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中国临床研究:2025,38(3):452-456,460
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基于数据挖掘与网络药理学探究张星平教授治疗心不藏神不寐用药规律及机制
(1. 新疆医科大学第四临床医学院,新疆 乌鲁木齐 830099;2. 新疆医科大学附属中医医院,新疆 乌鲁木齐 830099)
Exploration on medication regularity and mechanism of Professor ZHANG Xingping treating insomnia of heart not storing spirit based on data mining and network pharmacology
摘要
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投稿时间:2024-03-07   网络发布日期:2025-03-20
中文摘要: 目的 利用数据挖掘方法分析张星平教授治疗心不藏神不寐用药规律,并通过网络药理学技术探索核心处方的作用机制。方法 以中医传承计算平台(V3.0)建立张星平教授治疗心不藏神不寐数据库,统计药物使用频次、性味归经,并进行关联规则分析、聚类分析,挖掘核心药物组合。收集核心处方的作用靶点和心不藏神不寐的靶点,筛选共同靶点,构建蛋白质相互作用(PPI)网络获得关键靶点,利用富集分析方法分析作用机制。结果 共纳入处方288张,包含145味中药,使用频次>200次的药物共有12味,药性以寒为主,药味以苦、辛为主,归经以肝经、脾经为主;功效以清热、补虚、理气为主;组方规律分析获得核心处方包括黄连、黄芩、夏枯草、柴胡、赤芍、白芍、郁金、陈皮、半夏、白术、茯苓、甘草。核心处方治疗心不藏神不寐的核心靶点为AKT1、IL-1β、IL-6、CASP3等;作用的生物学过程主要有对脂多糖的反应、调节血管直径、循环系统中的血管过程、对氧化应激的反应等;作用的主要通路包括脂质与动脉硬化、TNF通路、IL-17通路等,涉及的机制主要包括炎症、凋亡等。结论 张星平教授治疗心不藏神不寐以心为主,兼顾肝脾,以清心宁神为法,辅以疏肝安魂、运脾存意,核心处方清心宁神汤治疗心不藏神不寐的作用机制可能与调控炎症反应与细胞凋亡有关。
中文关键词: 不寐  心不藏神  数据挖掘  网络药理学
Abstract:Objective To analyze the medication patterns used by Professor ZHANG Xingping in treating insomnia of heart not storing spirit using data mining methods, and to explore the mechanisms of action of the core prescriptions through network pharmacology techniques.Methods Established a database for Professor ZHANG Xingpings treatment of insomnia of heart not storing spirit on the Traditional Chinese Medicine Inheritance Computational Platform (V3.0), compiled statistics on drug usage frequency, characteristics, and meridian attribution, and conducted association rule analysis and cluster analysis to mine core drug combinations. Collected target sites of the core prescriptions and those associated with insomnia of heart not storing spirit, screened common targets, constructed a protein-protein interaction (PPI) network to identify key targets, and analyzed the mechanisms of action using enrichment analysis methods. Results A total of 288 prescriptions were included, containing 145 types of Chinese materia medica, with 12 drugs having a usage frequency greater than 200 times. The nature of the medications was predominantly cold, the flavors primarily bitter and pungent, and the channel tropism mainly to the liver and spleen meridians; the primary efficacy was to clear heat, nourish deficiency, and regulate Qi. Analysis of the formulating rules yielded a core prescription including Huanglian, Huangqin, Xiakucao, Chaihu, Chishao, Baishao, Yujin, Chenpi, Banxia, Baizhu, Fuling, and Gancao. The core targets for treating insomnia of heart not storing spirit with the core prescription were AKT1, IL-1β, IL-6, CASP3, etc.; the biological processes involved primarily include responses to lipopolysaccharides, regulation of blood vessel diameter, vascular processes in the circulatory system, responses to oxidative stress, etc.; the main pathways involved include lipids and arteriosclerosis, TNF pathway, IL-17 pathway, etc., involving mechanisms such as inflammation and apoptosis. Conclusion Professor ZHANG Xingpings treatment of insomnia of heart not storing spirit focuses on the heart while also considering the liver and spleen, adopting a method of clearing the heart and calming the spirit, supplemented by soothing the liver and securing the soul, and moving the spleen to preserve intention. The mechanism of action of the core prescription, Qingxin Ningshen Decoction, in treating insomnia of heart not storing spirit may be related to regulating inflammatory responses and cellular apoptosis.
文章编号:     中图分类号:R256.23    文献标志码:B
基金项目:国家自然科学基金(82160873,81960837, 81560762, 81260526);新疆自然科学基金重点项目(2022D01D48);全国名老中医药专家传承工作室(国中医药人教函〔2022〕75号);国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2023〕85号);新疆“十四五”中医学重点学科(新教函〔2022〕112号)
附件
引用文本:
胡龙涛,张星平,陈旭.基于数据挖掘与网络药理学探究张星平教授治疗心不藏神不寐用药规律及机制[J].中国临床研究,2025,38(3):452-456,460.

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