明清鼓胀病医案辨证分型规律及用药频数分析  

Syndrome Differentiation Rules and Medication Frequency Analysis of Bulging Disease Cases in Ming and Qing Dynasties

作　　者：熊焰[1] 余东慧[1] 董婷[1] 易法银[2] 卢胜家[3] 

机构地区：[1]湖南中医药大学第一附属医院,长沙410000 [2]湖南中医药大学图书馆,长沙410208 [3]浙江省立同德医院,杭州310012

出　　处：《世界科学技术-中医药现代化》2013年第5期831-837,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012061):"阳黄-阴阳黄-阴黄"辨证论治模式对乙型肝炎相关性肝衰竭的干预作用及其预后的影响;负责人:孙克伟;湖南省教育厅研究生创新课题(CX2011B342):明清鼓胀病医案整理及其证候规律研究;负责人:卢胜家

摘　　要：目的:通过收集明清时期鼓胀病病案的相关条文,挖掘其辨证分型及用药规律。方法:通过对条文进行分析,建立相应数据库,对数据进行频数分析。结果:辨证以肝郁脾虚、湿热蕴结、脾阳虚证型最为常见;药物以利水渗湿药及补虚药为主;单味药使用中前3味分别为茯苓、白术、陈皮。结论:明清鼓胀病用药规律主要为:病变脏腑,脾胃为要;辨证虚实夹杂,以虚为主;用药补泻兼施,以补为宜;证治对应,辨明主次,该规律为鼓胀病的临床和科研提供借鉴作用。This study was aimed to collect relevant provisions of bulging disease medical records in the Ming and Qing dynasties to excavate the syndrome differentiation, drug law and medication frequency analysis. A database was established to analyze relevant provisions. The results showed that the syndromes of liver stagnation and spleen deficiency, dampness-heat accumulation, spleen-yang deficiency are the most common type. The mainly used drugs are from the category to eliminate dampness and water, and to tonify the deficiency. The top three used drugs are poria, atractylodes, and dried citrus peel. It was concluded that medications used in the Ming and Qing dynasties were mainly targeted to the disordered zanght-organ, which was mainly about the spleen and the stomach. The syn- drome differentiation is the mixture of deficiency and excess. And deficiency is the main part. The medication should combine tonification and reducing. And tonification should be paid attention to. The syndrome differentiation and treatment should be coordinated and the primary and secondary aspect should be identified. These rules provide ref- erence effect for the clinical practice and scientific research of bulging disease treatment.

关 键 词：鼓胀 明清时期医案 辨证分型 用药规律 频数分析 

分 类 号：R256.42[医药卫生—中医内科学]