基于数据挖掘技术总结赵振昌教授治疗肾性血尿的临床经验
发布时间：2018-08-31 17:51
【摘要】：目的:赵振昌教授是国家级名老中医,临床经验丰富,特别是治疗肾脏疾病,效果显著。基于数据挖掘技术整理并总结赵老治疗肾性血尿的辨证与用药规律,旨在总结其辨证思维与用药特色,传承其学术思想及临床经验。方法:跟师出诊,通过拍照、摄像等方式收集并整理出赵振昌教授于2014年2月—2016年2月期间门诊病案原始资料398例,初步规范化病案信息后整理成word文档,录入数据挖掘系统,系统自动分析病案,归纳方法为疾病的证型分布、药物频次、药对规律等,最后可总结并归纳其治疗肾性血尿的辨证思维及用药特色。结果:对纳入的398例病案资料进行数据分析,总结经验如下:1、患者好发于青中年,且男性多于女性。2、秋、冬季患者居多,春、夏季患者较少。3、病因大致可分为素体亏虚,热邪,瘀血,热毒。4、病位主要在肾和膀胱,与脾、肝关系密切。5、证型排序依次为:脾肾双亏证,下焦湿热证,外感热邪证,肾虚火热证,瘀血阻络证,毒热内阻证。6、常用药对10对:熟地黄-生地黄,山萸肉-熟地黄,山萸肉-生地黄,小蓟-地榆,仙鹤草-马齿苋,杜仲-牛膝,地肤子-茜草,茯苓-泽泻,牡丹皮-鳖甲,肉苁蓉-大黄。7、常用自拟方:山萸肉、熟地黄、生地黄、小蓟、侧柏炭、藕节、马齿苋、白茅根、仙鹤草、甘草。8、随证加减药物:凉血止血:地榆、地肤子、鳖甲、茜草;滋阴清热:牡丹皮、鳖甲、白芍、墨旱莲;利尿消肿:白术、茯苓、泽泻、车前子。结论:赵振昌教授运用中医药治疗肾性血尿效果显著,赵老认为本病与素体亏虚、热邪、瘀血、热毒等因素关系密切,青中年患者居多,男患多于女患,秋冬季易复发本病,病位大致在肾、膀胱,疾病发展不尽相同,勿要见血既止血,要针对疾病的不同特点进行诊疗。发掘名老中医的辨证思维和用药特色,对于传承传统中医具有重要意义,也是我们年轻中医人学好中医的必要手段。
[Abstract]:Objective: professor Zhao Zhenchang is a national famous Chinese medicine with rich clinical experience, especially in the treatment of renal diseases. Based on the data mining technique, this paper summarizes Zhao Lao's syndrome differentiation and drug use rule in the treatment of renal hematuria, in order to sum up his syndrome differentiation thinking and medication characteristics, and inherit his academic thought and clinical experience. Methods: the original data of outpatient medical records of Professor Zhao Zhenchang from February 2014 to February 2016 were collected and sorted out by means of photography, camera and so on. The primary standardized medical records were compiled into word documents. The data mining system is used to analyze the medical records automatically. The methods are as follows: the distribution of syndromes, the frequency of drugs, the law of drug pairs, etc. Finally, the dialectical thinking and the characteristics of drugs used in the treatment of renal hematuria can be summed up. Results: the data of 398 cases of medical records were analyzed, and the experience was summarized as follows: 1. The patients tend to occur in youth and middle age, and the male is more than female. In autumn, the majority of the patients are in winter, spring and summer. The etiology can be roughly divided into deficiency of body and heat. Blood stasis, heat toxin. 4. The disease is mainly located in the kidney and bladder, closely related to spleen and liver. The order of syndrome type is as follows: spleen and kidney double deficiency syndrome, lower scorch dampness and heat syndrome, exogenous heat evil syndrome, kidney deficiency and fire heat syndrome, blood stasis blocking collaterals syndrome, the order of syndrome is: spleen and kidney deficiency, dampness and heat, heat deficiency of kidney, blood stasis and obstruction of collaterals. Toxic Heat Internal obstruction Syndrome .6, 10 pairs of common medicine: Rehmannia glutinosa, Corni meat-cooked Rehmannia, Corni meat-Rehmannia, small thistle, Portulaca oleracea, Eucommia Achyranthes, Fructus deliciae-alizarin, Poria Rehmanniae, Peony skin-Turtle beetle, Cistanche deserticola-rhubarb. 7, commonly used: Cornel, cooked Rehmannia, Rehmannia, small artichokes, Platycladus charcoal, lotus root, Portulaca oleracea, White Roots, Herba Herba, Glycyrrhizae. Ziyin Qingre: peony skin, Biejia, Radix Paeoniae Alba, Herba Mosurea; diuretic detumescence: Atractylodes macrocephala, Poria cocos, Alismatis, Plantago. Conclusion: professor Zhao Zhenchang used traditional Chinese medicine to treat renal hematuria. Zhao Lao thought that this disease was closely related to factors such as deficiency of element body, heat evil, blood stasis, heat poison and so on. Most of the young and middle-aged patients had more male than female, and it was easy to recur in autumn and winter. The disease is located in the kidney, bladder, disease development is not the same, not to see blood both hemostasis, should be based on the different characteristics of the disease diagnosis and treatment. It is of great significance to explore the dialectical thinking and medication characteristics of famous traditional Chinese medicine, which is also a necessary means for our young Chinese medicine practitioners to learn Chinese medicine well.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.5
