真武汤的文献研究和临床上的用药规律
发布时间：2018-10-10 12:04
【摘要】：目的:《伤寒论》有1800多年的连续不断的学术研究与发展历史。有一大批的的研究学者身处国内外,著作高达3000多种,医家有600余家,已发表的论文有17000多篇,并且不同的学术流派已经形成,奠定了中医学的学术地位。《伤寒论》对中医临床各科,以及中医学基础、诊断学、方剂学、中药学均具有重要的指导意义。话虽然如此,《伤寒论》的传承还是存着担忧。现今老一辈有经验的医家相继离逝,宝贵的中医学术思想和临床经验也一起消失,若有幸老中医有徒弟门总结他们的学术经验,但始终有主观成份,中医事业正有青黄不接之势。为要保存前辈中医的经验,令愈千年的薪火得以延续,但是旧有的中医师徒传承模式,有其限制,在者现代科技发展一日千里的时代,中医学研究方法与其它学科融合将会是一条出路,给中医学发展注入新的动力。故此本文尝试用文本数据挖掘及属性偏序方法整理现代文献,从中得出一些知识发现,供大家参考。方法:本课题纳入1976-2016近40年期间在在中国期刊网(CNKI)上搜索与"真武汤"及"温阳"有关的近代文献资料。当中有364份文献,156份纳入文献,纳入病案246个。采集了患者不同的年龄、病程等基本信息,如症状、体征、舌脉象等诊疗信息,中医诊断及处方用药;再把所得资料整合后填入Excel表中,构建简易的数据库。完成了所有资料录入后,再根据研究需要,建立相关的形式背景,形成属性偏序图;从患者的一般特点、主方用药规律、不同疾病的用药特点、部分药物量效关系等角度,进行知识发现,探究真武汤的不同治疗功效。总结出真武汤的用药特点。结论:1、真武汤证的主症是:精神疲倦,畏寒,体寒,少腹不适,双下肢浮肿,小便稀少,口渴,不欲饮,心悸。2、真武汤证的舌像是:舌淡红或舌质红,舌胖大,苔白、苔薄白或苔黑;真武汤证的脉象是:脉沉,脉细,脉无力,脉弱或脉浮、脉大、脉无根。3。真武汤根据主症偏重不同、兼症不同以及所治病不同、可适当加味、并有一定规律可循。
[Abstract]:Objective: the Treatise of febrile Diseases has a continuous history of academic research and development for more than 1800 years. There are a large number of researchers at home and abroad, with more than 3000 works, more than 600 doctors, more than 17000 published papers, and different academic schools have formed. The theory of febrile disease is of great significance to the clinical practice of Chinese medicine, as well as to the foundation of traditional Chinese medicine, diagnostics, prescriptions, and traditional Chinese medicine. Even so, there are concerns about the legacy of the Treatise of febrile Diseases. Nowadays, the older generation of experienced doctors have passed away one after another, and the valuable academic thinking and clinical experience of traditional Chinese medicine have also disappeared. If it is fortunate that old Chinese medicine practitioners have apprentices to sum up their academic experience, but there is always a subjective component, The cause of traditional Chinese medicine is in the dark. In order to preserve the experience of the Chinese medicine practitioners of the older generation, the fire of the past thousand years can be continued. However, the old mode of inheriting Chinese medicine teachers and disciples has its limitations, in the era of rapid development of modern science and technology. The integration of traditional Chinese medicine research methods with other disciplines will be a way out and inject new impetus into the development of traditional Chinese medicine. So this paper attempts to use the method of text data mining and attribute partial ordering to sort out the modern literature, from which we can find some knowledge for your reference. Methods: during the past 40 years from 1976 to 2016, we searched the (CNKI) for modern literature related to "Zhenwu Tang" and "Wen Yang". Of these, 364 were included, 156 were included, and 246 were included in medical records. Collected the patient's different age, course of disease and so on basic information, such as symptoms, signs, tongue pulse and so on diagnosis and treatment information, traditional Chinese medicine diagnosis and prescription drug use, and then integrated the obtained data into the Excel table to build a simple database. After all the data were inputted, according to the needs of the research, the relevant formal background was established to form an attribute partial sequence map. From the general characteristics of the patients, the law of the main prescriptions, the characteristics of different diseases, the dose-effect relationship of some drugs, and so on, To explore the different therapeutic effects of Zhenwu decoction. Summed up the drug characteristics of Zhenwu decoction. Conclusion: 1, the main symptoms of Zhenwu Tang syndrome are: mental fatigue, chills, body cold, less abdominal discomfort, bloated lower limbs, rare urination, thirst, no desire to drink, palpitations. 2. The tongue of Zhenwu decoction is like: pale red tongue or red tongue, fat tongue, white fur, etc. Thin white fur or moss black; Zhenwu Tang syndromes pulse is: deep, fine, weak veins, weak or floating veins, veins large, veins without root. 3. Zhenwu decoction according to the main symptoms of different, and different symptoms and different treatments, can be properly added, and there are certain laws to follow.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R289.5
