基于复杂网络的太阴中风证临床诊断指征筛选  

Selection on clinical diagnostic indications of wind syndrome of Taiyin based on complex network

作　　者：刘佳佳 林树元[1] 郑卫军[1] 曹灵勇[1] LIU Jiajia;LIN Shuyuan;ZHENG Weijun;CAO Lingyong(School of Basic Medicine,Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学基础医学院,浙江杭州310053

出　　处：《上海中医药杂志》2018年第12期14-17,共4页Shanghai Journal of Traditional Chinese Medicine

摘　　要：目的筛选太阴中风证的临床诊断指征,探索中医证候诊断标准的研究方法。方法以太阴中风证主方黄芪桂枝五物汤为对象,检索相关文献,提取四诊信息,建立数据库;采用UCINET软件进行数据处理及复杂网络构建,筛选太阴中风证初步的临床诊断指征,然后结合原文与临床实际,进一步分析得到最终的诊断指征。结果基于复杂网络筛选出黄芪桂枝五物汤的主症为舌淡、苔白、苔薄、脉细、麻木、乏力、有汗、恶寒,次症为脉沉、脉虚、舌淡红、四肢疼痛、神疲、纳呆、短气、面色晦暗、头晕、酸痛、面色白;太阴中风证临床诊断指征主症为肢体烦疼、神疲乏力、有汗、恶寒、舌淡、苔薄、苔白、脉细,次症为纳呆、短气、头晕、面色晦暗、面色白、脉沉、脉虚。结论基于复杂网络筛选出太阴中风证的临床诊断指征,可为进一步加深对太阴中风证的认识及临床诊断提供参考。Objective To screen the clinical diagnostic indications of wind syndrome of Taiyin,and explore the research methods of standardization of TCM syndrome diagnosis. Methods Huangqi Guizhi Wuwu Decoction,as the main prescription of wind syndrome of Taiyin,was taken as the object to retrieve relevant literatures and extract information about four diagnostic methods,and the database was established. The UCINET software was used for data processing and complex network construction,and the preliminary clinical diagnostic indications of wind syndrome of Taiyin were filtered. Then the final diagnostic indications were obtained combined with the original text and clinical practice. Results The main symptoms of Huangqi Guizhi Wuwu Decoction screened by complex network were light tongue,white fur,thin fur,thready pulse,numbness,weakness,sweating and aversion to cold,the secondary symptoms were deep pulse,feeble pulse,slight red fur,limbs pain,spiritlessness,anorexia,shortness of breath,gloomy complexion,dizziness,ache and pale complexion. The main symptoms of the clinical diagnostic indications of wind syndrome of Taiyin were limbs or trunk pain,spiritlessness and weakness,sweating,aversion to cold,light tongue,thin fur,white fur and thready pulse,the secondary symptoms were anorexia,shortness of breath,dizziness,gloomy complexion,pale complexion,deep pulse and feeble pulse. Conclusion The clinical diagnostic indications of wind syndrome of Taiyin screened by complex network can provide reference for deeper understanding and clinical diagnosis of wind syndrome of Taiyin.

关 键 词：太阴中风 诊断指征 黄芪桂枝五物汤 复杂网络 可视化 四诊信息 

分 类 号：R255.2[医药卫生—中医内科学]