刘玉洁教授治疗胸痹心痛证治经验研究——基于中医传承辅助系统的数据挖掘与分析-research on professor liu yujies experience in treating thoracic obstruction and heartache - data mining and analysis based on traditional chinese medicine inheritance auxiliary syste.docxVIP

AChestStuffinessandPainsStudyonSyndromeDifferentiationandTreatmentExperienceofProfessorLiuYujie——DataminingandanalysisbasesonTCMInheritanceSupportSystemDissertationSubmittedtoNorthChinaUniversityofScienceandTechnologyinpartialfulfillmentoftherequirementforthedegreeofMasterofMedicinebyCaoYang(ChineseMedicine)Supervisor:ProfessorLiuYujieJune,2015摘要摘要目的基于中医传承辅助系统平台，分析国家级名老中医刘玉洁教授治疗胸痹心痛的证治经验。方法收集刘玉洁教授临床治疗胸痹心痛的病案，采用频次统计、关联规则、复杂系统熵聚类等算法，统计出性别、年龄、症状、证候、治则治法的出现频次，分别找出症状与症状间的关系，症状、证候、药物之间的关系，分析刘玉洁教授治疗胸痹心痛的证治经验。结果对所收集的300例胸痹心痛病例进行分析，得出如下结果：1男性患者101例，女性患者199例；221-30岁患者3例，31-40岁患者6例，41-50岁患者32例，51-60岁患者118例，61-70岁患者110例，71-80岁患者27例，81-90岁患者4例；3共出现78种症状，出现频次在150次以上的分别为：心前区疼痛、胸闷、夜寐欠安；4共出现6个证型，痰湿阻滞证103例，占总病例数的34.33%，痰热痹阻证81例，占27%，肝胆郁热，枢机不利证56例，占18.67%，心气虚损证42例，占14%，肝郁脾虚证13例，占总病例数的4.33%，气血虚损，痰瘀痹阻证5例，占1.67%；5理气化痰，宣痹止痛法共103例，占34.33%，与痰湿阻滞证相对应；清热化痰，活血止痛法共81例，占27%，与痰热痹阻证相对应；和解枢机，安神定志法共56例，占18.67%，与肝胆郁热，枢机不利证相对应；益气养心，活血通脉法共42例，占14%，与心气虚损证相对应；柔肝健脾，疏肝解郁法共13例，占4.33%，与肝郁脾虚证相对应；益气养血，化瘀祛痰法共5例，占1.67%，与气血虚损，痰瘀交阻证相对应。结论1性别差异较大，女性多于男性；2中老年人人数较多；3发病年龄年轻化趋势；4症状频次统计显示本病主症明显，兼次证复杂多样，治宜宣痹痛、安心神相结合；5痰湿阻滞证、痰热痹阻证、气血虚损，痰瘀痹阻证此三型均与“痰”有关，共占病例总数的63%，说明胸痹心痛发病与“痰”密切相关；-I-华北理工大学硕士学位论文6肝胆郁热，枢机不利证与肝郁脾虚证均与肝郁相关，共占病例总数的23%，说明胸痹心痛发病与“肝郁”有关。图24幅；表3个；参73篇。关键词：中医传承辅助系统；胸痹心痛；证治经验分类号：R256.2-II-摘要AbstractObjectivesToexplorediagnosisandtreatmentregularityontreatingcheststuffinessandpainsthathavebeenputforwardbyProfessorLiuYujie–thenationalfamousTCMdoctorbasesonusingTCMinheritanceauxiliarysystem.MethodsUsethewayoffrequenciesclassifystatistics,associationrulesandentropyclustering,tocountfrequencyofgender,age,symptomsanddiagnosistocollectcasesofProfessorLiuYujieontreatingcheststuffinessandpains.Findouttherelationsofsymptomsandsymptoms,relationsofsymptoms,diagnosisandherbs.AnalyzediagnosisandtreatmentregularityontreatingcheststuffinessandpainsthathavebeenputforwardbyProfessorLiuYujie.ResultsAfteranalyzed300cases,itwasfoundthat:Thegenderofpatientswasthat101casesinmaleand199casesinfemale.Theageofpatintswerethat3casesin21-30yearsold