基于古医籍医案考察的湿热体质的辨识与诊疗模式研究  

Research on the Identification and Treatment Patterns of Dampness-heat Body Constitution Based on Ancient Medical Literature Retrieval

作　　者：英孝[1] 倪诚[1] 

机构地区：[1]北京中医药大学中医体质与生殖医学研究中心,北京100029

出　　处：《世界中医药》2016年第7期1344-1347,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(编号:81373504);北京市自然科学基金项目(编号:7132125)

摘　　要：目的:考察古医籍医案中湿热体质的辨识与诊疗模式,为现代临床湿热体质及其相关疾病的防治提供文献依据。方法:运用中医文献学方法及数据挖掘技术,对医案中体质、病名、证候、诊疗模式进行描述性统计。结果:1)在古医籍医案中,共发现有体质医案1 474则,湿热体质医案76则,占体质医案总数的5.15%;2)湿热体质医案中涉及疾病48种、证候6种;3)在诊疗模式统计中,以单纯辨体论治所占比例最大,为77.63%,其他为辨体结合辨病和(或)辨证论治者。结论:1)湿热体质医案在古医籍医案中占有一定比例,虽然时代背景和生活环境已发生变化,但对湿热体质的研究依然十分重要。2)证实湿热体质是痢疾、痹证、淋证等多种疾病"异病同治"的病理基础。3)湿热体质医案中存在多种诊疗模式,以辨体论治为主,也有结合辨病及辨证论治者。Objective： To research the identification and treatment patterns of the dampness-heat body constitution based on ancient medical literature,and provide reference for the prevention and treatment of diseases related to dampness-heat body constitution. Methods： Using Chinese medicine literature scanning method and data mining technology to draw descriptive statistics of the medical records in body constitution,and diseases,syndromes,and diagnosis and treatment patterns regarding different body constitutions. Results： 1） A total of 1474 medical records in regard to body constitution were found in the ancient literature,among which 76 cases are dampness-heat body constitution,taking the percentage of 5. 15%. 2） There were 48 kinds of diseases and 6 kinds of syndromes regarding to the dampness-heat body constitution recorded in ancient literature. 3） As to treatment pattern,77. 63% of the records adopt the method of differentiating body constitution,which is the most dominant. Others are disease differentiation and syndrome differentiation in treatment. Conclusion： 1） The dampness-heat constitution medical records occupies a certain proportion in ancient literature. Although the age of living and environment of living has changed,research on the dampness-heat constitution is still very important. 2） Dampness-heat constitution is the pathological basis in treating dysentery,bi-syndrome,stranguria and other diseases. 3） There are many diagnosis and treatment patterns in regulating the dampness-heat constitution,headed by constitution differentiation and treatment,combining with disease differentiation and syndrome differentiation and treatment.

关 键 词：古医籍医案 体质辨识 湿热体质 诊疗模式 

分 类 号：R2-52[医药卫生—中医学]