基于本体的脾相关疾病核心病机探讨

发布时间：2018-05-08 17:26

本文选题：脾 + 本体　；参考：《辽宁中医杂志》2017年11期

【摘要】：目的:基于本体探讨脾相关疾病的核心病机。方法:收集、整理中医内、外、妇、儿各科教材和高级参考书中脾相关病证142个纳入本体资料库。经症状规范后,按"脾失运化水谷""脾失运化水液""脾不统血"的病机对全部病证的症状进行分类。基于语义网络,以644个领域概念、1888条语义关系构建脾相关"病证-症状-病机"本体图,并根据本体数据绘制雷达图、统计各类病机的症状分布。结果:脾相关疾病共计98种,脾气虚证居各证之首。脾失运化水谷的症状占全部症状的60.96%,且在142个脾相关病证中均有分布,主要为便溏、纳少、乏力、神疲、纳呆等症;脾失运化水液症状占全部症状的9.52%,主要为水肿、身重、咯痰、口黏腻、面色白光白等症;脾不统血症状占总症状的3.20%,主要为便血、鼻衄、齿衄、月经量多、紫斑等症。结论:脾失运化水谷是脾相关疾病的核心病机,其以脾气为根,临床诊疗各类脾相关疾病均应重视益气健脾、健运水谷。
[Abstract]:Objective: to explore the core pathogenesis of spleen related diseases based on ontology. Methods: 142 spleen related diseases and syndromes in traditional Chinese medicine, foreign medicine, women, children and advanced reference books were collected and sorted. After the symptoms were standardized, the symptoms of all the disease syndromes were classified according to the pathogenesis of "spleen losing and removing water valley", "spleen losing and removing water solution" and "spleen not regulating blood". Based on semantic network, 1888 semantic relationships of 644 domain concepts were used to construct spleen related ontology map of "disease syndrome, symptom and pathogenesis", and radar map was drawn according to ontology data to calculate the distribution of symptoms of all kinds of pathogenesis. Results: there were 98 kinds of spleen-related diseases. The symptoms of the incapacitated water valley of the spleen accounted for 60.96 of the total symptoms, and they were distributed in 142 spleen related diseases, mainly loose stools, lack of appetite, fatigue, exhaustion, incapacity, and so on, while the symptoms of the lost water of the spleen accounted for 9.52% of the total symptoms, mainly edema, body weight, etc. Sputum, greasy mouth, white complexion and other symptoms; spleen non-blood symptoms accounted for 3.20% of the total symptoms, mainly for stool bleeding, epistaxis, tooth bleeding, menstrual volume, purple spots, and so on. Conclusion: the spleen losing and removing water valley is the core pathogenesis of spleen related diseases, whose root is temper. Clinical diagnosis and treatment of all kinds of spleen related diseases should pay attention to invigorating qi and strengthening spleen, and carrying water grain healthily.
【作者单位】：辽宁中医药大学;
【基金】：国家重点基础研究发展计划(973计划)资助项目(2013CB531701) 辽宁省教育厅项目(L201604)
【分类号】：R228

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