国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2014年
12期
1110-1114
,共5页
湿疹%医案%数据挖掘%经验传承%名老中医
濕疹%醫案%數據挖掘%經驗傳承%名老中醫
습진%의안%수거알굴%경험전승%명로중의
Eczema%Medical records%Data mining%Experience inheritance%Famous old TCM doctors
目的：探讨庄国康诊治湿疹医案的思辨规律。方法以庄国康诊治湿疹医案58例为研究对象，建立数据库，运用支持向量机方法进行辨证要点、用药规律的数据挖掘。结果提取“滋阴法”作为分类属性，得到辨证要点、相关治法、用药特点3个模型，相关量化数据63条。“滋阴法”所对应“阴虚”证素主要辨证要点模型分类准确率为77.586%，κ＝0.536，其中皲裂、丘疹、脉细、脱屑的权重值较高，分别为1.558、1.456、1.036、0.858；用药特点模型分类准确率为86.207%，κ＝0.719，其中太子参、车前子、天冬、黄精权重最高，分别为0.776、0.550、0.525、0.388。结论皲裂、脉细、脱屑为庄国康辨证选用“滋阴法”治疗湿疹的主要辨证要点。
目的：探討莊國康診治濕疹醫案的思辨規律。方法以莊國康診治濕疹醫案58例為研究對象，建立數據庫，運用支持嚮量機方法進行辨證要點、用藥規律的數據挖掘。結果提取“滋陰法”作為分類屬性，得到辨證要點、相關治法、用藥特點3箇模型，相關量化數據63條。“滋陰法”所對應“陰虛”證素主要辨證要點模型分類準確率為77.586%，κ＝0.536，其中皸裂、丘疹、脈細、脫屑的權重值較高，分彆為1.558、1.456、1.036、0.858；用藥特點模型分類準確率為86.207%，κ＝0.719，其中太子參、車前子、天鼕、黃精權重最高，分彆為0.776、0.550、0.525、0.388。結論皸裂、脈細、脫屑為莊國康辨證選用“滋陰法”治療濕疹的主要辨證要點。
목적：탐토장국강진치습진의안적사변규률。방법이장국강진치습진의안58례위연구대상，건립수거고，운용지지향량궤방법진행변증요점、용약규률적수거알굴。결과제취“자음법”작위분류속성，득도변증요점、상관치법、용약특점3개모형，상관양화수거63조。“자음법”소대응“음허”증소주요변증요점모형분류준학솔위77.586%，κ＝0.536，기중군렬、구진、맥세、탈설적권중치교고，분별위1.558、1.456、1.036、0.858；용약특점모형분류준학솔위86.207%，κ＝0.719，기중태자삼、차전자、천동、황정권중최고，분별위0.776、0.550、0.525、0.388。결론군렬、맥세、탈설위장국강변증선용“자음법”치료습진적주요변증요점。
Objective To explore the diagnosis and treatment rule of eczema by Zhuang Guokang. Methods Data of 58 eczema patients treated by Zhuang Guokang were collected as research objects to set up the database. Support vector machine (SVM) method was adopted to take data mining research of the key points of syndrome differentiation and the rule of medication. Results The "nourishing Yin method" was extracted as the category property to get 3 classification models of the syndrome differentiation key points, the related treatment methods and medication rule and 63 relevant quantitative data. The accuracy rate of model classification of the main differentiation points of "nourishing Yin method" corresponding to "Yin" reached 77.586%, and Kappa value was 0.536. Among these points, the weight of chapping(1.558), papules(1.456), thready pulse(1.036)and desquamation(0.858) got higher significance. The accuracy rate of model classification of medication feature reached 86.2069%, and Kappa value was 0.719. Among these medicines, Pseudostellaria heterophylla(0.776), Semen plantaginis (0.550), Asparagus root(0.525) and Solomonseal (0.388) got higher significance. Conclusion The research revealed the syndrome differentiation key points and the medication rule of Zhuang Guokang’s"nourishing Yin method"in the treatment of eczema, and explored the path of experience transforming to knowledge of the famous old TCM doctors.
