基于中医古籍的中风症药时间序列分析

Time Series Analysis of Stroke Syndromes and Related Medicines Based on Ancient Books of TCM

  • 摘要:
      目的  为探究在中医发展历程中中风方剂蕴含的症药规律,深度挖掘历史时间线上中风的症状与用药之间的关系,从而丰富对中医古籍中中风症药关系的认识。
      方法  以中医古籍中中风方剂的症药为研究对象,采用时间序列相似性分析方法,通过筛选中风相关方剂,对症状和中药进行提取,形成标准化数据,自编R语言程序实现症状、中药的形态相似距离(MSD)计算,分别对症状间、中药间、症状与中药间MSD进行相关性与聚类分析。
      结果  中风症药时间序列的症症相关性分析表明中风症状形成了真中风、类中风与急中风三类症状群;中药交集分析表明从公元600年(隋开皇二十年)开始,中风的核心中药群已经初步形成;症药相关性分析得出了一些相关性显著的症药关系,表明三类症药群的形成。
      结论  中医古籍对中风的认识其实隐藏着真中风、类中风与急中风三种不同的认知,这是在当今科学时代借助科学方法对中医古籍进行挖掘与研究的意义与价值所在,值得进一步关注。

     

    Abstract:
      OBJECTIVE  To investigate the syndrome-medicine rules of stroke prescriptions in the development of traditional Chinese medicine (TCM), to explore the relationships between stroke syndromes and related medicines according to the historical timeline, and to enrich the understanding of the syndrome-medicine relationships of stroke in ancient books of TCM.
      METHODS  Considering the syndromes and related medicines in stroke prescriptions as research objects, time series similarity analysis was applied to screen stroke related prescriptions, and to extract syndromes and herbal medicines for obtaining standardized data. In addition, through programming our own R language, we calculated the morphological similarity distance (MSD) of syndromes and herbal medicines, and performed correlation and cluster analysis the MSD among syndromes, herbal medicines, and syndromes and herbal medicines, respectively.
      RESULTS  The syndrome-syndrome correlation analysis in the time series of stroke syndromes and related medicines showed three syndrome clusters, including stroke, apoplectoid syndrome, and acute stroke. The intersection of Chinese herbal medicines showed that the core herbal group of strokes had been formed from Dynasty 600 A.D.(Kaihuang 20th year of Sui Dynasty). The syndrome-medicine correlation analysis yielded some syndrome-medicine relationships with significant correlation, suggesting the formation of three clusters of symptom-medicine.
      CONCLUSION  The understanding of stroke in ancient books of TCM actually conceals three different perceptions of stroke, apoplectoid syndrome, and acute stroke, which is the meaning and value of excavating and studying ancient Chinese medical books with the help of scientific methods in today's scientific era. Thus, they deserve further attention.

     

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