基于中医传承辅助系统对刘玉洁教授治疗消渴胸痹的病机规律探究

Based on TCM Inheritance Auxiliary System to Explore the Pathogenesis Regularity of Professor LIU Yu-jie in Treating Diabetic Cardiopathy

目的:应用中医传承辅助系统探究刘玉洁教授治疗消渴胸痹的病机规律。方法:收集163例门诊消渴胸痹患者的中西医相关临床资料。应用中医传承辅助系统,采取提取数据源、症状排序分析、关联规则分析、熵聚类分析等方法对数据进行处理。观察消渴胸痹的症状排序、症状关联规则,归纳消渴胸痹的病机规律及证治特点。结果:163例患者中女性发病率高于男性;中老年高发,发病趋向于年轻化;气阴两虚及瘀血相关症状出现率高且高度相关;情志失调症状与消渴胸痹症状高度相关;气阴两虚兼瘀血、气阴两虚兼气滞证型所占比例大,益气养阴、活血止痛是治疗消渴胸痹的常用治法。结论:结合消渴胸痹发病特点对于女性患者的诊治应更为积极;加强对中青年民众及患者的健康宣教及规律诊治是极其重要的;气阴两虚是消渴胸痹的病机关键,因虚致瘀贯穿消渴胸痹病程始终;情志失调是消渴胸痹发病及加重转归的重要因素;益气养阴、活血止痛是治疗消渴胸痹最常用的治法。

Objective： To explore the pathogenesis regularity of the TCM inheritance assistant system of Professor LIU Yu-jie in treating diabetic cardiopathy. Methods： Collect 163 cases of outpatient with diabetes and CHD by traditional Chinese medicine and Western medicine clinical data. The TCM Inheritance assistant system, the data source, symptom ranking analysis, association rule analysis and entropy clustering analysis were adopted to process the data. To observe the ranking of the symptoms, and the association rules of the symptoms, to conclude the pathogenesis regularity and treatment of diabetic cardiopathy. Results： The incidence of female in 163 patients was higher than that in men. The incidence of middle age and elderly population is high,and the age of onset tends to be younger. High frequency symptoms appears in the pations with blood stasis syndrome and deficiency of both qi and Yin and high syndrome, and there is high correlation between these two syndrome; high frequency syndrome known as qi deficiency and yin deficiency and blood stasis; emotional disorders has high degree of correlation with diabetes and CHD; The proportion of qi and Yin deficiency and blood stasis syndrome, qi and Yin deficiency and qi stagnation is large, supplementing qi and nourishing Yin,promoting blood circulation and relieving pain is a commonly used method in treating diabetes with CHD. Conclusion： Combined with the characteristics of incidence for the diagnosis and treatment of female patients should be more actively. It＇s very important to strengthen the health education and the law of diagnosis and treatment of young patients; deficiency of both qi and Yin is the key pathogenesis of diabetic cardiopathy, blood stasis throughout the whole course of the disease, qi stagnation, blood stasis and phlegm and retained fluid is the common pathogenic factors of the disease; emotional disorders are important factors of aggravation and outcome;supplementing qi and nourishing Yin, promoting blood circulation and relieving pain is the most common method in treating diabetic cardiopathy.