基于关联规则的凌昌全教授治疗肿瘤常见中医辨证分型的组方规律  

Composing Principles of Professor Ling Chuangquan Treating Common Types of Cancer in TCM:An Analysis Based on Associative Rules

作　　者：汪猛[1] 姚婷[2] 张逸雯 翟笑枫[4] 秦凯健 郑国银[4] 韩克起[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海中医药大学附属曙光医院,上海201203 [3]中国中医科学院中国医史文献研究所,北京100700 [4]上海长海医院,上海200433

出　　处：《世界中医药》2017年第11期2821-2826,共6页World Chinese Medicine

基　　金：上海市中医药事业发展三年行动计划(ZY3-JSFC-2-1041);上海市中医药事业发展三年行动计划(ZYSNXD-CC-MZY037);上海市中西医结合临床重大项目(原发性肝癌)(ZY3-LCPT-2-1004)

摘　　要：目的:分析凌昌全教授治疗肿瘤常见中医辨证分型的组方规律。方法:以凌昌全教授在上海长海医院治疗肿瘤患者的门诊病历为基础建立数据库,基于关联规则算法,研究凌教授治疗肿瘤的处方用药经验。结果:凌昌全教授临证治疗肿瘤辨证组方经验如下:1)阴虚血瘀型的核心组方为熟地黄、山药、山茱萸、枸杞子、桃仁、赤芍、牡丹皮、解毒方等。2)湿滞血瘀型的核心组方为藿香、砂仁、茯苓皮、泽泻、陈皮、牡丹皮、解毒方等。3)气虚血瘀型的核心组方为黄芪、生白术、山药、陈皮、桃仁、赤芍、牡丹皮、解毒方等。4)气阴两虚型的核心组方为黄芪、生白术、山药、生薏苡仁、麦冬、枸杞子、炙鳖甲、解毒方等。结论:凌昌全教授临证治疗肿瘤,重视辨证施治,同时联合专方专药,病证互参,精选组方。Objective： To analysis composing principles of Professor Ling Chuangquan treating common types of cancer in TCM.Methods： A data base was built based on outpatient medical records of Professor Ling ‘s cancer patients in Shanghai Changhai Hospital. And his experience of composing prescription against tumor was studied based on association rules. Results： Ling＇s experience of composing prescription against tumor was studied based on association rules are as follow： the core herbs of yin deficiency and blood stasis type are Rehmannia,yam,dogwood,the fruit of chinese wolfberry,peach kernel,red peony,moutan bark and Jiedu formula; the core herbs of dampness and blood stasis type are agastache,amomum,poria peel,alisma,tangerine peel,moutan bark and and Jiedu formula; the core herbs of qi deficiency and blood stasis type are Astragalus,white atractylodes rhizome,Chinese yam,tangerine peel,peach kernel,red peony,moutan bark and Jiedu formula; the core herbs of qi and yin deficiency type are astragalus,white atractylodes rhizome,Chinese yam,coix seed,ophiopogon japonicas,the fruit of Chinese wolfberry,roasted carapax trionycis and Jiedu formula. Conclusion： Professor Ling concentrated on syndrome differentiation,combined particular formula and herbs,analysis the syndrome and the disease at the same time while treating cancer.

关 键 词：关联规则 @凌昌全 肿瘤 证型 组方规律 

分 类 号：R242[医药卫生—中医临床基础]