李东垣治疗脾胃病用药规律新解

发布时间：2018-10-25 20:05

【摘要】：目的:基于数据挖掘来探究李东垣治疗脾胃病遣方用药的规律。方法:将李东垣创立的74首方剂分为脾胃虚损、饮食内伤、饮酒损伤3组,并运用数据处理软件Microsoft SQL Server 2005对其进行整理和挖掘,并结合相关理论知识进行分析。结果:李东垣论治脾胃病以虚损为本,以调畅气机和祛除湿浊为治;病机方面,脾胃虚损组以虚损为主,饮食内伤组虚实并举,饮酒损伤组以邪实为重,各不相同。治疗方面,脾胃虚损组以甘温补中法为主,食饮损伤组则以辛开苦降法为治。其外,擅用活血化瘀法治疗食饮损伤而致的痞痛积聚。结论:李东垣擅长用辛开苦降法治疗以食饮损伤为主的脾胃病,甘温补中法则多用于以脾胃虚损为主的脾胃病,并且从血证角度论治痞痛积聚丰富了临床治疗思路。
[Abstract]:Objective: to explore the rule of Li Dongyuan's prescription for spleen and stomach disease based on data mining. Methods: the 74 prescriptions of Li Dongyuan were divided into three groups: deficiency of spleen and stomach, internal injury of diet and injury of drinking. Data processing software Microsoft SQL Server 2005 was used to sort out and excavate it, and related theoretical knowledge was analyzed. Results: Li Dongyuan treated spleen and stomach disease with deficiency damage, regulating qi and removing dampness turbidity, and the pathogenesis of spleen and stomach deficiency damage group was mainly deficiency damage, diet internal injury group was combined with deficiency and solid, and drinking injury group was serious with evil, different from each other. In the treatment aspect, the spleen and stomach deficiency group was treated mainly by Gan Wen Buzhong method, while the food and drink injury group was treated by Xin Kai Ku Jiang Fang. Besides, the method of promoting blood circulation and removing blood stasis was used to treat the accumulation of pain caused by eating and drinking injury. Conclusion: Li Dongyuan is good at treating spleen and stomach diseases with food and drink injury by Xin Kai Kuk Jiang method, and Gan Wen Bu Zhong rule is mostly used for spleen and stomach disease with deficiency of spleen and stomach, and it enriches the clinical treatment thinking from the point of view of blood syndrome.
【作者单位】：天津中医药大学中医学院;
【基金】：国家重点基础研究发展(973)计划项目(2013CB531701)
【分类号】：R256.3

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