基于关联规则算法的干(生)姜治疗咽喉肿痛的用药经验研究  

Application Experience of Association Rules Algorithm Based on Ginger Treating Pharyngitis or Tonsillitis

作　　者：管桦桦[1] 原嘉民[1] 杨志敏[1] 张晓轩[1] 老膺荣[1] 

机构地区：[1]广东省中医院,广东广州510120

出　　处：《辽宁中医杂志》2016年第6期1142-1145,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：广东省科技厅项目(2013B021800246);广东省中医院扶阳流派传承工作室项目(2013KT1517);广东省中医院颜德馨膏方工作室(中医二院[2014]89号-6);广州中医药大学第二临床医学院学生跟师中医学术流派学习活动(中医临二[2015]3号)

摘　　要：目的:分析总结干姜、生姜在咽喉肿痛治疗中的用药经验。方法:收集并选择符合纳入标准的医案,规范化处理后,以结构化的形式形成数据库中,采用统计分析与关联规则Apriori算法。结果:69则医案中,干姜使用22次,生姜11次;两者的常用量为15 g;常与附子、甘草、桂枝、细辛、半夏配伍;感受风寒,对清热解毒药物反应不佳的病史特点;扁桃体肿大,咽喉部梗塞,便溏,不欲饮等兼症;舌淡、边有齿痕或质润有津液的舌象;沉或紧的脉象等对于二药及相关药对,方剂的使用具有提示作用,其中舌证和脉象尤为重要。结论:咽喉肿痛不是干姜、生姜的禁忌症。药物的使用需以四诊合参为前提,可重点把握舌脉做出选择。Objective： To summarize the experience of ginger in the treatment of pharyngitis or tonsillitis. Methods： Collect and choose the medical records which met the criteria. After standardized treatment,use the statistical analysis and association rules algorithm Apriori on database. Results： In sixty- nine cases： dried ginger 22 times; ginger 11 times. Both were commonly used by15 g and often combined with Fuzi（ Daughter Root）,Gancao（ Liquorice Root）,Guizi（ Cassia Twing）,Xixin（ Wildginger） and Banxia（ Pinellia Tuber）. The characteristics included attacking by wind- cold and poor response of heat- clearing and detoxifying drugs. Secondary symptoms： the enlargement of the tonsils,throat infarction,loose stools,no desire to drink; pale ／ enlarged ／ teeth-marked ／ slippery coating; deep or tight pulse. All these can prompt dried ginger ／ ginger and its affiliated prescriptions,but tongue and pulse characteristics are both important of these symptoms. Conclusion： Ginger is not contraindication of pharyngitis or tonsillitis. Comprehensive analysis of four examinations and focus on tongue and pulse characteristics would make the treatment perfect.

关 键 词：干姜 生姜 咽喉肿痛 喉痹 乳蛾 用药经验 

分 类 号：R76[医药卫生—耳鼻咽喉科]