qi and Yin and obstruction of collaterals based on NF-κB and MCP- 1[D]. Hangzhou: Zhejiang Chinese Medical University, 2015.] DOI: 10.27465/d.cnki.gzzyc.2015.000035.

34. 吴挺超. 2型糖尿病气阴两虚证量化诊断模型的构建及其治疗方药的挖掘[D]. 成都: 成都中医药大学, 2022. [Wu TC. Construction of quantitative diagnostic model of type 2 diabetes mellitus with qi-yin deficiencies and mining of its therapeutic formulas[D]. Chengdu: Chengdu University of Traditional Chinese Medicine, 2022.] DOI: 10.26988/d.cnki.gcdzu.2022.000053.

35. 李伟, 李旭. 十味玉泉胶囊联合拜糖平治疗气阴两虚型2型糖尿病的临床观察[J]. 辽宁中医杂志, 2017, 44(6): 1207-1209. [Li W, Li X. Effects of Shiwei Yuquan Capsules combined with Acarbose on type 2 diabetes patients of Qi and Yin deficiency[J]. Liaoning Journal of Traditional Chinese Medicine, 2017, 44(6): 1207-1209.] DOI: 10.13192/j.issn.1000-1719.2017.06.033.

36. He H, Yang X, Zeng X, et al. Protective effect of Liuwei Dihuang decoction on early diabetic nephropathy induced by streptozotocin via modulating ET-ROS axis and matrix metalloproteinase activity in rats[J]. J Pharm Pharmacol, 2007, 59(9): 1297-1305. DOI: 10.1211/jpp.59.9.0015.

37. 俞佳丽, 王东. 当归六黄汤加味联合厄贝沙坦治疗气阴两虚证2型糖尿病肾病临床研究[J]. 新中医, 2023, 55(2): 40-43. [Yu JL, Wang D. Clinical study on modified Danggui Liuhuang decoction combined with irbesartan for type 2 diabetic nephropathy with Qi-Yin deficiency syndrome[J]. Journal of New Chinese Medicine, 2023, 55(2): 40-43.] DOI: 10.13457/j.cnki.jncm.2023.02.010.

38. Feng MC, Luo F, Wu HM, et al. Network pharmacology analysis and machine-learning models confirmed the ability of YiShen HuoXue decoction to alleviate renal fibrosis by inhibiting pyroptosis[J]. Drug Des Dev Ther, 2023, 17: 3169-3192. DOI: 10.2147/DDDT.S420135.

39. 朱梦燕, 张银玉, 周鑫鑫, 等. 丹蛭降糖胶囊治疗糖尿病肾病的系统性评价[J]. 中医药临床杂志, 2022, 34(8): 1477-1484. [Zhu MY, Zhang YY, Zhou XX, et al. Systematic evaluation of Danzhi Jiangtang Capsule in the treatment of diabetic nephropathy[J].  Clinical Journal of Traditional Chinese Medicine, 2022, 34(8): 1477-1484.] DOI: 10.16448/j.cjtcm.2022.0826.

40. 王凯. 丹蛭降糖胶囊对早期糖尿病肾病气阴两虚夹瘀证大鼠模型肾组织NOTCH通路的作用机制研究[D]. 合肥: 安徽中医药大学, 2020. [Wang K. Study on the mechanism of Danzhijiangtang capsule on notch pathway of kidney tissue in the rat model of early diabetic nephropathy[D]. Hefei: Anhui University of Chinese Medicine, 2020.] DOI: 10.26922/d.cnki.ganzc.2020.000066.

41. 肖谷雨, 姚姜羽, 冯群, 等. 参芪降糖颗粒治疗糖尿病肾病的临床疗效及作用机制研究进展[J]. 中草药, 2023, 54(19): 6469-6481. [Xiao GY, Yao JY, Feng Q, et al. Research progress on clinical efficacy and mechanism of Shenqi Jiangtang Granule in treatment of diabetic nephropathy[J]. Chinese Traditional and Herbal Drugs, 2023, 54(19): 6469-6481.] DOI: 10.7501/j.issn.0253-2670.2023.19.028.

42. Chen MM, Jia JH, Tan YJ, et al. Shen-Qi-Jiang-Tang granule ameliorates diabetic nephropathy via modulating tumor necrosis factor signaling pathway[J]. J Ethnopharmacol, 2023, 303: 116031. DOI: 10.1016/j.jep.2022.116031.

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