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      Explore the medication rules of Chinese medicine of Professor Huang Wenzheng for the treatment of chronic kidney disease based on data mining

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          Abstract

          Highlights:

          The study found the backbone network and three-level network of the Chinese medicine for the treatment of CKD by homogeneous network analysis. The 5 top commonly used herbs were Dan Shen (Radix Salviae Miltiorrhizae) , Fu Ling (Poria) , Huang Qin (Radix Scutellariae), Sheng Di Huang (Radix Rehmanniae Recens) and Sha Ren (Fructus Amomi Villosi), respectively.

          Abstract

          In recent years, chronic kidney disease (CKD) received increased attention due to its high prevalence and adverse effects. Current treatment options for CKD are limited. Many patients seek alternative therapies, such as traditional Chinese medicine (TCM). TCM has been used widely in the treatment CKD for many years. The purpose of this study is to explore the medication rules of Professor Huang Wenzheng's treatment of CKD with Chinese medicine based on data mining. The structured case database was built for 131 patients with CKD treated by Prof. Huang. The complex network analysis was applied to analyze the medication principle of Chinese medicines.The study found the backbone network and three-level network of the Chinese medicines for the treatment of CKD by homogeneous network analysis. The 5 top commonly used herbs were Dan Shen ( Radix Salviae Miltiorrhizae) , Fu Ling ( Poria) , Huang Qin ( Radix Scutellariae), Sheng Di Huang ( Radix Rehmanniae Recens) and Sha Ren ( Fructus Amomi Villosi), respectively.

          Translated abstract

          近年来,慢性肾病由于其发病率高,预后不良等备受关注。由于缺乏有效的根治手段,很多人采用中医治疗。中医治疗慢性肾病已有几千年的历史,本文运用数据挖掘的方法,对名老中医黄文政教授治疗慢性肾脏病的用药规律进行总结。收集131例(1909诊次)慢性肾病患者资料,建立结构化病例数据库,运用复杂网络分析方法,系统的分析了黄文政教授在治疗慢性肾脏病用药规律和特点。同质网络分析得到了慢性肾脏病的用药骨干网络与三级网络。中药频次前5位的依次是丹参、茯苓、黄芩、生地黄、砂仁。

          Most cited references8

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          K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.

          (2002)
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            Association of prescribed Chinese herbal medicine use with risk of end-stage renal disease in patients with chronic kidney disease.

            The evidence on whether Chinese herbal medicines affect outcome in patients with chronic kidney disease (CKD) is limited. Here we retrospectively explored the association of prescribed Chinese herbal medicine use and the risk of end-stage renal disease (ESRD) in patients with CKD. Patients with newly diagnosed CKD in the Taiwan National Health Insurance Research Database from 2000 to 2005 were categorized into new use or nonuse of prescribed Chinese herbal medicine groups. These patients were followed until death, dialysis initiation, or till the end of 2008. Among the 24,971 study patients, 11,351 were new users of prescribed Chinese herbal medicine after CKD diagnosis. Overall, after adjustment for confounding variables, the use group exhibited a significant 60% reduced ESRD risk (cause-specific hazard ratio 0.41, 95% confidence interval 0.37-0.46) compared with the nonuse group. The change was significantly large among patients using wind dampness-dispelling formulas (0.63, 0.51-0.77) or harmonizing formulas (0.59, 0.46-0.74), suggesting an independent association between specific Chinese herbal medicines and reduced ESRD risk. The findings were confirmed using propensity score matching, stratified analyses, and three weighting methods. However, dampness-dispelling and purgative formulas were associated with increased ESRD risk. Thus, specific Chinese herbal medicines are associated with reduced or enhanced ESRD risk in patients with CKD.
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              Chinese cohort study of chronic kidney disease: design and methods.

              Chronic kidney disease (CKD) is a common disorder associated with multiple adverse clinical consequences, especially cardiovascular risk and end-stage renal disease. A recent national survey demonstrated that CKD has become a leading health problem in China. There is an urgent need to implement an in-depth investigation of the CKD burden and also to explore underlying mechanisms of CKD progression and it association with adverse consequences.
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                Author and article information

                Contributors
                Journal
                Traditional Medicine Research
                Traditional Medicine Research
                TMR Editorial Board (Jintang road, 99, Hedong district Tianjin,China, 300170. )
                2413-3973
                January 2016
                5 January 2016
                : 1
                : 3
                : 156-165
                Affiliations
                [1-2413-3973-1-3-156] 1Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, 300120, China
                [2-2413-3973-1-3-156] 2First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China
                [3-2413-3973-1-3-156] 3Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China
                Author notes
                Corresponding to: Yao-Guang Wang, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China; E-mail: wangyaoguang1012@ 123456126.com.
                Submitted: 9 March 2016

                Executive Editor: Cui-Hong Zhu English Editor: Chelsea Williams, Zhen-Yan Liu, Ting Shuai, Zong-Shi Qin, Yi-Cheng Shi, Ning Jia, Li-Yun Cui, Mei-Qu Xu, Xue Yang.

                Article
                2413-3973-1-3-156
                0572278a-9e12-41a3-b841-6d7634c8d9cc

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 4 April 2016
                Categories
                Orginal Article
                Medicine
                Traditional Medicine

                Medicine,Pharmacology & Pharmaceutical medicine,Health & Social care,Complementary & Alternative medicine
                Clinical practice,Complex network,Chronic kidney disease,Huang Wenzheng

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