影响中医临床疗效的内在逻辑结构和复叠多变量组分析研究

发布时间：2018-01-15 04:22

本文关键词：影响中医临床疗效的内在逻辑结构和复叠多变量组分析研究　出处：《中医杂志》2017年05期 　论文类型：期刊论文

【摘要】：中医临床的诊治过程是一个有机的整体,治疗前是辨证论治结论的得出过程,治疗后是辨证论治结论的实施过程。既往中医疗效评价主要体现在治疗后的症状体征及实验室指标等方面的变化,反映的是临床过程的外在逻辑结构,而对影响辨证论治结论准确性的客观因素缺少系统的认识与细致分析,更缺乏对临床过程内在逻辑结构的研究。通过分析中医临床过程的整体基本路径,可以梳理出影响辨证论治结论准确性的内在因素,由定因、定位、定性→对证、对症、对病→因人、因时、因地3个部分组合成的多变量组,共9个具体的多变量因子,反映出了临床过程客观存在的内在逻辑结构。深入分析临床案例的复杂证候群,发现多变量组会同时复叠出现,深化研究复叠多变量因子组存在的内在规律,是提高辨证论治水平与临床疗效的重要途径。
[Abstract]:The diagnosis and treatment process of TCM is an organic whole, and the conclusion of treatment based on syndrome differentiation is obtained before treatment. After treatment, it is the implementation process of the conclusion of syndrome differentiation. The evaluation of traditional Chinese medicine efficacy is mainly reflected in the changes of symptoms, signs and laboratory indicators after treatment, and reflects the external logical structure of the clinical process. On the other hand, there is a lack of systematic understanding and careful analysis of the objective factors that affect the accuracy of the conclusion of syndrome differentiation, and a lack of the study of the internal logical structure of the clinical process, which is based on the analysis of the overall basic path of the clinical process of traditional Chinese medicine. We can sort out the internal factors that affect the accuracy of the conclusion of syndrome differentiation. 鈫扲ight syndrome, right syndrome, right disease. 鈫扵here are 9 concrete multivariable factors in the multivariable group composed of three parts of human and time, which reflect the internal logical structure of clinical process objectively. The complex syndromes of clinical cases are deeply analyzed. It is found that multivariate group will overlap at the same time. It is an important way to improve the level of syndrome differentiation and clinical efficacy to further study the inherent law of multivariate factor group.
【作者单位】：滨州医学院中西医结合学院;滨州医学院烟台附属医院;中国科学院数学与系统科学研究院;烟台长恩医院;
【基金】：国家自然科学基金(81273628) 山东省2012年科学技术发展计划(2012GSF11904)
【分类号】：R24
【正文快照】： 目前关于中医临床疗效评价的研究多是注重评估辨证论治实施后引起的人体反应和疾病变化[1],而忽略了关注辨证论治结论实施前的准确程度。中医临床的诊治过程,治疗前与治疗后是一个有机的整体,治疗前是辨证论治结论的得出过程,治疗后是辨证论治结论的实施过程。既往对中医临床

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