《中医方剂大辞典》中腰痛方剂的用药特点分析  

The Analasis About the Formula Features of Lumbago on the Basis of “Dictionary of Chinese Medicine Formula”

作　　者：刘晓 杨卫彬[2] 

机构地区：[1]解放军61539部队门诊部 [2]中国中医科学院研究生院

出　　处：《世界中医药》2016年第10期2167-2171,共5页World Chinese Medicine

基　　金：科技基础性工作专项"医家学术思想及诊疗经验研究"(编号:2009FY120301)

摘　　要：运用"中医传承辅助平台"系统,对《中医方剂大辞典》(第一版)中所载558首腰痛方剂的用药特点进行分析,总结中医治疗腰痛,用药以补虚为主,兼以驱邪、祛瘀,表明腰痛病因多以"正虚"为本,而外感、血瘀等邪实为标,切合现代腰痛临床诊治的基本思路。通过对宋以前、金元时期、明清及近代时期腰痛方剂数据进行分类分析,发现宋及以前腰痛治疗温通为主,重在驱邪,兼以补肾、祛风湿、行气止痛;金元时期腰痛治疗补肾、祛湿为主,补虚驱邪并重,且开始重视清热类药物的使用;明及以后用药补虚补正为主,重在补肾养血,药性渐趋平和,驱邪寒温有别。对理清中医治疗腰痛方法演变的脉络、发展更有针对性的治疗方法,为中医药临床治疗腰痛提供有价值的借鉴和参考。This paper is to summarize medicinal combination rules for treating lumbago with the data of ＂Dictionary of Chinese Medicine Formula＂（first version）. 558 formulas were analyzed via the software,Traditional Chinese Medicine Inheritance Support System（TCMISS）. Qi-tonifying medicinal are most commonly-used combined with pathogen eliminating medicinal and stasis-removing medicinal. It reflects that the most possible cause of lumbago is deficiency of vital qi as the root cause and external pathogens and blood stasis as the sthenia pathogenic factors. By dynasty classification analysis,it is found that warming and obstructionremoving is the major therapeutic method before Song dynasty,tonifying kidney and dispelling dampness are equally important in the Jin and Yuan period,and tonifying occupied a more important position after Ming dynasty. Therefore,it is showed a process of continuous development of lumbago formulas. Clearing the thoughts from dynasty evolution about lumbago formula development is helpful to develop summarized therapeutic methods and provide valuable references for the treatment of lumbago.

关 键 词：中医传承辅助平台 腰痛 数据挖掘 用药特点 

分 类 号：R2-03[医药卫生—中医学]