摘要
【目的】探讨现代中医医案文献中胃食管反流病的辨治特点,以期为临床实践提供参考。【方法】采用频次分析、关联规则分析、聚类分析等数据挖掘的方法对现代中医医案文献中356例胃食管反流病医案患者的一般信息、症状、舌象、脉象、诊断、证候等进行分析。【结果】胃食管反流病发病人群主要集中在35~64岁,女性多于男性。临床表现以反酸、烧心、嗳气为主症,常伴纳少、口苦、口干口渴等症;舌色以舌红、舌淡红、舌淡为主;舌形舌质特点为胖大、齿痕;舌苔特点为苔黄、苔薄、苔腻、苔白;脉象以弦、细、滑、数脉为主,沉、弱、缓、涩、濡脉也占一定比例。胃食管反流病在中医临床以吐酸、吞酸、食管瘅、反酸、胃痞、胃脘痛等为常见病名,肝胃郁热证、肝胃不和证、痰气郁结证、胃气上逆证、肝郁脾虚证、湿热蕴结证、寒热错杂证、胆热证、脾胃湿热证、气滞血瘀证、痰热内扰证等为其主要证型。【结论】现代中医治疗胃食管反流病主要采用病-症-证结合的辨治模式,以病为参,以症为靶,辨证论治,具有较独特的优势。
Objective To explore the characteristics of syndrome differentiation and treatment of gastroesophageal reflux disease(GERD)in modern Chinese medical case literature,so as to supply reference for clinical practice.Methods Data mining methods such as frequency analysis,association rule analysis,and cluster analysis were used to analyze the general information,symptoms,tongue manifestation,pulse condition,diagnosis and syndromes of 356 cases of GERD medical records.Results The onset of GERD was mainly concentrated in the population aged 35-64 years old,and was more frequently seen in the women.The clinical manifestations of GERD were predominated by acid reflux,heartburn,and belching,often accompanied by symptoms of poor appetite,bitter mouth,dry mouth and thirst;tongue color was usually characterized by being red,light red or light tongue;tongue shape and texture were usually characterized by being swollen with tooth marks;tongue coating was usually yellow,thin,greasy and white;pulse was usually characterized by being wiry,thready,smooth and rapid,while deep,weak,moderate,unsmooth,soft pulse also accounted for a certain proportion.GERD was commonly known as acid vomiting,acid regurgitation,peptic esophagitis,acid reflux,epigastric fullness,epigastric pain in the Chinese medicine clinic.The primary syndrome types of GERD were heat stagnation in liver and stomach syndrome,disharmony between liver and stomach syndrome,phlegm-qi stagnation syndrome,adverse flow of stomach qi syndrome,liver stagnation and spleen deficiency syndrome,damp-heat accumulation syndrome,cold interweaved with heat syndrome,gallbladder heat syndrome,dampheat in spleen and stomach syndrome,qi stagnation and blood stasis syndrome,and internal disturbance of phlegm-heat syndrome.Conclusion Modern Chinese medicine treatment of GERD follows the syndrome differentiation and treatment mode of combining disease,symptom,and syndrome,with the disease as the reference,and with the symptom as the target,which has the unique advantages.
作者
付灵玉
吴荣焕
张海燕
吴皓萌
郑欢
黄绍刚
FU Ling-Yu;WU Rong-Huan;ZHANG Hai-Yan;WU Hao-Meng;ZHENG Huan;HUANG Shao-Gang(Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome,Provincial and Ministerial Collaborative National Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China;The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第11期2686-2693,共8页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家重点研发计划项目(编号:2019YFC1709600)。
关键词
医案文献研究
胃食管反流病
症状
舌象
脉象
证候
数据挖掘
病-证-症结合辨治模式
literature research of medical cases
gastroesophageal reflux disease(GERD)
symptoms
tonguemanifestation
pulse condition
syndromes
data mining
syndrome differentiation and treatmentmode of combining disease,symptom,and syndrome