[Abstract]:Objective: the Treatise of febrile Diseases has a continuous history of academic research and development for more than 1800 years. There are a large number of researchers at home and abroad, with more than 3000 works, more than 600 doctors, more than 17000 published papers, and different academic schools have formed. The theory of febrile disease is of great significance to the clinical practice of Chinese medicine, as well as to the foundation of traditional Chinese medicine, diagnostics, prescriptions, and traditional Chinese medicine. Even so, there are concerns about the legacy of the Treatise of febrile Diseases. Nowadays, the older generation of experienced doctors have passed away one after another, and the valuable academic thinking and clinical experience of traditional Chinese medicine have also disappeared. If it is fortunate that old Chinese medicine practitioners have apprentices to sum up their academic experience, but there is always a subjective component, The cause of traditional Chinese medicine is in the dark. In order to preserve the experience of the Chinese medicine practitioners of the older generation, the fire of the past thousand years can be continued. However, the old mode of inheriting Chinese medicine teachers and disciples has its limitations, in the era of rapid development of modern science and technology. The integration of traditional Chinese medicine research methods with other disciplines will be a way out and inject new impetus into the development of traditional Chinese medicine. So this paper attempts to use the method of text data mining and attribute partial ordering to sort out the modern literature, from which we can find some knowledge for your reference. Methods: during the past 40 years from 1976 to 2016, we searched the (CNKI) for modern literature related to "Zhenwu Tang" and "Wen Yang". Of these, 364 were included, 156 were included, and 246 were included in medical records. Collected the patient's different age, course of disease and so on basic information, such as symptoms, signs, tongue pulse and so on diagnosis and treatment information, traditional Chinese medicine diagnosis and prescription drug use, and then integrated the obtained data into the Excel table to build a simple database. After all the data were inputted, according to the needs of the research, the relevant formal background was established to form an attribute partial sequence map. From the general characteristics of the patients, the law of the main prescriptions, the characteristics of different diseases, the dose-effect relationship of some drugs, and so on, To explore the different therapeutic effects of Zhenwu decoction. Summed up the drug characteristics of Zhenwu decoction. Conclusion: 1, the main symptoms of Zhenwu Tang syndrome are: mental fatigue, chills, body cold, less abdominal discomfort, bloated lower limbs, rare urination, thirst, no desire to drink, palpitations. 2. The tongue of Zhenwu decoction is like: pale red tongue or red tongue, fat tongue, white fur, etc. Thin white fur or moss black; Zhenwu Tang syndromes pulse is: deep, fine, weak veins, weak or floating veins, veins large, veins without root. 3. Zhenwu decoction according to the main symptoms of different, and different symptoms and different treatments, can be properly added, and there are certain laws to follow.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R289.5
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