本文關(guān)鍵詞： 弦脈 寸關(guān)尺左右分部 回歸分析 相關(guān)系數(shù) 名醫(yī)類案　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探索弦脈寸關(guān)尺分部及弦脈相兼脈與病癥的相關(guān)性。方法:從《名醫(yī)類案》中歸納整理與弦脈相關(guān)的醫(yī)案225例,再從中篩選出弦脈按寸關(guān)尺分部候取的醫(yī)案117例,結(jié)合臨床中采集的有關(guān)弦脈相兼脈的病例142例。運用Microsoft Excel建立弦脈分布候取的相關(guān)醫(yī)案信息數(shù)據(jù)庫,將脈象、癥狀在醫(yī)案中的文本數(shù)據(jù)轉(zhuǎn)化為數(shù)字變量,分別賦值為1和0。將獲取的數(shù)據(jù)導(dǎo)入至SPSS 20.0中,進(jìn)入回歸分析,以逐步回歸的方法得到脈象與癥狀之間的相關(guān)性,將有顯著性并且相關(guān)的癥狀保留(sig0.05),沒有顯著性的不相關(guān)的癥狀逐步排除�；貧w得到的標(biāo)準(zhǔn)系數(shù)即為回歸系數(shù),也可稱為相關(guān)系數(shù),表示的癥狀與脈象之間的關(guān)系。成果:弦脈寸關(guān)尺分部及弦脈相兼脈與病癥的相關(guān)性數(shù)據(jù)顯示:與左關(guān)弦相關(guān)性最強的癥狀是性情急躁,相關(guān)系數(shù)為0.336;與右關(guān)弦相關(guān)性最強的癥狀是納呆,相關(guān)系數(shù)為0.299;與左寸弦相關(guān)性最強的癥狀是心神不寧,相關(guān)系數(shù)為0.258;與右寸弦相關(guān)性最強的癥狀是頭痛,相關(guān)系數(shù)為0.513;與左尺弦相關(guān)性最強的癥狀是腰痛,相關(guān)系數(shù)為0.256;與右尺弦相關(guān)性最強的癥狀有四個,分別是夢遺、目眩、咳嗽、體痛,相關(guān)系數(shù)均為0.425。臨床研究與文獻(xiàn)研究中常見癥狀相吻合,均為疼痛頻率最高,分別為17.64%、18.3%。文獻(xiàn)研究中,弦脈與數(shù)脈相兼頻率最高;臨床研究中,弦脈與沉脈相兼頻率最高。結(jié)論:弦脈寸關(guān)尺分部與癥狀之間有密切相關(guān)性,其相關(guān)性體現(xiàn)了《內(nèi)經(jīng)》“上竟上”、“下竟下”的規(guī)律;弦脈最常見于左手寸關(guān)尺三部,以左關(guān)部為主,右手寸關(guān)尺三部則以右關(guān)弦為主;弦脈與疼痛類病癥相關(guān)性最高,主要以腹痛、腰痛、胃脘痛、頭痛等為主;弦脈分部候取的主病差異性顯著,這種分六部辨析“獨異”脈象的研究為疾病診斷提供了參考;臨床研究部分與文獻(xiàn)統(tǒng)計的比較,顯示弦脈主病具有高度的一致性,并且與婦科病、眠差、多夢等癥狀又密切相關(guān)。弦脈的相兼脈中,以弦數(shù)脈最為多見。
[Abstract]:Objective: to explore the correlation between the chord pulse cun Guan ruler division, the chord pulse phase and the disease. Methods: 225 medical cases related to the string pulse were summarized from the famous Medical case, and 117 cases of the string pulse were selected according to the cun Guan ruler division. In combination with 142 cases of chord pulse and pulse collected in clinic, a database of information about string pulse distribution was established by using Microsoft Excel to transform the text data of pulse and symptom in medical record into digital variable. The obtained data were imported into SPSS 20.0 to enter the regression analysis, and the correlation between pulse and symptoms was obtained by stepwise regression. The significant and related symptoms are preserved to a sig0.05, and no significant unrelated symptoms are gradually eliminated. The standard regression coefficient is called the regression coefficient, or the correlation coefficient. The relationship between symptoms and pulse patterns. Results: string pulse cun Guan ruler division and string pulse phase and pulse correlation with disease data show that the most relevant symptom with left Guan string is temperament impatience. The correlation coefficient was 0.336; the symptom with the strongest correlation with the right chord was dumbness, the correlation coefficient was 0.299; the symptom with the strongest correlation with the left chord was restlessness and the correlation coefficient was 0.258; the symptom with the strongest correlation with the right inch string was headache. The correlation coefficient was 0.513; the symptom with the strongest correlation with the left ulnar string was low back pain (the correlation coefficient was 0.256); the symptoms with the strongest correlation with the right ulnar string were dream, dizziness, cough and body pain. The correlation coefficient was 0.425. The frequency of pain was the highest in both clinical and literature studies, and the frequency of pain was the highest, respectively. In the literature study, the frequency of chord veins and multiple veins were the highest. Conclusion: there is a close correlation between the chord pulse cun Guan ruler and symptoms, which reflects the law of "upper and lower", the chord vein is most common in three parts of left hand. The left part was the main part, the right part of the cun Guan ruler was mainly the right Guan string; the string vein had the highest correlation with the pain disease, mainly abdominal pain, low back pain, epigastric pain, headache and so on; the difference of the main diseases in the division of the string vein was significant. This study, which is divided into six parts, provides a reference for the diagnosis of diseases. The comparison between clinical studies and literature statistics shows that the main diseases of chord veins are highly consistent with gynecological diseases. Many dreams and other symptoms are closely related. String pulse of the phase and pulse, string pulse is the most common.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R241

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