本文關鍵詞：丁甘仁外科醫(yī)案辨證規(guī)律初探　出處：《南京中醫(yī)藥大學學報》2017年04期 　論文類型：期刊論文

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【摘要】：目的分析丁甘仁醫(yī)案著作中外科病案的辨證規(guī)律。方法采用Apriori算法建模,對丁氏外科醫(yī)案進行關聯(lián)規(guī)則分析,并結合傳統(tǒng)的文獻研究及頻數(shù)統(tǒng)計,探索丁氏外科的辨病、辨證特色。結果丁氏外科醫(yī)案中疽為優(yōu)勢病種,癰、骨槽風、瘰疬等病也較為常見。與《中醫(yī)外科學》中辨證對比,丁氏對疽的辨證更注重里證,而非表里同病;丁氏對大頭瘟的辨證以表實熱證為主要證型,而非內熱證。此外,丁氏醫(yī)案中辨證為血虛氣滯或陰虧氣滯的病案比氣滯血瘀、痰瘀互結、氣血兩虛等常規(guī)外科證型更為常見。結論丁甘仁外科醫(yī)案所體現(xiàn)的辨證規(guī)律對當下外科疾病的辨證具有重要的參考價值;陰血虧與氣滯兩種病機的并存多出現(xiàn)在瘤、癌、瘰疬、附骨疽等病案中,反映了丁氏對"因虛而滯"和"因滯而虛"兩種病變機理的認識,豐富了中醫(yī)氣血關系的理論,擴充了中醫(yī)外科辨證的思路。
[Abstract]:Objective to analyze the dialectical rules of surgical records in Ding Ganren's medical records. Methods Apriori algorithm was used to model the association rules of Ding's surgical records, and combined with the traditional literature research and frequency statistics. Results gangrene was the dominant disease, carbuncle, alveolar wind, scrofula and other diseases were more common in Ding's surgery. Ding's syndrome differentiation of gangrene pays more attention to internal syndromes rather than superficial syndromes. Ding's syndrome differentiation of large head plague is the main syndrome type, but not the internal heat syndrome. In addition, the syndrome differentiation of Ding's medical case is blood deficiency qi stagnation or Yin deficiency qi stagnation than qi stagnation and blood stasis, phlegm and blood stasis. Conclusion the pattern of syndrome differentiation embodied in Ding Ganren's surgical case has important reference value for the differentiation of current surgical diseases. The coexistence of yin and blood deficiency and qi stagnation in tumor, cancer, scrofula and bone gangrene reflects Ding's understanding of the mechanism of "stagnation due to deficiency" and "deficiency due to stagnation". It enriches the theory of qi-blood relationship and expands the thinking of TCM surgical syndrome differentiation.
【作者單位】： 上海中醫(yī)藥大學基礎醫(yī)學院;上海中醫(yī)藥大學中醫(yī)藥文化研究與傳播中心;
【基金】：海派中醫(yī)流派(丁氏內科)傳承研究基礎建設項目(zy3-cccx-1-1001)
【分類號】：R249;R26
【正文快照】： 丁甘仁先生是近代中國著名的中醫(yī)學家,醫(yī)學教育家,孟河醫(yī)派的代表人物。其學術理論悉遵經(jīng)旨而多有發(fā)揮,其臨證治驗常變有度,其醫(yī)案及專著包涵著豐富的臨證經(jīng)驗。在其外科病案中,丁氏對很多奇險重久之病癥的臨證過程記載精詳,辨證思維多有流露。筆者從丁氏幾部有影響的醫(yī)案著作

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