[关键词]
[摘要]
收集200例慢性萎缩性胃炎(CAG)患者的病历,详细记录其性别、年龄、电子胃镜及病理结果、临床症状、中药处方,并进行统计分析,以“黄金分割法”为判别依据,采用频数统计和关联规则分析进行药物与证候之间关联规则的挖掘。研究化浊解毒方药治疗CAG的用药规律,探寻化浊解毒方与浊毒内蕴证稳定的方证关系。经数据处理,共得到中药153味,根据“黄金分割法”的原则,使用频率在61.8%以上(含61.8%)的药物共有15种,作为CAG浊毒内蕴证治疗的核心药物。出现频次最多的临床症状共10种,作为CAG浊毒内蕴证的主要症状表现。通过关联规则分析发现药物和脉证之间具有较强相关性,说明CAG浊毒内蕴证与化浊解毒方方证的高度相应,体现了CAG的关键病机为浊毒内蕴,“化浊解毒法”为与之相对应的治疗大法。
[Key word]
[Abstract]
To study the medication regularity of Huazhuo Jiedu Formula in treating the chronic atrophic gastritis (CAG), and to explore the stable relationship of correspondence between Huazhuo Jiedu Formula and the pattern of internal accumulation of zhuodu. Statistical analysis was conducted among 200 cases of CAG, whose case histories included their gender, age, electronic gastroscope, pathological results, clinical symptoms, and prescriptions of Chinese materia medica. On the basis of "golden section method", the association rule between drugs and syndromes was investigated using frequency statistic method and association rule analysis. Through data processing, 153 kinds of Chinese herbal decoction were obtained. According to the principle of "golden section method", 15 kinds of Chinese herbal decoction, whose frequency of use was over 61.8% (including 61.8%), were used as the therapeutical core drugs of pattern of internal accumulation of zhuodu in CAG. Ten kinds of clinical symptoms, which had the high ocurrence rate, were the main symptoms of the pattern of internal accumulation of zhuodu in CAG. According to association rules analysis, it was found that there was a strong correlation between drugs and pulses, which explained the high degree of correspondence of prescription and syndromes between the pattern of internal accumulation of zhuodu in CAG and Huazhuo Jiedu Decoction. It can be seen that there exists a relationship of correspondence between Huazhuo Jiedu Formula and the pattern of internal accumulation of zhuodu in CAG. And it shows that the key pathogenesis of CAG is internal accumulation of zhuodu, and the corresponding treatment is Huazhuo Jiedu Method.
[中图分类号]
[基金项目]
国家自然科学基金面上项目(81273709);天津市高等学校科技发展基金计划(20120220)