[关键词]
[摘要]
通过数据挖掘技术构建新安王氏内科辨治胃脘痛的数学模型,为系统探讨中医辨治胃脘痛规律提供更充分的科学依据。从《王仲奇医案》《王任之医案》、王乐匋教授门诊医案、王键教授门诊医案中选取符合纳入标准的诊疗胃脘痛医案310例,提取方药、症状、体征信息,建立"王氏内科医案中胃脘痛方-证-症信息数据库"。采用频数分析,计算高频药物,应用IBM SPSS Modeler 14.1通过Apriori算法进行关联分析,提取核心网络药物,建立王氏医家辨治胃脘痛数学模型。新安王氏医家辨治胃脘痛常肝脾同治,以通阳法佐扶脾,或豁气化痰、疏肝行气以通阳,或辛温散寒以通阳,或健脾化湿以通阳,或活血行气以通阳,豁痰散结法和活血化瘀法常同用,临证以扶脾为本,通阳为要。
[Key word]
[Abstract]
To establish mathematical model of Xin'an Wang's internal medicine for treating epigastric pain through the data mining technique, and provide a more sufficient scientific basis for systematically discussing the rule of traditional Chinese medicines in treating epigastric pain. From the "Wang Zhongqi case" and "Wang Renzhi case", outpatient medical records of Professor Letao Wang and Professor Jian Wang were used to select 310 cases of medical records in the diagnosis and treatment of epigastric pain according to inclusion criteria. Then we extracted the information of prescription, symptoms and signs, and established "information database of Xin'an Wang's medical cases of internal medicine for treating epigastric pain". Using frequency analysis, calculation of high-frequency drugs, and application of IBM Modeler 14.1 by SPSS Apriori algorithm for correlation analysis to extract the core prescription and then establish the mathematical model of Wang's doctors treating epigastric pain. Wang's doctors in Xin'an often treat the stomach and spleen with the same treatment of liver and spleen. Wang's physician treated epigastric pain with both liver and spleen. Wang's physician assisted the spleen with Tongyang method, or relieved phlegm, dredged liver and Qi to Tongyang, or Xinwen Sanhan to Tongyang, or Jianpi Huashi to Tongyang, or Huoxue Xingqi to Tongyang and Huoxue Sanjie method and Huoxue Huayu method.
[中图分类号]
[基金项目]
"十二五"国家科技支撑计划"新安医学传承与发展研究"(2012BAI26B00);国家中医药管理局"新安王氏内科流派传承工作室"建设项目[国中医药人教函(2012)228号];2016年度安徽省卫生计生委中医药科研课题(2016zy65);安徽中医药大学校级探索性科研项目(2016ts004)