连建伟教授痞满病证治规律的数据挖掘研究(1)
基金項目：浙江省中医药重点研究计划(2013ZZ004)作者简介：童宏选(1987.08—)，男，博士，主治医师，研究方向：中医基础理论、中医药疗效机制、流行病学、生物信息学等方面的研究，E-mail：thongxuan1@163.com
摘要 目的：通过数据挖掘的方法对连建伟教授治疗脾胃病中最常见的病症——痞满病的证治规律进行研究。方法：选取2010年8月至2014年6月连建伟教授的门诊电子医案，根据《中华人民共和国国家标准·中医临床诊疗术语》，规范并统一医案中的各种症状;对证候要素以及中药名称的规范统一采用《中医药学名词》当中的名称;部分歧义术语则采用专家咨询的方式。用SPSS 20.0统计软件对医案中痞满病症的症状、方剂、用药进行频数分析。结果：连建伟教授痞满病门诊医案中最常见症状为：脘痛、泛恶、嗳气、口苦、便溏或者是便秘。舌苔最常见为淡红舌和白腻苔，脉象最常见为右脉缓和左关弦。治疗痞满的主要方剂为补气剂、调和肝脾剂、燥湿化痰剂、芳香化湿剂、消导化积剂。连建伟教授治疗痞满的中药中依次为益气药、理气药、利水渗湿药、化湿药。结论：益气健脾、兼以行气祛湿消食是连建伟教授治疗痞满病的主要治则。
关键词 医案;痞满;数据挖掘;关联分析;频数分析;药对;证治规律; @ 连建伟
Study on Professor Lian Jianwei′s Therapeutic Principles in Treating the Syndrome of Stuffiness and Fullness Based on Data Mining
Tong Hongxuan1，Lian Jianwei2，Shen Shuhua3
Abstract Objective：To study Professor Lian Jianwei′s therapeutic principles in treating the most common disease and syndrome in the spleen and stomach disease，syndrome of stuffiness and fullness through data mining.Methods：From August 2010 to June 2014，Professor Lian Jianwei′s outpatient electronic medical records were selected to standardize and unify various symptoms in medical records in accordance with National Standards of the People′s Republic of China TCM Clinical Diagnosis and Treatment Terms; The standardization of the syndrome names and Chinese materia medica names used the names in the Nomenclature of Traditional Chinese Medicine; some ambiguous terms referred to expert consultation.The SPSS 20.0 software was used to conduct frequency analysis of the symptoms，prescriptions，and medications of syndrome of stuffiness and fullness in medical records.Results：The major symptoms of syndrome of stuffiness and fullness in Professor Lian Jianwei′s medical records were abdominal pain，nausea，belching，bitter mouth，diarrhea or constipation; The major tongue and pulse were light pink tongue，white and greasy fur，slow right pulse，wiry left pulse; The major formula were reinforcing qi prescription，regulating and harmonizing liver-spleen prescription，damp-drying and phlegm-resolving prescription，resolving dampness with aromatics prescription，abductive dispersion and transforming accumulations prescription; The major herbs were strengthening qi herbs，qi-regulating herbs，removing dampness and promoting diuresis herbs and resolving dampness herbs.Conclusion：Professor Lian Jianwei′s therapeutic principles in treating the syndrome of stuffiness and fullness are tonifying qi and invigorating the spleen，combined with promoting the circulation of qi，dispelling dampness and improving digestion., 百拇医药(童宏选 连建伟 沈淑华)
摘要 目的：通过数据挖掘的方法对连建伟教授治疗脾胃病中最常见的病症——痞满病的证治规律进行研究。方法：选取2010年8月至2014年6月连建伟教授的门诊电子医案，根据《中华人民共和国国家标准·中医临床诊疗术语》，规范并统一医案中的各种症状;对证候要素以及中药名称的规范统一采用《中医药学名词》当中的名称;部分歧义术语则采用专家咨询的方式。用SPSS 20.0统计软件对医案中痞满病症的症状、方剂、用药进行频数分析。结果：连建伟教授痞满病门诊医案中最常见症状为：脘痛、泛恶、嗳气、口苦、便溏或者是便秘。舌苔最常见为淡红舌和白腻苔，脉象最常见为右脉缓和左关弦。治疗痞满的主要方剂为补气剂、调和肝脾剂、燥湿化痰剂、芳香化湿剂、消导化积剂。连建伟教授治疗痞满的中药中依次为益气药、理气药、利水渗湿药、化湿药。结论：益气健脾、兼以行气祛湿消食是连建伟教授治疗痞满病的主要治则。
关键词 医案;痞满;数据挖掘;关联分析;频数分析;药对;证治规律; @ 连建伟
Study on Professor Lian Jianwei′s Therapeutic Principles in Treating the Syndrome of Stuffiness and Fullness Based on Data Mining
Tong Hongxuan1，Lian Jianwei2，Shen Shuhua3
Abstract Objective：To study Professor Lian Jianwei′s therapeutic principles in treating the most common disease and syndrome in the spleen and stomach disease，syndrome of stuffiness and fullness through data mining.Methods：From August 2010 to June 2014，Professor Lian Jianwei′s outpatient electronic medical records were selected to standardize and unify various symptoms in medical records in accordance with National Standards of the People′s Republic of China TCM Clinical Diagnosis and Treatment Terms; The standardization of the syndrome names and Chinese materia medica names used the names in the Nomenclature of Traditional Chinese Medicine; some ambiguous terms referred to expert consultation.The SPSS 20.0 software was used to conduct frequency analysis of the symptoms，prescriptions，and medications of syndrome of stuffiness and fullness in medical records.Results：The major symptoms of syndrome of stuffiness and fullness in Professor Lian Jianwei′s medical records were abdominal pain，nausea，belching，bitter mouth，diarrhea or constipation; The major tongue and pulse were light pink tongue，white and greasy fur，slow right pulse，wiry left pulse; The major formula were reinforcing qi prescription，regulating and harmonizing liver-spleen prescription，damp-drying and phlegm-resolving prescription，resolving dampness with aromatics prescription，abductive dispersion and transforming accumulations prescription; The major herbs were strengthening qi herbs，qi-regulating herbs，removing dampness and promoting diuresis herbs and resolving dampness herbs.Conclusion：Professor Lian Jianwei′s therapeutic principles in treating the syndrome of stuffiness and fullness are tonifying qi and invigorating the spleen，combined with promoting the circulation of qi，dispelling dampness and improving digestion., 百拇医药(童宏选 连建伟 沈淑华)
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