基于中医传承辅助平台探讨丁学屏名中医诊治糖尿病肾病的用药规律

发布时间：2018-03-29 17:36

本文选题：糖尿病肾病　切入点：数据挖掘　出处：《新中医》2017年04期

【摘要】：目的:运用中医传承辅助平台管理系统(V2.5),分析"疾病-证候-治法-中药"之间的关系,探讨丁学屏教授诊治水瘀交互证糖尿病肾病的临证经验及用药规律。方法:通过临床医案采集,结合软件的分析系统,采用频次统计法,分析医案症状、证候、治法出现频次及中药性味归经频次;采用关联规则分析法、聚类分析法、改进的互信息法、复杂系统熵聚类、无监督的熵层次聚类等高级数据挖掘方法,分析处方中药物组合使用频次及药物之间的关联规则。结果:共纳入糖尿病肾病水瘀交互证患者17例进行分析,高频药物有土茯苓、茯苓、牛膝、防己、黑大豆等,药物组合有黑大豆与白扁豆,牛膝与茯苓,牛膝与土茯苓,白扁豆与茯苓等。结论:辨治糖尿病肾病,首先辨缓急,急者治其标,缓者治其本,治疗重视肺脾肾三脏,多用芳淡化湿,上下分利之品,祛邪而不伤正。
[Abstract]:Objective: to analyze the relationship between diseases, syndromes, treatment methods and traditional Chinese medicine (TCM) by using the management system of traditional Chinese Medicine (TCM). To discuss professor Ding Xueping's experience in the diagnosis and treatment of diabetic nephropathy with water stasis interaction syndrome. Methods: through the collection of clinical medical records and the analysis system of software, the symptoms and syndromes of medical records were analyzed by frequency statistics method. Using association rule analysis, clustering analysis, improved mutual information method, entropy clustering of complex systems, unsupervised entropy hierarchical clustering and other advanced data mining methods. Results: 17 cases of diabetic nephropathy with blood stasis syndrome were analyzed. The high frequency drugs included Poria cocos, Poria cocos, Achyranthes bidentata, Fangji, black soybean, etc. The drug combination includes black soybean and white lentil, Achyranthes bidentata and Poria cocos, Achyranthes bidentata and Poria cocos, white lentils and Poria cocos, etc. Conclusion: in the treatment of diabetic nephropathy, first of all, it is urgent to treat the diabetic nephropathy. More use Fang desalination wet, up and down the benefit of goods, dispelling evil and not injure justice.
【作者单位】：全国名中医丁学屏学术传承工作室;上海中医药大学附属曙光医院内分泌科;
【基金】：国家自然科学基金(81503552) 上海市中医临床重点实验室(14DZ2273200) 上海市中医药事业发展三年行动计划项目(ZYSNXD-CC-YJXYY);上海市中医药事业发展三年行动计划项目(ZY3-CCCX-3-3041);上海市中医药事业发展三年行动计划项目(ZY3-CCCX-2-1003) 上海市科委科研计划项目(13401903200) 上海市教委预算内项目(2014YSN43) 慢性非传染性疾病防控领域中医预防保健(治未病)服务技术应用示范(2012BAI41B05)
【分类号】：R259

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