白光教授治疗慢性胃炎用药分析

发布时间：2018-10-16 13:24

【摘要】：目的:对治疗慢性胃炎的用药频率及相关性进行分析,总结出常用药物的性味、归经、类别等,并进行分析,总结出白光教授治疗慢性胃炎的用药特点。材料与方法:收集2016年1月至2016年12月就诊于辽宁中医药大学附属医院脾胃病科门诊的患者,并依据纳入标准和排除标准进行筛选,运用Excel表格记录患者的姓名、性别、年龄及所用方药,通过SPSS22.0进行分析。结果:1.本次共录入125味药,使用频率高于25%的药物有23味,前5名依次是白术、白芍、砂仁、陈皮、紫苏。2.药物归经最多的是脾经,其余分别为胃经、肝经、肺经、心经、大肠经、肾经、胆经、三焦经、膀胱经、小肠经、心包经。3.使用最多的分别是补虚药、化湿药和理气药,与清热药、利水渗湿药及消食药,共同构成治疗慢性胃炎的主要药物。4.收录的125味药中温性药使用最多,其余依次为寒性、平性、凉性、热性。5.将使用频率大于25%的药物进行相关性分析,得出P0.01的药对共计41对。6.聚类方主要为四君子汤和香砂枳术丸。结论:1.由分析可知,白光教授常用补虚药、化湿药和理气药,佐以清热药治疗CG,反映了肝郁脾虚湿盛为CG的病机特点,以及扶正祛邪、肝脾同治的用药特点。2.白术苍术、木香砂仁、当归白芍、苍术厚朴、香附郁金为常用药对。3.白光教授常以四君子汤和香砂枳术丸为基础方治疗CG。4.白光教授结合脾胃、肝胃(脾)、心脾的联系论治CG。
[Abstract]:Objective: to analyze the frequency and correlation of drugs used in the treatment of chronic gastritis, and to summarize the characteristics of the drugs used in the treatment of chronic gastritis. Materials and methods: from January 2016 to December 2016, the patients in the Department of spleen and stomach Diseases, affiliated Hospital of Liaoning University of traditional Chinese Medicine, were collected and screened according to the inclusion criteria and exclusion criteria. The names and gender of the patients were recorded by Excel table. Age and prescription were analyzed by SPSS22.0. The result is 1: 1. A total of 125 drugs were recorded this time, more than 25% of the use of 23 drugs, the top 5 followed by Atractylodes macrocephala, Radix Alba Paeoniae Alba, Amomum villosum, Old Peel, Perilla. 2. The most common drugs were spleen meridian, the rest were stomach, liver, lung, heart, large intestine, kidney, gallbladder, bladder, small intestine and pericardium. The most commonly used drugs were tonifying deficiency medicine, dehumidifying medicine and regulating qi medicine, together with heat-clearing medicine, moisturizing medicine and anti-food medicine, which constituted the main drugs for the treatment of chronic gastritis. 4. Among the 125 drugs collected, the temperature drugs were used the most, and the others were cold, flat, cool and hot. 5. According to the correlation analysis of the drugs used more than 25%, the result shows that the drug pair of P0.01 is 41 pairs. 6. 6. Cluster prescription mainly for the fourth gentleman decoction and Xiangsha Zhizhu pills. Conclusion: 1. According to the analysis, Professor Bai Guang commonly used tonifying medicine, dehumidifying medicine and regulating qi medicine, and combined with heat-clearing medicine to treat CG, reflected the characteristics of liver stagnation and spleen deficiency dampness as the pathogenesis of CG, as well as the characteristics of strengthening qi and dispelling evil and treating liver and spleen with the same medicine. 2. Atractylodes macrocephala Atractylodes Atracty Professor Bai Guang often uses Sijunzi decoction and Xiangsha Zhizhu Pill as the basis for the treatment of CG.4. Professor Bai Guang's treatment of CG. by combining spleen and stomach, liver and stomach (spleen), Heart and spleen
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R259

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