名医崩漏证治规律认识的文献研究的内容分析及聚类分析

Diagnosis and treatment rules of metrorrhagia and metrostaxis in papers written by well-known doctors:Content analysis and clustering analysis

目的:对近10余年由名老中医发表的崩漏证治文献进行的内容分析和聚类分析,以期发现辨治规律。方法:检索名老中医诊治崩漏的相关文献,采用内容分析法、频数分布及聚类分析等统计方法对中医证型、拆分后单证型、辨治规律、方剂的使用加减进行研究。结果:共有131篇文献纳入研究,涉及证型35种,虚证实证比例相当,拆分单证聚类分析后分为3类,第一类血瘀,第二类血热、气虚、脾虚、肾虚,第三类有血虚、肾阳虚等15个单证。辨治方式以辨证为主,并结合月经周期、年龄、是否为出血期进行辨证。使用方剂共221首,其中自拟方156首,时方55首,民族医方8首,经方2首。结论:与崩漏发病最为密切的是脾肾两脏,血瘀为常见的病机,名老中医的崩漏辨治思维以辨证为主,方剂的使用灵活多变,以自拟方为主。

Objective To discover the diagnosis and treatment rules of metrorrhagia and metrostaxis by analyzing the relevant papers published in the past 10 years.Methods Papers on diagnosis and treatment rules of metrorrhagia and metrostaxis written by well-known doctors were retrieved.The types of metrorrhagia and metrostaxis syndrome,diagnosis and treatment rules of metrorrhagia and metrostaxis syndrome,application of prescriptions in treatment of metrorrhagia and metrostaxis syndrome were analyzed by content analysis,frequency analysis and clustering analysis,respectively.Results One hundred and thirty-three papers on the diagnosis and treatment rules of metrorrhagia and metrostaxis were included in this paper with 35 types of metrorrhagia and metrostaxis syndrome involved,including 15 single syndromes,such as blood stasis,blood heat,Qi deficiency,spleen deficiency,kidney deficiency,blood deficiency,kidney-yang insufficiency.Metrorrhagia and metrostaxis was treated according to the differentiation of its symptoms and signs in combination with the menstrual cycle,age and bleeding of the patients. A total of 221 prescriptions were used in the treatment of metrorrhagia and metrostaxis.Conclusion Metrorrhagia and metrostaxis is usually occurred in spleen and kidney.lood stasis is its common pathogenesis.Metrorrhagia and metrostaxis is treated by well-known doctors according to the differentiation of its symptoms and signs,and prescriptions are used in a flexible way.