《名医类案》《续名医类案》湿热证辨治规律探讨曾思玲戴铭〔摘要〕目的通過对《名医类案》《续名医类案》中湿热证医案的统计整理，总结其辨治湿热证的经验，为现代临床辨治湿热证提供借鉴和参考。方法筛选《名医类案》《续名医类案》湿热证医案177例，将医案相关信息录入Excel表格，采用IBMSPSSStatistics20统计软件进行频数运算;运用IBMSPSSmodeler18统计软件进行关联规则运算，运用中医药理论对统计结果进行分析。结果在177例湿热证病案记录中，共涉及症状92种，常见症状有局部红肿热痛、但热不寒、肢体疼痛等;方剂86首，常用方剂为补中益气汤、龙胆泻肝汤、二陈汤等;药物188种，常用药物有白术、当归、茯苓等。得到有意义的症状→症状二阶关联组27组，方剂→药物二阶关联组27组。结论《名医类案》《续名医类案》诊断湿热证，重在辨别湿邪与热邪之偏重、病位表里之深浅以及邪正虚实之盛衰，治以清热利湿、健脾燥湿之法。其重视人身正气，在驱邪之际注重兼顾补益气血是其辨治的特色。〔关键词〕数据挖掘;名医类案;续名医类案;湿热证;补益气血;龙胆泻肝汤;补中益气汤;四物汤〔〕R259〔文献标志码〕A〔〕doi：10.3969/j.issn.1674-070X.2021.06.010DiscussionontheLawofDistinguishingandTreatingDampinessandHeatSyndromeinFamousMedicalCasesandContinuingFamousMedicalCasesZENGSiling，DAIMing*（GuangxiUniversityofChineseMedicine，Nanning，Guangxi530001，China）〔Abstract〕ObjectiveTosummarytheexperienceofdistinguishingandtreatingdampinessandheatsyndromeinFamousMedicalCasesandContinuingFamousMedicalCases，andprovidereferenceformodernclinicaldistinguishingandtreatingdampinessandheatsyndrome.Methods177casesofdampinessandheatsyndromemedicalcasesofFamousMedicalCasesandContinuingFamousMedicalCaseswereselected，relevantinformationofmedicalcaseswereinputtedintoExcel，andIBMSPSSStatistics20statisticalsoftwarewasusedforfrequencycalculation;IBMSPSSmodeler18statisticalsoftwarewasusedtocalculateassociationrules，andthestatisticalresultswereanalyzedwiththetheoryoftraditionalChinesemedicine.ResultsIntherecordsof177casesofdampinessandheatsyndrome，92kindsofsymptomswereinvolved，andthecommonsymptomswerelocalredness，swelling，heatandpain，butnotcold，limbpainandsoon;86prescriptionswereinvolved，andthecommonlyusedprescriptionswereBuzhongYiqiDecoction，LongdanXieganDecoction，ErchenDecoction，etc;188kindsofdrugswereincluded，andcommonlyuseddrugswereBaizhu（AtractylodisMacrocephalaeRhizoma），Danggui（AngelicaeSinensisRadix），andFuling（Poria），etc.Significantsymptom→symptomsecond-orderassociationgroup27andprescription→drugsecond-orderassociationgroup27wereobtained.ConclusionThediagnosisofdampnessheatsyndromeinFamousMedicalCasesandContinuingFamousMedicalCasesisfocusedonthedistinguishingtheexcessiveemphasisofdampness-evilandheat-evil，thedepthofthediseasetable，andtheriseandfalloftheevil，thedeficiencyandthereality，andthetreatmentofthemethodofclearingtheheat，promotingthedampnessandinvigoratingthespleenanddampness.ItscharacteristicsofsyndromedifferentiationandtreatmentarethatitattachesgreatimportancetothehealthyQiofthehumanbodyandpaysattentiontobothnourishingQiandbloodwhenexorcisingevilspirits.〔Keywords〕datamining;FamousMedicalCases;ContinuingFamousMedicalCases;dampinessandheatsyndrome;LongdanXieganDecoction;BuzhongYiqiDecoction;SiwuDecoction湿热证指湿邪和热邪共同为患引起的证候，常以头身困重、身热不扬、口渴不欲多饮、大便泄泻、小便黄、舌红苔黄腻、脉滑数等为主要表现。湿为阴邪，热为阳邪，两种性质相反的病邪却相兼致病，“徒清热则湿不退，徒祛濕则热愈炽”[1]，故治疗上往往难以兼顾。从现代...