[1]赵鼎,彭欣,闫滨,等.基于数据挖掘的经方治疗痰饮病辨治规律[J].西部中医药,2018,31(11):53-58.
　ZHAO Ding,PENG Xin,YAN Bin,et al.On the Rules of Treatment Differentiation for Classical Prescriptions in Treating Phlegm Diseases Based on Data Mining[J].Western Journal of Traditional Chinese Medicine,2018,31(11):53-58.
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基于数据挖掘的经方治疗痰饮病辨治规律()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年11期
页码:
53-58
栏目:
出版日期:
2018-11-15

文章信息/Info

Title:
On the Rules of Treatment Differentiation for Classical Prescriptions in Treating Phlegm Diseases Based on Data Mining
文章编号:
1004-6852(2018)11-0053-06
作者:
赵鼎1,2，彭欣1，闫滨1，张沁园1，张诏1，刘西建1，吕翠霞1△
1 山东中医药大学中医学院，山东 济南 250355; 2 盐城市中医院肿瘤科
Author(s):
ZHAO Ding1,2, PENG Xin1, YAN Bin1, ZHANG Qinyuan1, ZHANG Zhao1, LIU Xijian1, LYU Cuixia1△
1 College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, China ; 2 Department of Oncology, Yancheng Municipality TCM Hospital
关键词:
痰饮病; 经方; 辨治规律; 数据挖掘
Keywords:
phlegm diseases;  classical prescription;  the rules of treatment differentiation;  data mining
分类号:
R222.3
文献标志码:
A
摘要:
目的：探讨经方治疗痰饮病的辨治规律及处方用药。方法：通过Medcase V3.2仓公诊籍国医脉案数据记录挖掘系统，运用频数分析与关联规则分析，从症状、病因、病机、处方用药等多方面对经方治疗痰饮病的病案进行数据挖掘。结果：痰饮病临床表现主要有形寒怕冷、疲倦乏力、食欲不振、胸闷、咳嗽、水肿、大便稀薄、口干、头晕、呕吐、胃胀、心悸、腹胀、气喘等；舌象中频数较高的有质淡、质淡红、苔薄白、边有齿痕、苔白腻、质红；脉象频数较高的有细、弦、沉、滑、弱脉；病机依次为风寒束表、水饮内停、水湿内停、肝郁脾虚、气化不利、脾虚失运、痰热互结、痰饮伏肺及脾肾阳虚；常用药物有茯苓、生白术、桂枝、泽泻、白芍、生甘草、生姜、制附片、炙甘草、生半夏、猪苓、川芎、当归、干姜、生麻黄、细辛、法半夏、五味子、生黄芪、大枣、厚朴、全瓜蒌、陈皮等。结论：应用数据挖掘方法所得结果能初步反映经方治疗痰饮病的辨治规律，具有一定的临床指导意义。
Abstract:
Objective: To discuss the rules of treatment differentiation and pharmacy for classical prescription in treating phlegm diseases. Methods: Data mining was used to analyze medical cases of classical prescriptions in treating phlegm disease from the aspects of symptoms, the cause, pathogenesis, prescription and medication, and others by frequency and association rules through Medcase V3.2 data recording and mining system for medical cases. Results: Clinical manifestations of phlegm diseases mainly were cold body and chilly, fatigue and lassitude, anorexia, choking sensation in chest, cough, edema, sloppy stool, dry mouth, dizziness, vomiting, gastrectasia, palpitation, abdominal distension, asthma and others; the tongue manifestations in higher frequencies were light tongue, pale red tongue, thin white fur, teeth-marked tongue, white slimy fur and red tongue; the pulse conditions in higher frequencies were fine pulse, string-like pulse, sunken pulse, slippery pulse and weak pulse; the pathogenesis was wind-cold fettering the exterior, water-fluid internal retention, water-damp internal retention, liver-Qi stagnation spleen-deficiency, inhibited Qi transformation, spleen deficiency failing in transportation, intermingled phlegm and heat, phlegm fluid lying latent in the lung and spleen-kidney Yang-deficiency; the common drugs were FuLing (Wolfiporia cocos), BaiZhu(Atractylodes macrocephala Koidz.), GuiZhi(cassia twig), ZeXie(Alisma plantago-aquatica Linn.), BaiShao(Cynanchum otophyllum), GanCao(Glycyrrhiza uralensis Fisch.), ginger, processed FuPian (Aconitum carmichaeli Debx), ZhiGanCao (Glycyrrhizae.), ShengBanXia (unprocessed Rhizoma Pinelliae), ZhuLing (polyporus), ChuanXiong(Ligusticum chuanxiong Hort.), DangGui(Angelica sinensis), dried ginger, ShengMaHuang (Raw ephedra), XiXin(Asarum sieboldii Miq.), FaBanXia(Rhizoma Pinelliae), WuWeiZi[Schisandrachinensls(Turcz.)Baill], ShengHuangQi(Astragalus mongholicus Bunge), red dates, HouPo(Magnolia officinalis Rehd. et Wils.), QuanGuaLou(Trichosanthes kirilowii Maxim.), ChenPi(pericarpium citri reticulatae) and others successively. Conclusion: The results obtained by data mining could initially reflect the rules of treatment differentiation of classical prescription in treating phlegm diseases, which possess certain clinical guiding significance.

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备注/Memo

备注/Memo:
收稿日期：2018-02-24 作者简介：赵鼎(1988—)，男，博士学位，医师。研究方向：仲景学说杂病证治规律研究。 △通讯作者：吕翠霞(1963—)，女，博士研究生导师，博士学位，教授。研究方向：仲景学说杂病证治规律研究；体质与病症关系及证治规律研究。
更新日期/Last Update: 2018-11-15