近现代名中医胎漏、胎动不安医案的数据挖掘研究

发布时间：2018-09-09 16:19

【摘要】：本文采用辨章学术,考镜源流的中医文献学研究方法,对胎漏、胎动不安的病名沿革、病因病机、治法治则进行了梳理。在此基础之上,运用数据挖掘方法对收集到的近现代名中医胎漏、胎动不安医案进行统计分析,总结了近现代医家治疗胎漏、胎动不安的辨证与用药规律。通过统计分析发现,医家常从脏腑、气血的角度讨论胎漏、胎动不安的发病机制,常见的证候类型有肾虚型、血瘀型、脾肾两虚型、肝肾不足、血热型、气血虚弱型等,病变部位涉及脾、肾、肝、胃、心。症-证模型主要有:小便频数型胎漏、胎动不安常见于肾虚证;神疲肢倦型胎漏、胎动不安常见于气血虚弱证;血色鲜红型胎漏、胎动不安常见于血热证。运用聚类分析的方法统计出名中医治疗胎漏、胎动不安的临床常用药对、常用方剂、药味随症加减的变化规律。研究结果对进一步发挥中医特色,提高中医治疗胎漏、胎动不安的临床疗效具有重要的借鉴作用。
[Abstract]:In this paper, the traditional Chinese medicine literature research method is used to study the history, etiology, pathogenesis, treatment and treatment of fetal leakage and fetal movement uneasiness. On the basis of this, the data mining method is used to analyze the medical cases of fetal leakage and fetal movement uneasiness in modern and modern Chinese medicine, and to summarize the differentiation of symptoms and the law of drug use in the treatment of fetal leakage and fetal movement uneasiness by modern physicians. Through statistical analysis, it is found that doctors often discuss the pathogenesis of fetal leakage and fetal restlessness from the angle of viscera and qi and blood. The common syndromes are kidney deficiency, blood stasis, spleen and kidney deficiency, liver and kidney insufficiency, blood heat, deficiency of qi and blood, etc. Lesion site involves spleen, kidney, liver, stomach, heart. The syndrome model mainly has: urination frequency type fetal leakage, fetal movement uneasiness is common in kidney deficiency syndrome; spirit tired limb tired fetal leak, fetal movement restlessness is common in qi and blood deficiency syndrome; blood color bright red type fetal leakage, fetal movement uneasiness is common in blood heat syndrome. By using cluster analysis, the rule of change of traditional Chinese medicine (TCM) in treating fetal leakage and uneasiness of fetus, common prescription, medicine taste with syndrome was obtained. The results can be used for reference for further exerting the characteristics of TCM and improving the clinical efficacy of TCM in the treatment of fetal leakage and fetal restlessness.
【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】：R249;R271.4

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