基于《伤寒论》方论治围绝经期综合征的方药规律研究  

Study on the Law of Syndrome and Treatment of Perimenopausal Syndrome Based on Treatise on Febrile Diseases

作　　者：毛欣[1] 刘江梅 杨会志[1] MAO Xin;LIU Jiangmei;YANG Huizhi(Yueyang Hospital of traditional Chinese medicine,Yueyang 414000,China)

机构地区：[1]湖南省岳阳市中医院,湖南岳阳414000

出　　处：《中国民族民间医药》2020年第20期1-4,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：岳阳市科技局科研计划项目(编号:2018020)。

摘　　要：目的:分析围绝经期综合征的病机及运用《伤寒论》方论治的方药规律。方法:手工检索中国知网(CNKI)、万方数字化期刊全文数据库,查阅国内外有关《伤寒论》方在围绝经期综合征临床应用的相关文献,对其方剂、证型、病位、用药等进行统计分析。结果:收集相关文献115篇,涉及《伤寒论》处方共22首;频率最多的是桂枝加龙骨牡蛎汤、黄连阿胶汤、桂枝汤、小柴胡汤,常见证型是心肾不交、肝郁气滞、营卫不和、肾虚肝郁;主要病位在肾、肝、心。结论:围绝经期综合征其病机特点为本虚标实,运用《伤寒论》方进行临床治疗可标本兼顾,具有广泛适用性及研究价值。Objective To analyze the pathogenesis of perimenopausal syndrome and the rule of prescription and medicine of Shanghanlun.Methods CNKI and Wanfang Digital Journal Full-text Database were searched by hand,and the related literatures on the clinical application of Shanghanlun prescription in perimenopausal syndrome were searched.The prescription,syndrome type,disease location and drug use were statistically analyzed.Results 115 related literatures were collected,involving 22 prescriptions in Treatise on febrile diseases.The most frequent prescriptions were Guizhi plus Longgu oyster decoction,Huanglian Ejiao decoction,Guizhi Decoction and Xiaochaihu Decoction.The common syndrome types were disharmony of heart and kidney,stagnation of liver qi,disharmony of Ying and Wei,deficiency of kidney and stagnation of liver.The main diseases were kidney,liver and heart.Conclusion The pathogenesis of perimenopausal syndrome is characterized by deficiency in origin and excess in standard.The application of Shanghanlun in clinical treatment can take both the symptoms and the symptoms into consideration,which has wide applicability and research value.

关 键 词：《伤寒论》方 围绝经期综合征 方药规律 

分 类 号：R222.2[医药卫生—中医基础理论]