庄国康运用“滋阴法”诊治湿疹医案的数据挖掘  

Medical records data mining research of Zhuang Guokang’s ＂Nourishing Yin method＂ in the treatment of eczema

作　　者：庞博[1] 范瑛[1] 宋坪[1] 

机构地区：[1]中国中医科学院广安门医院国际医疗部,北京100053

出　　处：《国际中医中药杂志》2014年第12期1110-1114,共5页International Journal of Traditional Chinese Medicine

基　　金：中国中医科学院“名医名家”项目（CM20141008）

摘　　要：目的：探讨庄国康诊治湿疹医案的思辨规律。方法以庄国康诊治湿疹医案58例为研究对象，建立数据库，运用支持向量机方法进行辨证要点、用药规律的数据挖掘。结果提取“滋阴法”作为分类属性，得到辨证要点、相关治法、用药特点3个模型，相关量化数据63条。“滋阴法”所对应“阴虚”证素主要辨证要点模型分类准确率为77.586%，κ＝0.536，其中皲裂、丘疹、脉细、脱屑的权重值较高，分别为1.558、1.456、1.036、0.858；用药特点模型分类准确率为86.207%，κ＝0.719，其中太子参、车前子、天冬、黄精权重最高，分别为0.776、0.550、0.525、0.388。结论皲裂、脉细、脱屑为庄国康辨证选用“滋阴法”治疗湿疹的主要辨证要点。Objective To explore the diagnosis and treatment rule of eczema by Zhuang Guokang. Methods Data of 58 eczema patients treated by Zhuang Guokang were collected as research objects to set up the database. Support vector machine （SVM） method was adopted to take data mining research of the key points of syndrome differentiation and the rule of medication. Results The ＆quot;nourishing Yin method＆quot; was extracted as the category property to get 3 classification models of the syndrome differentiation key points, the related treatment methods and medication rule and 63 relevant quantitative data. The accuracy rate of model classification of the main differentiation points of ＆quot;nourishing Yin method＆quot; corresponding to ＆quot;Yin＆quot; reached 77.586%, and Kappa value was 0.536. Among these points, the weight of chapping（1.558）, papules（1.456）, thready pulse（1.036）and desquamation（0.858） got higher significance. The accuracy rate of model classification of medication feature reached 86.2069%, and Kappa value was 0.719. Among these medicines, Pseudostellaria heterophylla（0.776）, Semen plantaginis （0.550）, Asparagus root（0.525） and Solomonseal （0.388） got higher significance. Conclusion The research revealed the syndrome differentiation key points and the medication rule of Zhuang Guokang’s ＂nourishing Yin method＂ in the treatment of eczema, and explored the path of experience transforming to knowledge of the famous old TCM doctors.

关 键 词：湿疹 医案 数据挖掘 经验传承 名老中医 

分 类 号：R249[医药卫生—中医临床基础] R275.9[医药卫生—中医学]