名医余瀛鳌432例调肝法医案辨治规律研究  

Datamining research on the rule of doctor Yu Ying＇ao＇s 432 cases with the treatment principle of regulating the liver

作　　者：于琦[1] 王映辉[1] 李宗友[1] 李哲[2] 孙晓峰[1] 于彤[1] 田野[1] 李敬华[1] 

机构地区：[1]中国中医科学院中医药信息研究,北京100700 [2]中国中医科学院中医药发展研究中心

出　　处：《国际中医中药杂志》2017年第3期225-229,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目（81001560）;中国中医科学院自主选题项目（ZZ080312）

摘　　要：目的基于“中医医案知识服务与共享系统”，挖掘名医余瀛鳌调肝法的辨治规律。方法以余老在中国中医科学院中医门诊部医案为数据源，筛选调肝法为主要治法的相关医案，应用中国中医科学院中医药信息研究所研发“中医医案知识服务与共享系统（V1．1．5）”，构建数据库，采用频次分析、关联规则等方法进行数据挖掘，确定余老调肝法的核心药物组合，用药模式，应用病证及合并治法。结果通过分析432份门诊病案后认为，余老常运用调肝法治疗月经不调、肝癖、胁痛等；辨证多为肝郁气滞、肝郁血瘀、肝郁脾虚、肝肾亏虚；治疗时常合并通络法、育阴法等治法；核心药物配伍为柴胡-香附。结论运用“中医医案知识服务与共享系统”可发掘余老调肝法的临床诊疗及用药规律。Objective Based on the traditional Chinese medical knowledge service and sharing system, to explore the application of famous doctor Yu Ying＇ao＇s regulating the liver method. Methods The medical records of Yu Ying＇ao from the outpatient department of Chinese Academy of Sciences were used as the data source. The ＂traditional Chinese medical knowledge service and information sharing system （V1.1.5）＂ was applied to construct database. The regulating liver core combination of drugs, drug application mode, and combined treatment of diseases and syndromes were determined by analysis methods of frequency and association rules. Results The use of regulating liver method was often used in the treatment of irregular menstruation, cirrhosis, pain and other diseases. Differentiation of liver qi stagnation, blood stasis, liver stagnation and spleen deficiency, liver and kidney deficiency were the main TCM syndromes. Treatment included Tongluo, nourishing Yin treatment. The core drugs were Bupleurum and Rhizoma Cyperi. Conclusions The use of ＂traditional Chinese medical service and knowledge sharing system＂ could explore the clinical diagnosis and medication rules of regulating liver methods.

关 键 词：医案 知识服务 调肝法 数据挖掘 

分 类 号：R249[医药卫生—中医临床基础]