本文编号：2215724
[Abstract]:Objective: professor Zhao Zhenchang is a national famous Chinese medicine with rich clinical experience, especially in the treatment of renal diseases. Based on the data mining technique, this paper summarizes Zhao Lao's syndrome differentiation and drug use rule in the treatment of renal hematuria, in order to sum up his syndrome differentiation thinking and medication characteristics, and inherit his academic thought and clinical experience. Methods: the original data of outpatient medical records of Professor Zhao Zhenchang from February 2014 to February 2016 were collected and sorted out by means of photography, camera and so on. The primary standardized medical records were compiled into word documents. The data mining system is used to analyze the medical records automatically. The methods are as follows: the distribution of syndromes, the frequency of drugs, the law of drug pairs, etc. Finally, the dialectical thinking and the characteristics of drugs used in the treatment of renal hematuria can be summed up. Results: the data of 398 cases of medical records were analyzed, and the experience was summarized as follows: 1. The patients tend to occur in youth and middle age, and the male is more than female. In autumn, the majority of the patients are in winter, spring and summer. The etiology can be roughly divided into deficiency of body and heat. Blood stasis, heat toxin. 4. The disease is mainly located in the kidney and bladder, closely related to spleen and liver. The order of syndrome type is as follows: spleen and kidney double deficiency syndrome, lower scorch dampness and heat syndrome, exogenous heat evil syndrome, kidney deficiency and fire heat syndrome, blood stasis blocking collaterals syndrome, the order of syndrome is: spleen and kidney deficiency, dampness and heat, heat deficiency of kidney, blood stasis and obstruction of collaterals. Toxic Heat Internal obstruction Syndrome .6, 10 pairs of common medicine: Rehmannia glutinosa, Corni meat-cooked Rehmannia, Corni meat-Rehmannia, small thistle, Portulaca oleracea, Eucommia Achyranthes, Fructus deliciae-alizarin, Poria Rehmanniae, Peony skin-Turtle beetle, Cistanche deserticola-rhubarb. 7, commonly used: Cornel, cooked Rehmannia, Rehmannia, small artichokes, Platycladus charcoal, lotus root, Portulaca oleracea, White Roots, Herba Herba, Glycyrrhizae. Ziyin Qingre: peony skin, Biejia, Radix Paeoniae Alba, Herba Mosurea; diuretic detumescence: Atractylodes macrocephala, Poria cocos, Alismatis, Plantago. Conclusion: professor Zhao Zhenchang used traditional Chinese medicine to treat renal hematuria. Zhao Lao thought that this disease was closely related to factors such as deficiency of element body, heat evil, blood stasis, heat poison and so on. Most of the young and middle-aged patients had more male than female, and it was easy to recur in autumn and winter. The disease is located in the kidney, bladder, disease development is not the same, not to see blood both hemostasis, should be based on the different characteristics of the disease diagnosis and treatment. It is of great significance to explore the dialectical thinking and medication characteristics of famous traditional Chinese medicine, which is also a necessary means for our young Chinese medicine practitioners to learn Chinese medicine well.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.5
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