基于中医古籍和地理信息探讨体质的"时间-空间"变化OA
Exploration on the evolution of'time-space'on constitution based on ancient Chinese medical texts and geoinformatics
目的:分析并探讨不同时期人群的体质倾向及其受地理变化的影响.方法:在《中华医典》(V5.0)中筛选中国古籍"体质"相关条文,经过数据标准化处理并建立数据库,采用Arc GIS(10.8.1)软件对体质理论及发展分布进行分析,探讨各个朝代体质的群体趋同性,理解体质偏颇的理论发展.结果:共收集古籍145本,其中代表医家78位.从晋唐时期到明清时期,医家的数量呈现出由少到多的显著增长趋势.同时,医家的地理分布也发生了明显的变化,由早期的相对集中逐渐变得分散.特别是到了清朝时期,医家的分布已经明显集中于沿海地区.结论:通过Arc GIS(10.8.1)软件揭示了《中华医典》中体质理论的起源变化,不同朝代的医学古籍可提供纵向的体质变化范本,地理区域的变化可提供空间角度的体质发展,本研究拓展了"三因制宜"内涵,有助于进一步强调临床诊疗时综合考虑社会背景、地域气候环境及患者个体差异,制定适宜的治疗方案.
Objective:To analyze and explore the constitutional tendencies of populations in different historical periods and their influence by geographical changes.Methods:Articles related to'constitution'from ancient Chinese medical books were screened using the Chinese Medical Classics(V 5.0).After data standardization and database establishment,Arc GIS(10.8.1)software was employed to analyze the development and distribution of constitution theory.This study explored the population convergence of constitutions in various dynasties to understand the theoretical development of constitutional bias.Results:A total of 145 ancient medical books were collected,representing 78 distinguished physicians.From the Jin-Tang period to the Ming-Qing period,the number of physicians showed a significant increasing trend.Concurrently,the geographical distribution of physicians underwent notable changes,transitioning from relative concentration in the early periods to gradual dispersion.Particularly during the Qing dynasty,the distribution of physicians became markedly concentrated in coastal areas.Conclusion:Arc GIS(10.8.1)software revealed the origins and changes of constitution theory within the Chinese Medical Classics.Ancient medical books from different dynasties provide longitudinal models for studying constitutional changes,while variations in geographical areas offer a spatial perspective on constitutional development.This study expands the connotation of'treatment individualized to three categories of etiologic factors',potentially further emphasizing the importance of comprehensively considering social background,regional climate and environment,and individual patient differences in clinical diagnosis and treatment to formulate appropriate therapeutic plans.
许少芬;李伟泓;张思乐;侯政昆;陈新林;刘凤斌
广州中医药大学,广州 510006广州中医药大学,广州 510006广州南方学院中医药健康学院,广州 510970广州中医药大学第一附属医院,广州 510405||广州中医药大学第一附属医院粤西医院(茂名市电白区中医院),茂名 525400广州中医药大学,广州 510006广州南方学院中医药健康学院,广州 510970
体质三因制宜《中华医典》地理信息系统
ConstitutionTreatment individualized to three categories of etiologic factorsChinese Medical DictionaryGeographic information system(GIS)
《中华中医药杂志》 2026 (2)
561-565,5
国家重点研发计划(No.2023YFC3503002),广州中医药大学第一附属医院中青年骨干人才培育项目(No.中医一院[2023]186号),广东省基础与应用基础研究基金青年项目(No.2023A1515110731),广州中医药大学校院联合科技创新基金项目(No.GZYFS2024Y06)
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