Study on Professor Diangui Li's Medication Experience in Treating Atrophic Gastritis Concomitant with Helicobacter Pylori Infection Based on Data Mining

Abstract

Abstract Objective  Our objective was to explore the national traditional Chinese medicine by studying master Diangui Li's medication experience in treating atrophic gastritis (AG) concomitant with Helicobacter pylori (Hp) infection based on data mining, and to provide the reference for the clinical treatment of relevant diseases. Methods  The Chinese medicine prescriptions of the patients' first visits to the Famous Doctors' Consultation Room in Hebei Provincial Hospital of Chinese Medicine from May 2019 to December 2022 were collected and frequency analysis of the Chinese herbs, association rules analysis of the Chinese herbs, and cluster analysis were conducted using the Famous Doctor Inheritance Assistance Platform. Results  A total of 188 prescriptions were collected, with 136 kinds of Chinese herbs. The highest use frequency of Chinese herbs was 185 and the lowest was 1. There were 28 kinds of Chinese herbs with high use frequency. The top 10 herbs with the high use frequency include Baihuasheshecao (Hedyotis Diffusae Herba), Huanglian (Coptidis Rhizoma), Yinchen (Artemisiae Scopariae Herba), Jigucao (Abriherba), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Banzhilian (Scutellariae Barbatae Herba), Baihe (Lilii Bulbus), Zhishi (Aurantii Immaturus Fructus), Chuanxiong (Chuanxiong Rhizoma). Chinese herbs with high frequency use are mostly heat-clearing herbs and qi-regulating herbs; the flavors of the herbs are mainly pungent, bitter, and sweet; the properties are mainly warm, cold, and neutral; the meridian tropism is mainly the spleen, liver, and stomach meridians. The core herbal medicines are Huanglian (Coptidis Rhizoma), Yinchen (Artemisiae Scopariae Herba), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), etc.; the results of association rules: Jigucao (Abriherba)-Kushen (Sophorae Flavescentis Radix), Jiaogulan (Gynostemmatis Pentaphylli Rhizoma seu Herba)-Banlangen (Isatidis Radix), Huangqin (Scutellariae Radix)-Banlangen (Isatidis Radix), etc.; the results of cluster analysis showed that there were 10 clusters: (1) Yinchen (Artemisiae Scopariae Herba), Huanglian (Coptidis Rhizoma), Baihuasheshecao (Hedyotis Diffusae Herba), Banzhilian (Scutellariae Barbatae Herba), Jigucao (Abriherba); (2) Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Wuyao (Linderae Radix); (3) Yuanhu (Corydalis Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix). Conclusions  For the treatment of AG concomitant with Hp infection, Professor Diangui Li mainly adopts the method of clearing heat and removing the toxin, regulating qi and resolving phlegm, combining disease differentiation with syndrome differentiation, performing reinforcing method, and reducing method simultaneously to regulate the mechanism of the human body.