姜良铎教授“三焦经络瘀滞理论”中西医临床特点数据挖掘分析

王海燕+姜良铎+马清+许冬+唐仕欢+罗增刚

[摘要] 国家名老中医姜良铎教授在临床实践中善于从经络辨证理论出发，从整体状态辨治，创立了“三焦经络瘀滞”理论。该文率先对姜良铎教授在门诊患者辨证论治中经常采用的三焦经络瘀滞理论进行了中西医临床特点研究总结，探讨其内在规律性。文中首先对资料来源及研究方法进行了介绍，然后采用中医传承辅助平台，用数据挖掘的方法，回顾性分析2014年姜教授诊断三焦经络瘀滞的279例患者的中西医疾病特点。通过该文的研究，得到以下主要结论：三焦经络瘀滞患者女性多见，多见于中青年人群，病程迁延，舌红苔黄等内热表现常见，其现代西医疾病诊断与传统中医辨证症候群具有良好的相关性。三焦经络瘀滞症候群表现以热证状态居多，中年患者是三焦经络瘀滞的常见患病人群，西医诊断的相关信息有助于诊断三焦经络瘀滞。

[关键词] 经络辨证； 三焦经络； 瘀滞

[Abstract] In the clinical practice， Professor Jiang Liangduo， a national senior Chinese medicine doctor， has created the theory of "sanjiao meridian stasis" from the theory of meridian dialectics and from the overall state. In this paper， the traditional Chinese medicine and Western medicine clinical characteristics of sanjiao meridian stasis theory which is often used by Professor Jiang Liangduo in the treatment of out-patient syndrome differentiation， were first studied and summarized to investigate its inherent regularity. First， the source of data and research methods were introduced， and then the Traditional Chinese Medicine Inheritance Support System was usedwith the method of data mining to retrospectively analyze the disease characteristics of Chinese and Western medicine in 279 patients with sanjiao meridian stasis diagnosed by Professor Jiang in 2014. Then the following main conclusions were made after research： sanjiao meridian stasis was more common in women as well as young and middle-aged population. Often manifested by prolonged treatment course， red tongue with yellowishfur， with good correlation between modern Western medicine diagnosis and TCM differentiation syndrome. The symptoms of sanjiao meridian stasis syndrome are mostly of heat syndromes， and middle-aged patients are the most common patients with stasis and stasis of sanjiao. Related information of Western medicine diagnosis can help to diagnose the "sanjiao meridian stasis".

[Key words] differentiation of channels and collaterals； sanjiao meridian； stasis

經络是人体经气运行的通路。尽管在理论层面对经络的实质存在许多论点和假说，但毋庸置疑，在中医临床实践中，以经络理论为指导，常常能起到因势利导、事倍功半的奇效。姜良铎教授是国家名老中医，在临床实践中善于从经络辨证理论出发，从整体状态辨治，创立了“三焦经络瘀滞”理论。是对经络辨证在中医药治疗方面的有效补充，本文总结姜良铎教授诊断“三焦经络瘀滞”患者的临床特点。

研究姜良铎教授在门诊患者辨证论治中经常采用的三焦经络瘀滞理论，用数据挖掘的方法，探讨其内在规律性；……