弦脉寸关尺分部及弦脉相兼脉与病症相关性的研究

发布时间：2018-03-01 18:50

本文关键词： 弦脉寸关尺左右分部回归分析相关系数名医类案　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:探索弦脉寸关尺分部及弦脉相兼脉与病症的相关性。方法:从《名医类案》中归纳整理与弦脉相关的医案225例,再从中筛选出弦脉按寸关尺分部候取的医案117例,结合临床中采集的有关弦脉相兼脉的病例142例。运用Microsoft Excel建立弦脉分布候取的相关医案信息数据库,将脉象、症状在医案中的文本数据转化为数字变量,分别赋值为1和0。将获取的数据导入至SPSS 20.0中,进入回归分析,以逐步回归的方法得到脉象与症状之间的相关性,将有显著性并且相关的症状保留(sig0.05),没有显著性的不相关的症状逐步排除。回归得到的标准系数即为回归系数,也可称为相关系数,表示的症状与脉象之间的关系。成果:弦脉寸关尺分部及弦脉相兼脉与病症的相关性数据显示:与左关弦相关性最强的症状是性情急躁,相关系数为0.336;与右关弦相关性最强的症状是纳呆,相关系数为0.299;与左寸弦相关性最强的症状是心神不宁,相关系数为0.258;与右寸弦相关性最强的症状是头痛,相关系数为0.513;与左尺弦相关性最强的症状是腰痛,相关系数为0.256;与右尺弦相关性最强的症状有四个,分别是梦遗、目眩、咳嗽、体痛,相关系数均为0.425。临床研究与文献研究中常见症状相吻合,均为疼痛频率最高,分别为17.64%、18.3%。文献研究中,弦脉与数脉相兼频率最高;临床研究中,弦脉与沉脉相兼频率最高。结论:弦脉寸关尺分部与症状之间有密切相关性,其相关性体现了《内经》“上竟上”、“下竟下”的规律;弦脉最常见于左手寸关尺三部,以左关部为主,右手寸关尺三部则以右关弦为主;弦脉与疼痛类病症相关性最高,主要以腹痛、腰痛、胃脘痛、头痛等为主;弦脉分部候取的主病差异性显著,这种分六部辨析“独异”脉象的研究为疾病诊断提供了参考;临床研究部分与文献统计的比较,显示弦脉主病具有高度的一致性,并且与妇科病、眠差、多梦等症状又密切相关。弦脉的相兼脉中,以弦数脉最为多见。
[Abstract]:Objective: to explore the correlation between the chord pulse cun Guan ruler division, the chord pulse phase and the disease. Methods: 225 medical cases related to the string pulse were summarized from the famous Medical case, and 117 cases of the string pulse were selected according to the cun Guan ruler division. In combination with 142 cases of chord pulse and pulse collected in clinic, a database of information about string pulse distribution was established by using Microsoft Excel to transform the text data of pulse and symptom in medical record into digital variable. The obtained data were imported into SPSS 20.0 to enter the regression analysis, and the correlation between pulse and symptoms was obtained by stepwise regression. The significant and related symptoms are preserved to a sig0.05, and no significant unrelated symptoms are gradually eliminated. The standard regression coefficient is called the regression coefficient, or the correlation coefficient. The relationship between symptoms and pulse patterns. Results: string pulse cun Guan ruler division and string pulse phase and pulse correlation with disease data show that the most relevant symptom with left Guan string is temperament impatience. The correlation coefficient was 0.336; the symptom with the strongest correlation with the right chord was dumbness, the correlation coefficient was 0.299; the symptom with the strongest correlation with the left chord was restlessness and the correlation coefficient was 0.258; the symptom with the strongest correlation with the right inch string was headache. The correlation coefficient was 0.513; the symptom with the strongest correlation with the left ulnar string was low back pain (the correlation coefficient was 0.256); the symptoms with the strongest correlation with the right ulnar string were dream, dizziness, cough and body pain. The correlation coefficient was 0.425. The frequency of pain was the highest in both clinical and literature studies, and the frequency of pain was the highest, respectively. In the literature study, the frequency of chord veins and multiple veins were the highest. Conclusion: there is a close correlation between the chord pulse cun Guan ruler and symptoms, which reflects the law of "upper and lower", the chord vein is most common in three parts of left hand. The left part was the main part, the right part of the cun Guan ruler was mainly the right Guan string; the string vein had the highest correlation with the pain disease, mainly abdominal pain, low back pain, epigastric pain, headache and so on; the difference of the main diseases in the division of the string vein was significant. This study, which is divided into six parts, provides a reference for the diagnosis of diseases. The comparison between clinical studies and literature statistics shows that the main diseases of chord veins are highly consistent with gynecological diseases. Many dreams and other symptoms are closely related. String pulse of the phase and pulse, string pulse is the most common.
【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】：2016
【分类号】：R241

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