Abstract

ObjectiveTo analyze the medication rules of traditional Chinese medicine (TCM) for malaria treatment. MethodsStatistical analysis was conducted on the basic attributes of TCM drugs with regard to property, therapeutic methods, flavor, and meridian tropism. A complex network of TCM drug associations was constructed. Cluster analysis was applied to obtain the core drugs for malaria treatment. The Apriori algorithm was applied to analyze the association rules of these core drugs. ResultsA total of 3S7 herbs were used 3,194 times in 461 prescriptions for malaria treatment. Radix Glycyrrhizae (▪), Rhizoma Pinelliae (▪), Radix Bupleuri (▪), and Radix Dichroae (▪) were the frequently used herbs through supplementing, exterior-releasing, heat-clearing, qi-rectifying, and damp-resolving therapeutic methods. Such herbs had warm, natural, and cold herbal properties; pungent, bitter, and sweet flavors; and spleen, lung, and stomach meridian tropisms. Cluster analysis showed 61 core drugs, including Radix Glycyrrhizae, Rhizoma Pinelliae, Radix Bupleuri, and Radix Scutellariae (▪). Apriori association rule analysis yielded 12 binomial rules (herb pairs) and 6 trinomial rules (herb combinations). Radix Bupleuri plus Radix Scutellariae was the core herbal pair for treating malaria. This pair could be combined with Rhizoma Atractylodis Macrocephalae (▪) for treating warm or cold malaria, combined with Pericarpium Citri Reticulatae (▪) or Radix Dichroae (▪) for treating miasmic malaria, or combined with turtle shells (▪) for treating malaria with splenomegaly. ConclusionsTCM can be used to classify and treat malaria in accordance with the different stages of development. As the core herbal pair, Radix Bupleuri and Radix Scutellariae can be combined with other drugs to treat malaria with different syndrome types.

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