基于随机森林算法的我国东北和西南地区名老中医治疗失眠异同比较  

Comparison of Insomnia Treatment of Famous Veteran TCM Doctors in Northeast and Southwest China Based on Random Forest Algorithm

作　　者：刘金涛[1] 尚津锋 吴宇峰[1] 王维广[1] 刘珍珠 王伟航 翟双庆[1] LIU Jintao;SHANG Jinfeng;WU Yufeng;WANGWeiguang;LIU Zhenzhu;WANGWeihang;ZHAI Shuangqing(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中国中医药信息杂志》2022年第7期40-47,共8页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家重点研发计划(2018YFC1704100、2018YFC1704105)。

摘　　要：目的比较分析我国东北和西南地区名老中医辨治失眠的异同,并探究其原因。方法于2019年1月-2021年6月收集我国东北和西南地区各3位擅治失眠的名老中医600份完整且有效的失眠病案。通过数据处理,统计症状、舌脉、证候、证素、方剂、药物在2个区域的频次分布,建立以上6个变量的随机森林模型。结果东北、西南地区失眠症状表现和名老中医辨治规律存在共性和差异。2个区域失眠痰热内扰证、心肾不交证频次高,分布相似。东北地区失眠患者以心脾两虚、肝郁化火证较为多见,临证多用归脾汤、柴胡加龙骨牡蛎汤等。西南地区失眠患者以肝肾阴虚证多见,多用六味地黄汤、天王补心丹、桑膝地黄汤等。结论东北、西南地区失眠的症状表现既有相似之处,又存在差异,揭示地理环境、人文因素与失眠之间的联系,名老中医辨治失眠体现了“因地制宜”的治疗理念,本文也为今后地域医学的研究奠定基础。Objective To compare the similarities and differences of the treatment of insomnia between the famous veteran TCM doctors in northeast and southwest China,and to analyse its contributing factor.Methods This study collected 600 complete diagnosis and treatment cases of insomnia from January 2019 to June 2021 in northeast China and southwest China.On the basis of standard data,the frequencies distribution of symptoms,tongues and pulses,syndromes,syndrome elements,prescriptions and herbs in the two areas were counted,and the random forest models of the above 6 variables were established.Results The symptoms of insomnia in northeast and southwest China and the law of syndrome differentiation and treatment of famous veteran TCM doctors had commonness and difference.The frequency and distribution of phlegm-heat internal disturbance syndrome and heart and kidney non cross syndrome in the two areas were high,and the distribution was similar.In northeast China,the syndromes of deficiency of heart and spleen and liver depression transforming into fire were more common.In clinical use,Guipi Decoction and Chaihu Jia Longgu Muli Decoction were commonly used.In southwest China,yin deficiency syndrome of liver and kidney were more distributed.In clinical use,Liuwei Dihuang Pill,Tianwang Buxin Pill,Sangxi Dihuang Decoction were commonly used.Conclusion This study found the differences and smilarities in the symptoms of insomnia between the Northeast and Southwest China,and revealed the relationship between the facors of geographical environments and humanity and the cause of insomnia.The syndrome differentiation and treatment to insomnia from the famous veteran TCM doctors embodied the treatment concept of adjust measures to local conditions.This artical paved the way for future research on regional medical.

关 键 词：随机森林算法 名老中医 失眠 异同比较 

分 类 号：R2-05[医药卫生—中医学] R256.23