基于古今医案数据分析的水气病证治规律研究

Study on syndrome differentiation and treatment rules of water-qi disease based on data analysis of ancient and morden medical records

通过对古今水气病医案文献的搜集与整理,并以其为切入点,运用频数、因子、聚类分析等现代统计学与计算机技术相结合的研究方法,对水气病医案数据进行深入研究,探寻水气病的发病规律、辨证规律、治疗规律等,阐明了水气病发病的病理基础,症状群与证候类型等水气病辨治的关键问题,并对水气病治疗的核心药物、常用方剂,治则治法及临证思路等加以评述和探析,提出了水气病治疗宜"分期攻补,以五脏为核心——四重一慎、兼顾气血"的动态诊疗模式。为水气病的诊疗提供了理论和临床依据,同时也为中医医案的研究提供了思路与方法学上的借鉴。

This thesis collected and arranged the medical cases of water-qi disease in ancient and modern,and used them as the entry point,applying statistics and computer technology,modern combination of research methods,such as the frequency,factor and cluster analysis,to explore the laws of water-qi disease on incidence,diagnosis,treatment and so on.On this basis,not only to clarify the key issues,such as the pathological basis,symptoms and syndromes of water-qi disease,but also comment and analysis on the core drugs,commonly used prescriptions,treatment rules and clinical ideas.I propose dynamic clinics mode of water-qi disease,namely ＇treatment by stages,core of five zang-four important points and one caution,consideration to qi and blood＇.It will provide a theoretical and clinical basis for diagnosis and treatment of water-qi disease,but also for ideas and methodological reference of the chinese medical case studies.