中药复方治疗变应性鼻炎临床用药规律的探讨

发布时间：2018-12-29 08:59

【摘要】：目的:通过搜集、整理有关中医文献中古今医家治疗变应性鼻炎的方剂资料,探讨中医药治疗变应性鼻炎的方药组方配伍规律,客观地总结出符合中医理论的方药证治规律,从而为变应性鼻炎的临床选方用药提供借鉴。方法:本研究以中医基础理论和中医文献学研究方法为基础,与统计学手段相结合,并借助“中医传承辅助系统”软件,将变应性鼻炎的文献资料分为古今两部分,对其进行全面系统的整理、分析,总结治疗变应性鼻炎的组方用药规律。结果:现代文献搜集并筛选出治疗变应性鼻炎方剂252首,涉及中药206种,总计2540味次,中药性味以辛温为主,主归肺、脾经,其中解表、补虚类药物最多,常见证型为肺气虚寒型,出现频率最高的药物组合是防风-黄芪;古代文献共入组方剂74首,涉及中药137种,总计621味次,中药性味也以辛温为主,主归肺、脾、胃经,其中解表、补虚类药物使用频次最多,常见证型为外感风寒型和肺脾气虚型,出现频率最高的药物组合是甘草-防风。结论:该研究系统总结出中医药治疗变应性鼻炎的组方用药规律:常以辛温、归肺脾经药物为主,解表、补虚并举,佐以疏肝活血清热之药,扶正祛邪,从而为该病的中医辨证论治提供更加充分的理论支撑和完善的组方用药思路。
[Abstract]:Objective: to collect and sort out the prescriptions of ancient and modern Chinese medicine for allergic rhinitis, and to discuss the law of prescription compatibility of Chinese medicine in treating allergic rhinitis, and to sum up the law of prescription and treatment according with the theory of traditional Chinese medicine objectively. So as to provide a reference for the clinical prescription of allergic rhinitis. Methods: the literature of allergic rhinitis was divided into two parts, which were based on the basic theory of traditional Chinese medicine and the research method of traditional Chinese medicine philology, combined with statistical means, and with the help of the software of "Chinese Medicine inheritance Assistant system", the literature data of allergic rhinitis were divided into ancient and modern parts. Comprehensive and systematic arrangement, analysis, summary of the treatment of allergic rhinitis prescription. Results: the modern literature collected and screened out 252 prescriptions for the treatment of allergic rhinitis, involving 206 kinds of traditional Chinese medicine, 2540 times in total. The main flavor of traditional Chinese medicine is Xin Wen, the main flavor is the essence of the lung, the spleen meridian, among which, the dissolving table, tonifying deficiency drugs are the most. Common syndrome type is lung qi deficiency cold type, the highest frequency of drug combination is Fangfeng-Astragalus; There were 74 prescriptions in the ancient literature, involving 137 kinds of traditional Chinese medicine, 621 times in total. The main flavor of traditional Chinese medicine was Xin Wen. The main flavor of traditional Chinese medicine was returned to lung, spleen and stomach meridian. The common syndromes were exogenous wind-cold type and lung and spleen qi deficiency type, and the most frequent drug combination was liquorice-Fangfeng. Conclusion: this study systematically summarizes the prescriptions of traditional Chinese medicine in the treatment of allergic rhinitis: it is usually composed of Xin Wen, the medicine of the lung and spleen meridian, the dissolution of the table, the combination of tonifying and deficiency, and the combination of the drugs of soothing the liver and activating the blood and clearing the heat, so as to invigorate the qi and dispel the evil. Thus, it provides more theoretical support and perfect prescription for TCM syndrome differentiation and treatment.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R276.1

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