北平四大名医医案中消渴病证治规律的研究

Study on the Law of Diagnosis and Treatment of Diabetes in Medical Record Arrangement of Four Famous Doctors of Beijing

目的通过整理北平四大名医关于消渴病的医案,总结四人对于消渴病的证治规律。方法使用中医病历采集系统录入整理完毕的医案,对病案中关键证治信息进行数据的挖掘与分析,再结合医案总结他们的诊疗经验。结果 60例消渴医案中出现较多的症状有口渴多饮、乏力、多食善饥等,证型较多的有气阴两伤、肝郁化火、心肾两虚等,常见治法有益气滋阴、补肾宁心、疏肝清热等。常用中药有生地黄、黄芪、山药等,药物内关联显示黄芪、生地黄、山药、玄参、天花粉为核心处方,黄芪与山药、玄参、生地黄支持度较高,与绿豆、天花粉等置信度较高。结论将现代数据挖掘技术与医案分析结合能更好好地总结医家的临床经验。

Objective Through the arrangement of the four famous doctors of Beijing about diabetes medical records, to summarize the rule of syndrome and treatment for diabetes. Methods Using electronic medical record acquisition system entry after finishing medical records, the record key card treatment information was carried out data mining and analysis, combined with the medical records to summarize the experience of diagnosis and treatment. Results In the 60 cases of diabetes medical records, many symptoms are thirst, fatigue, eat hunger etc., qi and yin two injuries, stagnation of liver qi transforming into fire, deficiency of both heart and kidney. The common treatments are nourishing yin, invigorating qi, tonifying the kidney and calming heart, dispersing stagnated liver qi for clear- ing heat. The commonly used Chinese medicines are astragalus and Chinese yam. Drug association showed that Astragalus root, raw land, yam, Radix Scrophulariae are core prescriptions, Radix Astragali and Rhizoma Dioscoreae, figwort, Rehmannia glutinosa support a high degree, and mung bean, root of Chinese Trichosanthes set high reliability. Conclusion The modern data mining technology and combined with the analysis of medical records can well summarize the clinical experience of more physicians.