基于症状群落理论对阳明病辨证诊断思维的研究

发布时间：2018-10-25 10:25

【摘要】：目的:运用自编问卷的方法,探究不同证候表征方式对中医学生辨证诊断正确率的影响及中医学生对阳明病症状群落的认知情况,从而研究症状群落思维的表征规律及其对中医学生辨证诊断思维的影响。方法:1、文献研究:梳理总结“病”、“证”、“证候”、“症”、“病机”等中医基本概念及其关系;探索中医辨证思维规律的研究现状及发展。2、实证研究:采用随机整群抽样的方法,抽取2013级中医学七年制专业本科生以及2014级中医学研究生共251名作为调查研究对象,发放自编问卷《不同证候表征方式对阳明病证候诊断正确率的影响调查问卷》,回收后进行数据统计分析。结果:1、总体来看,症状群落表征模式证候诊断的正确率最高,随机自由表征模式证候诊断的正确率最低。2、在症状群落表征模式上,研究生证候诊断的正确率要显著高于本科生,女生证候诊断的正确率要显著高于男生。3、中医学专业学生对阳明病本证的总体掌握情况要明显好于变证,其中对阳明燥热实邪内结证掌握地最好。结论:1、中医学专业学生对知识掌握的程度以及自身的临床经验对辨证诊断正确率有重要影响。2、症状群落表征模式注重对杂乱无序的症状进行基本病机的分类表征,有利于中医学专业学生在对病机综合分析的基础上提高辨证诊断正确率。
[Abstract]:Objective: to explore the effect of different syndromes representation methods on the correct rate of syndrome differentiation and diagnosis of TCM students and the cognition of TCM students to the symptom community of Yangming disease by means of self-made questionnaire. Thus, the characteristics of symptom community thinking and its influence on TCM students' thinking of syndrome differentiation and diagnosis were studied. Methods: 1, literature research: combing and summarizing the basic concepts of TCM, such as "disease", "syndrome", "pathogenesis" and so on; To explore the current situation and development of TCM dialectical thinking. 2. Empirical study: 2013 grade Chinese medicine seven-year undergraduate and 2014 grade Chinese medicine graduate students were selected by random cluster sampling method as the objects of investigation. The effect of different syndromes on the correct rate of diagnosis of Yangming disease was investigated. The data were collected and analyzed. Results: 1. On the whole, the correct rate of symptom community representation pattern was the highest, and that of random free representation model was the lowest. 2. In symptom community representation model, the correct rate of graduate student syndrome diagnosis was significantly higher than that of undergraduate students. The correct rate of syndrome diagnosis of female students was significantly higher than that of boys. 3. The overall mastery of Yangming disease in TCM students was obviously better than that of changing syndrome, among which, the internal syndrome of Yang Ming dryness and heat evil was the best. Conclusion: 1. The degree of knowledge mastery and their own clinical experience in TCM students have an important influence on the correct rate of diagnosis of syndrome differentiation. 2. The symptom community representation model focuses on the classification and characterization of the basic pathogenesis of the disorder symptoms. It is beneficial for the students of TCM to improve the correct rate of syndrome differentiation and diagnosis on the basis of comprehensive analysis of the pathogenesis.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B844.2

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