基于现代名老中医经验的风温肺热病常见证候方药规律研究

发布时间：2018-08-27 20:07

【摘要】：目的:基于现代百年名老中医经验文献,挖掘名老中医治疗风温肺热病常见证候的用药规律。方法:基于已建立的《现代名老中医肺病数据库》和《期刊肺病数据库》检索出符合纳入标准的文献资料,建立《现代名老中医诊治风温肺热病文献研究数据库》,使用SPSS18.0软件进行统计分析。结果:风温肺热病常见证候有风热犯肺证、肺气阴两虚证、湿热内蕴证、邪入少阳证、气虚湿困证、痰热壅肺证。风热犯肺证常用方剂有麻杏石甘汤和银翘散,常用药物有苦杏仁、甘草、连翘等,常用药对有苦杏仁与石膏、金银花与桑叶等。肺气阴两虚证常用方剂有生脉散和沙参麦冬汤,常用药物有太子参、杏仁、薏苡仁、麦冬等,常用药对有太子参与麦冬、太子参与苦杏仁等。湿热内蕴证常用方剂有三仁汤和升降散,常用药物有苦杏仁、半夏、蝉蜕等,常用药对有黄芩与苦杏仁、黄芩与半夏。邪入少阳证常用方剂有小柴胡汤,常用药物有半夏、苦杏仁、黄芩等,常用药对有柴胡与黄芩、柴胡与苦杏仁。气虚湿困证常用方剂为参苓白术散,常用药物有白术、半夏、党参等,常用药对有半夏与白术、苦杏仁与白术等,痰热壅肺证常用方剂有泻白散,常用药物有川贝母、栝楼、竹沥等,常用药对有川贝母与栝楼、黄芩与桑白皮。结论:通过对名老中医有关风温肺热病的数据挖掘,归纳出常见证候的方药规律,为指导临床诊疗提供理论依据。
[Abstract]:Objective: based on the experience and literature of modern famous Chinese medicine, to explore the common syndromes of wind and warm lung fever treated by famous old Chinese medicine. Methods: based on the established Database of Pulmonary Diseases of Modern and Old Chinese Medicine and the Database of Pulmonary Diseases in periodicals, the literature materials that met the inclusion criteria were retrieved. To establish the database of literature on the diagnosis and treatment of wind-warmed lung fever by modern famous Chinese medicine, and to make statistical analysis with SPSS18.0 software. Results: the common syndromes of wind-warming lung fever were wind heat invading lung syndrome, lung qi and yin deficiency syndrome, damp-heat internal accumulation syndrome, evil into Shaoyang syndrome, qi deficiency and dampness trap syndrome, phlegm and heat blocking lung syndrome. The commonly used prescriptions of wind and heat crime lung syndrome are Ma Xing Shi gan Tang and Yinqiao Powder, commonly used drugs are bitter almonds, licorice, forsythia, etc., common medicine has bitter almonds and gypsum, honeysuckle and mulberry leaves and so on. The commonly used prescriptions of deficiency of lung qi and yin were Shengmai San and Shashen Maidong decoction. The commonly used drugs were Radix Pseudostellariae, almond, Coix seed, Ophiopogon japonicus and so on. The Prince participated in Ophiopogon japonicus and the Prince participated in bitter almond. The common prescriptions of dampness and heat accumulation syndrome are Sanren decoction and Shengshang Powder, the commonly used drugs are bitter almond, Pinellia ternata, cicada slough and so on. The common medicine is Scutellaria baicalensis and bitter almond, baicalin and Pinellia ternata. Xiaochaihu decoction is commonly used for the syndrome of evil into Shaoyang, Pinellia ternata, bitter almond, Scutellaria baicalensis and so on. The common medicine is Bupleurum and Radix Scutellariae, Radix Bupleurum and bitter almond. The commonly used prescription for qi deficiency and dampness trap syndrome is Shenling Atractylodes Powder, the commonly used drugs are Atractylodes macrocephala, Pinellia ternata, Codonopsis pilosula, and so on. The commonly used prescriptions are Rhizoma Pinellia and Atractylodes macrocephala, bitter almond and Atractylodes macrocephala, etc. Bamboo lek and other, commonly used to have Sichuan shellfish and Trichosanthes kirilowii, Scutellaria and mulberry bark. Conclusion: by mining the data of old Chinese medicine about wind-warming lung and fever, we can conclude the rule of prescription and medicine of common syndromes, and provide theoretical basis for guiding clinical diagnosis and treatment.
【作者单位】：河南中医药大学老年医学研究所;呼吸疾病诊疗与新药研发河南省协同创新中心;河南中医药大学;
【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(JDZX2012027)
【分类号】：R249;R254

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