基于频次分析的近代医家沉香使用规律研究

Study on rules of eaglewood application by modern medical experts based on frequency analysis

  • 摘要:
      目的  搜集有关沉香的中医医案,应用结构化采集与分类标引,构建沉香中医医案数据库,梳理沉香使用的临床经验。
      方法  采用优化数据的频次分析挖掘方法对医案进行解构分析。
      结果  本研究纳入符合标准的诊次总数共154次,经过频次分析处理后,涉及中医、西医诊断各20类,临床症状20类,舌象36类,脉象17类,病机12类。
      结论  临床使用沉香的适应证在总体上为气机不畅、脏腑功能失调,其中有肺气上逆所致的肺系疾病,可用沉香以降气平喘;气机阻滞所致的疼痛如痛经等,可用沉香以行气止痛;脾胃虚寒所致的腹痛、呕吐等,可用沉香以温中止吐。

     

    Abstract:
      Objective  To collect the medical records of traditional Chinese medicine (TCM) related to eaglewood, construct the database of TCM medical records of eaglewood by structured collection and classified indexing, so as to sort out the clinical experience of the use of eaglewood.
      Methods  The frequency analysis mining method based on optimized data was used to deconstruct the medical cases.
      Results  A total of 154 visits that met the criteria were included in this study. After frequency analysis and processing, 20 types of TCM and 20 types of western medicine diagnoses, 20 types of clinical symptoms, 36 types of tongue signs, 17 types of pulse signs, and 12 types of pathogenesis were involved.
      Conclusion  Generally speaking, the indications for clinical use of eaglewood are obstruction of qi activity and dysfunction of viscera, among which the pulmonary diseases caused by the inversion of lung qi are able to be cured in principle of smoothing qi and stopping asthma by eaglewood, the pain such as dysmenorrhea caused by block of qi activity is able to be cured in principle of promoting qi activity to stop pain by eaglewood, and abdominal pain and vomiting caused by deficiency and cold of spleen and stomach is able to be cured in principle of warming spleen and stomach to stop vomiting.

     

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