基于古今医案数据挖掘的“酒伤”湿病证治规律探究  

Study on the Rule of Syndrome and Treatment of "Alcoholic Injury" Damp Disease Based On Data Mining of Ancient and Modern Medical Records

作　　者：高原 呼兴华 卢芬萍 丁辉[1] 李耀辉 许建秦[1] GAO Yuan;HU Xing-hua;LU Fen-ping;DING Hui;LI Yao-hui;XU Jian-qin(Shaanxi Academy of Traditional Chinese Medicine,Xi'an Shaanxi 710003,China)

机构地区：[1]陕西省中医药研究院,陕西西安710003

出　　处：《中医药导报》2022年第1期147-151,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2018年国家重点研发计划中医药现代化研究项目(2018YFC1704201)。

摘　　要：目的:探索"酒伤"所致内伤湿病的证治规律。方法:搜集并整理中华医典(5.0)、中国知网(CNKI)、大医医学搜索、维普数据库(VIP)、万方数据库及中国生物医学文献数据库(CBM)中"酒伤"相关医案,将医案进行规范处理后,建立"酒伤"内伤湿病数据库,将医案录入中医传承辅助平台(V2.5)软件,借助软件分析系统,剖析"酒伤"内伤湿病医案中的常见疾病、主要证型、治则治法、常用药物、常用药物组合。结果:纳入医案共101则,涉及证型30种,82种症状,11种舌象,治则治法63种,中药212味;常见疾病为泄泻(16)、呕吐(9)、咳嗽(7)、黄疸(6)、胃痛(5)、呕血(5)等;症状以大便次数多(19)、大便稀(19)、呕吐(17)、食少(16)、咳嗽(12)、头昏(11)、发热(11)为主;舌象中舌质以淡白舌(34)、红舌(30)、淡红舌(12)为主,舌苔以白腻苔(21)、黄腻苔(16)、薄白苔(12)为主;证型以湿浊内盛(29)、脾胃阳虚(21)、痰湿蕴肺(19)、湿郁化热(11)、肝失疏泄(8)、脾肾阳虚(7)为主;常见药物为茯苓(56)、白术(32)、甘草(31)、半夏(27)、陈皮(22)等;关联分析得出频数较高的药物组合为"白术-茯苓"(24)、"半夏-茯苓"(22)、"甘草-茯苓"(20)、"陈皮-茯苓"(17)、"半夏-陈皮"(14)。结论:关于"酒伤"所致内伤湿病,历代医家立足中焦气机升降,囊括三焦祛湿基本治法,尤以温阳祛湿、清热利湿、淡渗利湿、理气化湿、降逆止呕、芳香化湿、健脾益肾等为主。Objective: With the help of data mining software, to explore the rule of syndrome and treatment of internal injuries caused by alcohol injury. Methods: The relevant medical records of "alcoholic injury" in Chinese Medical Dictionary(5.0), China National Knowledge Network(CNKI), Big Medical Search, VIP Database(VIP), Wan fang Database and Chinese Biomedical Literature Database(CBM) were collected and sorted out. After standardized treatment of medical records, the database of "alcoholic injury" was established, and the medical records were input into the traditional Chinese medicine inheritance support platform(V2.5) software. With the help of software analysis system, the common diseases, main syndromes, therapeutic principles and methods,common drug frequency and common drug combinations in the medical records of "alcoholic injury" were analyzed.Results: A total of 101 medical records were included, involving 30 kinds of syndromes, 82 kinds of symptoms,11 kinds of tongue images, 63 kinds of treatment principles and methods, 212 kinds of traditional Chinese medicine. The most common diseases were diarrhea(16), vomiting(9), cough(7), jaundice(6), stomachache(5),hematemesis(5), etc. The main symptoms were stool frequency(19), thin stool(19), vomiting(17), eating less(16),cough(12), dizziness(11), etc. The highest frequency of tongue appearance were pale tongue(34), red tongue(30)and pale red tongue(12). The highest frequency of tongue coating were white greasy coating(21), yellow greasy coating(16) and thin white coating(12). The highest frequency of syndromes were wet turbidity(29), spleen and stomach yang deficiency(21), phlegm retention lung(19), damp heat(11), liver dysfunction(8), spleen and kidney yang deficiency(7). The common drugs were Fuling(Poria)(56), Baizhu(Atractylodis macrocephalae rhizoma)(32),Gancao(Glycyrrhizae radix et rhizoma)(31), Banxia(Pinelliae rhizoma praeparatum)(27), Chenpi(Citri reticulatae pericarpium)(22), etc. Correlation analysis showed that the drug combinations with high frequency

关 键 词：酒伤 湿病 医案 证治规律 数据挖掘 

分 类 号：R242[医药卫生—中医临床基础]