摘要
目的:总结国医大师周仲瑛教授对肺癌病因病机的认识、辨治规律及处方用药。方法:通过Medcase V3.2仓公诊籍国医脉案数据记录挖掘系统,运用频数分析与关联规则分析,从症状、病理因素、病机、处方用药等多方面对周仲瑛教授治疗肺癌的医案进行数据挖掘。结果:通过数据挖掘,临床表现中频数最高的是咳嗽,其次是口干、少痰,舌象中频数最高的是苔黄腻、质黯,脉象频数最高的是滑、细脉,病理因素依次为为痰、瘀、毒、热、郁,病机依次为为气阴两虚、痰瘀郁肺、癌毒走注及热毒痰瘀。所用药物中,出现频率最高的是北沙参。结论:肺癌的病位在肺,涉及肝、脾、肾,病机属本虚标实,本虚以气阴两虚为主,标实以痰、瘀、毒、热、郁为主。
Objective： The purpose of this study is to study ZHOU Zhongying’ s clinical experience and academic thoughts of treatment for bronchopulmonary carcinoma. Methods： All the clinical data was analyzed by using comprehend frequency distribution and associated condition to focus on defining and analyzing the correlation among pathogenesis and prescription and then sum up the result and draw a conclusion. Results： The highest frequency self- conscious symptom was cough,followed by dry mouth.The highest frequency tongue proper was thin yellow greasy coating and dark tongue and the highest frequency pulse condition was rolling and thready. The main symptoms were cough,dry mouth,little phlegm,etc. The frequencies of pathological factors for phlegm,blood stasis,Qi stagnation,heat and toxin were 86. 53%,85. 65%,37. 09%,42. 04% and 50. 31%,respectively. The highest frequency herb was Beishashen（ Glehnia littoralis）（ 94. 11%）. Conclusion： The pathogenesis of the disease is deficiency in origin and excess in superficiality. The former includes deficiency of both Qi and Yin,lung deficiency,spleen deficiency and deficiency of liver and kidney. The main pathological factors are phlegm,blood stasis,Qi stagnation,heat and toxin.
出处
《辽宁中医杂志》
CAS
北大核心
2016年第8期1581-1584,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国医大师学术经验传承研究室建设项目(苏中医综201063)
关键词
肺癌
数据挖掘
经验研究
bronchopulmonary carcinoma
retrospective studies
data mining
experience research
