基于数据挖掘分析中医药诊疗新冠肺炎的经络辨治思路郑凯腾姚惠仪曾慧妍郑丹文奚小土〔摘要〕目的基于數据挖掘技术分析中医药治疗新型冠状病毒肺炎（coronavirusdisease2019，COVID-19，以下简称“新冠肺炎”）不同阶段中药处方用药的归经规律，归纳经络辨治思路，以期为今后中医药抗击新发突发传染病提供参考。方法收集2020年1月16日至2020年11月11日国家及各省、自治区、直辖市卫生健康委、中医药管理局所发布的新冠肺炎诊疗方案，建立数据库，对所收集处方的中药归经进行描述性分析、关联规则分析和聚类分析。结果（1）药物归经情况统计显示，新冠肺炎初期药物归经频率最高的经络为肺经，极期为心经，恢复期为肺经;（2）关联规则分析显示，初期核心归经为肺、脾、胃经，极期为心、肝、脾、胃、肺经，恢复期为肺、脾、胃经;（3）聚类分析结果显示，初期药物归经可分为肺、脾、胃经和其他经，极期可分为心、脾经和其他经，恢复期可分为肺、脾、胃经和其他经。结论中医治疗新冠肺炎初期以肺、脾、胃经为主，治宜宣肺化痰止咳、化湿运脾和胃;极期以心、脾经为主，兼顾肺、胃、肝经，治宜开窍醒神、扶正固脱，兼化痰止咳平喘、行气通腑、平肝息风;恢复期以肺、脾、胃经为主，治宜益气养阴、健脾和胃、清肺透邪，兼顾心经以调心安神。〔关键词〕新型冠状病毒肺炎;中医药诊疗;中药归经;经络辨治;数据挖掘〔〕R259〔文献标志码〕A〔〕doi：10.3969/j.issn.1674-070X.2021.07.018〔Abstract〕ObjectiveTosummarizetheideasofchannelssyndromedifferentiationandtreatment，andtoprovidetreatmentreferencesforChinesemedicinetofightemerginginfectiousdiseasesinthefuture，throughanalyzingtheruleofchanneltropismoftraditionalChinesemedicine（TCM）prescriptionsforthetreatmentofcoronavirusdisease2019（COVID-19）indifferentstages，basedondataminingtechnology.MethodsThedatabasewasestablishedbycollectingCOVID-19diagnosisandtreatmentguidelinesissuedbythestate，provinces，autonomousregions，andmunicipalities'healthcommissionsandTCMAdministrationfromJanuary16toNovember11，2020.Descriptiveanalysis，associationruleanalysisandclusteranalysiswereperformedonthechanneltropismofcollectedprescriptionsofTCM.Results（1）StatisticsoftheherbschanneltropismdemonstratedthatthechannelwiththehighestfrequencyofchanneltropismintheinitialstageofCOVID-19wasthelungchannel，theextremestagewasheartchannel，andtherecoverystagewaslungchannel.（2）Associationruleanalysisshowedthatthecorechannelsattheinitialstagewerethelung，spleen，andstomachchannels;theextremestageweretheheart，liver，spleen，stomach，andlungchannels;andtherecoverystagewerethelung，spleen，andstomachchannels.（3）Theresultsofclusteranalysisindicatedthattheherbschanneltropismintheinitialstagecouldbedividedintolung，spleen，stomachandotherchannels，andtheextremestagecouldbedividedintoheart，spleenandotherchannels，therecoverystagecouldbedividedintolung，spleen，stomachandotherchannels.ConclusionIntheinitialstageoftreatmentforCOVID-19，TCMmainlyfocusesonlung，spleenandstomachchannels.Itissuitableforventilatinglunganddissipatingphlegm，removingdampnessforregulatingspleenandstomach.Theextremestagemainlyfocusesonheart，spleenchannels，aswellaslung，stomach，liverchannels.Itissuitableforinducingresuscitation，strengtheningvitalQiandrelievingdesertion，andgivingconsiderationtodissipatingphlegmandrelievingcoughforrelievingdyspnea，activatingQiandcatharsis，suppressinghyperactiveliverforcalmingendogenouswind.Therecoverystageismainlybasedonthelung，spleen，andstomachchannels.ThetreatmentissuitableforbenefitingQiandnourishingYin，invigoratingspleenandregulatingstomach，clearinglu...