摘要
目的基于隐类分析探讨现代医案中糖尿病的证候及辨证规律。方法构建并提取现代名老中医治疗糖尿病的病案及临证经验数据库,经筛选后共纳入329例医案,使用Lantern 5.0软件构建糖尿病症状的隐结构模型,人工进行模型诠释,以分析糖尿病的证候分布及辨证规律。结果针对329例医案包含的症状、舌、脉共190个显变量构建症状隐结构模型,得到8个隐变量,17个隐类,5个综合聚类模型。结论糖尿病的病理因素多为阴虚、气虚、脾虚、肾虚、痰热(湿)、痰湿、胃热、血虚、血瘀等,主要证候有阴虚燥热兼血瘀证、脾肾阳虚证、水湿内停证、气血亏虚兼瘀血阻络证以及痰热互结兼热盛伤津证。
Objective Based on the analysis of hidden classes,discuss the syndromes and differentiation rules of diabetes in modern medical records.Methods Constructed and extracted a database of medical records and clinical experience of existing famous traditional Chinese medicine doctors in the treatment of diabetes.After screening,a total of 329 medical records were included.Lantern 5.0 software was used to construct a hidden structure model of diabetes symptoms,and the model was interpreted manually to analyze the symptoms of diabetes.The law of distribution and syndrome differentiation.Results A symptom hidden structure model was constructed based on 190 significant variables of symptoms,tongue,and pulse contained in 329 medical records,and 8 hidden variables,17 hidden categories,and 5 comprehensive clustering models were obtained.Conclusion Pathological factors of diabetes are mostly Yin deficiency,Qi deficiency,spleen deficiency,kidney deficiency,phlegm heat(dampness),phlegm dampness,stomach heat,blood deficiency,blood stasis,etc.The main symptoms include Yin deficiency,dry heat and blood stasis syndrome,spleen and kidney Yang deficiency,water dampness internal cessation syndrome,Qi and blood deficiency and blood stasis blocking collaterals syndrome,and phlegm-heat mutual accumulation and heat accumulation syndrome.
作者
张文顺
申鑫惠
石岩
王文萍
曲超
ZHANG Wenshun;SHEN Xinhui;SHI Yan;WANG Wenping;QU Chao(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《辽宁中医药大学学报》
CAS
2021年第9期163-167,共5页
Journal of Liaoning University of Traditional Chinese Medicine
基金
辽宁省“兴辽英才计划”项目(XLYC2007121)
中国博士后科学基金第69批面上资助项目(2021M693853)
关键词
糖尿病
现代医案
隐结构模型
名老中医
证候
辨证规律
diabetes
modern medical records
implicit structure model
famous and old Chinese doctors
syndrome
dialectical law
