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A Data Mining-Based Analysis of Medication Rules in Treating Bone Marrow Suppression by Kidney-Tonifying Method.

Xing You1,2, Yinkun Xu1,2, Jin Huang1

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This study analyzed Chinese medicine treatments for bone marrow suppression (BMS), finding that kidney-tonifying methods, particularly those invigorating spleen and kidney qi, are key. Key herbs focus on strengthening healthy qi and eliminating pathogenic factors.

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Area of Science:

  • Traditional Chinese Medicine
  • Pharmacology
  • Oncology Supportive Care

Background:

  • Bone marrow suppression (BMS) is a significant side effect of chemotherapy and radiotherapy.
  • Kidney-tonifying (Bushen) methods are a traditional approach to managing BMS in Chinese medicine.
  • Understanding the specific herbs and formulae used in kidney-tonifying therapies is crucial for clinical application.

Purpose of the Study:

  • To investigate the efficacy of kidney-tonifying methods in treating bone marrow suppression (BMS) using traditional Chinese medicine (TCM).
  • To provide evidence-based references for the clinical use of herbs and formulae in managing BMS.
  • To analyze the medication rules associated with TCM kidney-tonifying treatments for BMS.

Main Methods:

  • Systematic literature review of TCM databases (CNKI, CBM) for kidney-tonifying treatments of BMS.
  • Establishment of a database of BMS-treating formulae used in conjunction with TCM kidney-tonifying methods.
  • Application of data mining techniques, including cluster analysis and the Apriori algorithm, to analyze medication patterns.

Main Results:

  • A database of 239 formulae and 202 herbs was compiled, with herbs appearing 2,602 times.
  • High-frequency herbs included Astragali Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), and Ligustri Lucidi Fructus (Nvzhenzi).
  • Deficiency-tonifying herbs constituted 64.60% of the total, with 8 clustering formulae and 26 herb pair association rules identified.

Conclusions:

  • TCM treatment for BMS primarily involves invigorating the spleen and tonifying the kidney and liver to strengthen healthy qi.
  • The therapeutic strategy incorporates blood-activating herbs and dampness-draining diuretic herbs to eliminate pathogenic factors.
  • This analysis provides insights into the empirical medication rules for kidney-tonifying therapies in BMS management.