从黄祥武应用当归四逆汤临床经验探讨其应用适应证

发布时间：2019-01-06 19:20

【摘要】：目的:从黄祥武主任应用当归四逆汤治疗疑难杂症的临床经验中探索其应用适应证。方法:选择黄祥武主任以当归四逆汤为基础方的有效医案238例,对四诊信息规范处理采用描述性分析。结果:涉及病种广泛,如内分泌科、妇科、皮肤科、神经内科、骨科、外科、心血管科等,病位主要在营、卫及肝、脾、肾,厥阴等,病性多为阳虚、寒凝、血瘀等,主要四诊信息包括舌淡+舌暗占80.3%,有瘀点瘀斑占29.0%,阳虚+寒凝+血瘀+营卫不和占79.4%。总计涉及中药128味,每例患者每次用25.7味药,与温阳、散寒、活血、通络四类药物配伍占85.1%。结论:当归四逆汤的应用指征可概括为手足冰冷或偏凉,面色少华,舌质淡暗,苔白,脉沉细缓,在临床上要把握"阳虚寒凝血瘀"病机主要信息特征,随证灵活加减。
[Abstract]:Objective: to explore the indications of Huang Xiangwu's application of Danggui Sini decoction in the treatment of difficult and complicated diseases. Methods: a total of 238 effective medical cases based on Danggui Sini decoction were selected, and descriptive analysis was used to deal with the information standard of four diagnoses. Results: the disease was involved in a wide range of diseases, such as Endocrinology, Gynecology, Dermatology, Neurology, Orthopaedics, surgery, Cardiovascular Department, etc. The disease was mainly located in camp, Wei, liver, spleen, kidney, Jueyin and so on. The disease was mostly due to deficiency of yang, cold coagulation, blood stasis, etc. The main information of the four diagnoses included tongue light tongue dark account for 80.3 points stasis spot accounted for 29.0 and Yang deficiency cold coagulation blood stasis Ying Wei discord accounted for 79.4%. A total of 128 kinds of Chinese medicine were involved. Each patient was treated with 25.7 flavor drugs, which was compatible with warm yang, cold dispersing, promoting blood circulation and collaterals, accounting for 85.1% of the total. Conclusion: the application indications of Danggui Sini decoction can be summed up as cold or cold hand and foot, Shaohua complexion, pale tongue, white fur and slow pulse sinking. It is necessary to grasp the main information characteristics of the pathogenesis of "Yang deficiency, cold coagulation and blood stasis" in clinic, and add and subtract flexibly with the syndrome.
【作者单位】：荆州市中医医院内分泌科;全国名老中医黄祥武传承工作室;
【分类号】：R249;R289.5

【相似文献】