基于整体网分析理论的脂肪肝中医辨证研究.pdfVIP

474 J Clini Hepatol, May 2011, Vol.27, No.5 基于整体网分析理论的脂肪肝中医辨证研究 尹守乙，柳 涛，魏华凤，季 光 (上海中医药大学脾胃病研究所 上海中医药大学附属龙华医院消化内科，上海 200032) 摘要：目的 探讨脂肪肝中医证候的分类。方法 运用整体 网分析方法对SOM神经网络整理出的关系数据集进行整体 网络 结构分析 ，为脂肪肝的中医辨证提供参考依据。主要考量 中心性用以评价各个症状在 “辨证论治”中的重要程度 ；考量 中心势 用以推测论证型的多寡和兼杂程度 ；考量分派指数用以推测理想辨证的可靠程度。结果　 脂肪肝疾病的中医辨证 ，较难得到单 一的主证 ，辨证体系比较复杂 ，证型较多 ；脂肪肝辨证中较易出现兼杂证。结论 基于症状与症状的关联进行分析可以发现 中 医证候 的集群现象 ；提 出脂肪肝的中医辨证标准具有较高参考价值 ；基于兼杂证型的调查研究数据 ，提取 中医基本证候类型的 思路是可行的。 关键词：脂肪肝；辨证论治；整体网络分析 中图分类号： 文献标识码： 文章编号： （ ） R575.5 A 1001-5256 2011 05-0474-05 Syndrome differentiation of fatty liver based on the whole network analysis theory YIN Shou-yi, LIU Tao, WEI Hua-feng, et al. (Institute of Digestive Disease, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China) Abstract: Objective To investigate syndrome classification of fatty liver. Methods The relationship between syndrome differentiation and symptom of fatty liver was investigated by using SOM (Self-organizing feature map) neural network and whole network analysis method, and references for the standardization of syndrome differentiation were provided. Analysis on centrality was carried out to evaluate the importance of each symptom in each syndrome differentiation. Analysis on group centralization was performed to speculate the amount of the syndrome types and the accompanied degree of symptoms. Analysis on E-I index was carried out to speculate the reliability of the syndrome differentiation. Results The syndromes of fatty liver were found to be complex cluster syndromes rather than simple single syndrome. Conclusion Analysis of the relationship among different symptoms of fatty liver revealed a consp