佤族医药治疗脾胃系疾病用药规律分析及现代研究进展  

Analysis on Medication Law and Modern Research Progress of Wa Medicine in the Treatment of Spleen and Stomach Diseases

作　　者：方熙星 赵杰 陈云 罗珺钰 李明明 温伟波 崔换天 FANG Xixing;ZHAO Jie;CHEN Yun;LUO Junyu;LI Mingming;WEN Weibo;CUI Huantian(Changchun University of Chinese Medicine,Changchun 130117,China;The First Affiliated Hospital of Yunnan University of Chinese Medicine,Kunming 650021,China;Cangyuan County Wa Medical Hospital of Traditional Chinese Medicine,Cangyuan 677499,China;Yunnan University of Chinese Medicine,Kunming 650500,China;Shandong University,Qingdao 266237,China)

机构地区：[1]长春中医药大学,吉林长春130117 [2]云南省中医医院/云南中医药大学第一附属医院,云南昆明650021 [3]沧源县中医佤医医院,云南沧源677499 [4]云南中医药大学,云南昆明650500 [5]山东大学,山东青岛266237

出　　处：《云南中医药大学学报》2023年第2期98-105,共8页Journal of Yunnan University of Chinese Medicine

基　　金：云南省科技厅生物医药重大科技专项(2019ZF005)。

摘　　要：佤族医药是我国民族医药的重要组成部分。研究发现,因其独特的气候特点及饮食习惯,胃痛、痢疾、泄泻等脾胃系疾病在佤族聚居地发病率较高,佤族医药在脾胃系统相关疾病中具有独到用药经验。然而因其传承方式的落后,目前部分用药经验面临着失传的风险。为进一步挖掘和整理这份民族瑰宝,笔者通过整合当地文献,同时走访国内两个佤族自治县(西盟、澜沧),并拜访当地佤医,最终总结出佤族医药治疗脾胃系疾病单验方218首,筛选出对脾胃系疾病起到关键作用的“药对”3组,发现“山茨菇-重楼”相配散寒行气,清热止痛,可用于治疗寒邪客胃、肝胃郁热所致寒热错杂型胃痛;“草血竭-翻白叶”相伍,清热止痛,调气和血,适用于感受外邪、内伤饮食导致的湿热痢疾;“金花果-土茯苓”合用清热燥湿,消食止泻,可应用于湿热中阻、食滞肠胃所致的泄泻。因此,本文通过总结云南地区应用的高频次药物功效及在脾胃系统疾病中的应用和现代药理学研究进行了论述。Wa medicine is an important part of ethnomedicine in China.The study found that due to its unique climate features and dietary habits,the incidence of spleen and stomach diseases is more high in the settlements of the Wa people,such as stomach pain,dysentery,and diarrhea.Wa medicine has unique experience in the use of spleen and stomach system-related diseases.However,due to the backwardness of inheritance methods,some drug experience has been faced with the risk of being lost.In order to excavate and inherit its experience,the author integrated local literature,visited two Wa autonomous counties in China(Ximeng and Lancang),and communicated local Wa doctors,and finally summed up 218 prescriptions of spleen and stomach diseases.Then,Wa medicine of application and modern pharmacology in diseases of the spleen and stomach system were discussed in this paper with analyzing its characteristic medication rules,summarizing the efficacy of high-frequency drugs used in Yunnan.

关 键 词：佤族医药 脾胃系疾病 用药规律 现代药理 

分 类 号：R256.3[医药卫生—中医内科学] R29[医药卫生—中医学]