对规划教材《中医诊断学》心病辨证的“系统”分析  

System analysis on the syndrome differentiation of heart disease in Diagnostics of Chinese Medicine

作　　者：宋观礼[1] 张启明[1] 王永炎[2] 张志斌[2] 

机构地区：[1]山东中医药大学,山东济南250014 [2]中国中医科学院,北京100700

出　　处：《山东中医药大学学报》2006年第3期188-190,共3页Journal of Shandong University of Traditional Chinese Medicine

基　　金："973"国家重点基础研究发展计划---"证候规范及其与疾病;方剂相关的基础研究"(2003CB517100);子课题1"证候规范与辨证方法体系的研究"(2003CB517101);国家自然科学基金资助项目(30271564);新世纪优秀人才支持计划资助项目(NCET-04-0650)

摘　　要：总结历代中医临床名家医案并建立数据库,采用非条件Logistic多元逐步回归方法,形成中医证候及其临床表现的知识库并编制“中医临床辅助诊断系统”软件,输入《中医诊断学》心病证候的临床表现,比较软件和教材给出的辨证结果。根据分析,建议:①在心气虚证中加入能辨病位的临床表现;②从心阳虚证或心阳虚脱证中去掉瘀血的临床表现;③将心脉痹阻证与瘀阻脑络证合并。A database was founded in the paper by summarizing the medical cases of the famous physicians in the past dynasties. Non-conditional logistic multivariate regression was employed to form database of symptoms and clinical manifestations,and a application software which is clinical assistant diagnosis system of Chinese Medicine was designed. And the clinical manifestation of the syndromes of heart in Diagnostics of Chinese Medicine was input to the software, a corresponding syndrome will differentiate. Compared the two kinds of syndromes, we suggest that some clinical manifestations should be added to the syndrome of heart-Qi deficiency to affirm the pathological location, that some clinical manifestations that be used to differentiate the blood stasis should be deleted from the syndromes of heart-Yang deficiency and heartYang depletion,that syndrctne of blockage of the cardiac vessels and blood stasis in the collateral of the brain should be combined.

关 键 词：心病辨证 医案数据库 LOGISTIC回归 中医诊断学 

分 类 号：R256.2[医药卫生—中医内科学]