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国医大师周仲瑛辨治乳腺癌临证医案症-机-药规律探析 被引量:7
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作者 董莹莹 朱垚 +2 位作者 李柳 陆明 吴勉华 《中国中医药信息杂志》 CAS CSCD 2022年第12期16-22,共7页
目的分析总结国医大师周仲瑛临床治疗乳腺癌经验及辨治规律。方法采用MedcaseV5.2诊籍中医师工作室-名老中医经验传承辅助平台,收集1991年1月-2015年1月周仲瑛教授治疗乳腺癌医案,采用该平台集内关联规则方法,从临床症状、病机、用药等... 目的分析总结国医大师周仲瑛临床治疗乳腺癌经验及辨治规律。方法采用MedcaseV5.2诊籍中医师工作室-名老中医经验传承辅助平台,收集1991年1月-2015年1月周仲瑛教授治疗乳腺癌医案,采用该平台集内关联规则方法,从临床症状、病机、用药等方面对医案进行解析,并总结辨治规律。结果纳入医案319则,涉及病例319例,1664诊次,涉及乳腺癌临床症状429条,总频次8056次,病机181条,药物344种。集内关联处理后,产生总症状规则30组,手术放化疗医案症状规则32组,纯中药医案症状规则30组;总病机规则30组,手术、放化疗医案病机规则32组,纯中药医案病机规则4组;总药物规则30组,手术、放化疗医案药物规则30组,纯中药医案药物规则32组。结论国医大师周仲瑛辨治乳腺癌的病性为多本虚标实、虚实夹杂,用药以益气养阴、祛痰散结类为主;手术、放化疗后患者治以益气养阴为主,辅以化痰散结、清热解毒等法,未手术、放化疗者治以化痰散结、清热解毒为主,辅以益气养阴、补益肝肾等法。 展开更多
关键词 国医大师 周仲瑛 临证经验 乳腺癌 集内关联
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Intra-set correlation analysis of medical records of thyroid cancer treated by traditional Chinese medicine Master ZHOU Zhongying
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作者 XU Ziyuan ZHU Yao +1 位作者 LU Ming ZHOU Zhongying 《Digital Chinese Medicine》 2022年第2期141-153,共13页
Objective Based on intra-set correlation analysis, this paper deconstructs the clinical medical records of traditional Chinese medicine(TCM) Master ZHOU Zhongying in treating thyroid cancer, and analyzes the experienc... Objective Based on intra-set correlation analysis, this paper deconstructs the clinical medical records of traditional Chinese medicine(TCM) Master ZHOU Zhongying in treating thyroid cancer, and analyzes the experience in “mechanism-syndrome-medicine-prescription” for thyroid cancer.Methods Through Medcase data processing platform, based on Frequent Pattern(FP)-Growth enhanced correlation analysis algorithm, the medical records of Professor ZHOU Zhongying for the treatment of thyroid cancer from June 1, 2001 to February 28, 2015 were analyzed within the set.Results This study involved 43 medical records, 43 patients, and 167 visits. After processing intra-set correlations, 28 groups of highly correlated symptoms, 21 groups of highly correlated tongue images, 10 groups of highly correlated pulse conditions, 28 groups of highly correlated pathogenesis, 34 groups of highly correlated herbs, and 26 groups of highly correlated western medicine diagnosis were selected. Professor ZHOU Zhongying treats thyroid cancer according to syndrome differentiation. Symptoms with more association rules included neck swelling, neck pain, cough, and dry mouth;tongue images with more association rules included dark purple tongue, dark red tongue, and fissured tongue;pulse conditions with more association rules were wiry pulse, thready pulse, small pulse, and slippery pulse;the pathogenesis with more association rules was phlegm and blood stasis, damp-heat accumulation,and impairment of both Qi and Yin;herbs with more association rules were Chaihu(Bupleuri Radix), Zeqi(Sun Euphoribiae Herb), and Tiandong(Asparagi Radix);western medicine diagnosis with more association rules included thyroid cancer, insomnia, and chronic gastritis.Conclusion Thyroid cancer mostly presents as deficiency in origin and excess in manifestations. The basic pathogenesis is phlegm and blood stasis, damp-heat accumulation, and impairment of both Qi and Yin, which are closely related to liver, kidney, and spleen. Professor ZHOU Zhongying adopts both attack a 展开更多
关键词 Traditional Chinese medicine Master ZHOU Zhongying Thyroid cancer Empirical analysis Data mining intra-set association Phlegm and blood stasis Damp-heat accumulation Combination of attack and supplement
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张继泽辨治慢性萎缩性胃炎集内关联规则研究 被引量:2
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作者 王玉兰 李述捷 +5 位作者 孙军 陈四清 万凌峰 朱垚 陆明 陈广梅 《山东中医药大学学报》 2022年第1期72-78,共7页
目的:采用数据挖掘技术分析张继泽辨治慢性萎缩性胃炎(CAG)的临床医案,探究其辨治CAG的规律。方法:收集2010年5月11日至2019年4月9日张继泽门诊诊治CAG的医案,共407例,运用集内关联规则方法进行研究。结果:407例医案共723诊次,临床症状... 目的:采用数据挖掘技术分析张继泽辨治慢性萎缩性胃炎(CAG)的临床医案,探究其辨治CAG的规律。方法:收集2010年5月11日至2019年4月9日张继泽门诊诊治CAG的医案,共407例,运用集内关联规则方法进行研究。结果:407例医案共723诊次,临床症状232种,病机29种,药物261种。集内关联处理后,产生核心临床症状规则30组,舌象规则31组,脉象规则30组,病机规则31组,治法规则31组,药物规则32组。结论:嗳气、打嗝、泛酸、入寐难为CAG高频临床症状,苔薄白、舌质红为主要舌诊特征,弱脉、濡脉为特征脉象,肝胃不和、中虚气滞为核心病机,益气活血为主要治法,四君子汤、厚朴半夏汤、桂枝汤为常用方剂。 展开更多
关键词 张继泽 集内关联规则 慢性萎缩性胃炎 医案 症状 舌象 脉象 肝胃不和 中虚气滞 益气活血
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