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《医宗必读》内科病证的方药应用特点研究

发布时间:2019-01-11 07:21
【摘要】:目的:基于数据挖掘技术,研究《医宗必读》内科病证的方药应用特点。方法:运用中医传承辅助平台(V2.0)和Excel2003等软件工具,对《医宗必读》中35种内科病证所应用的450首方剂,进行药物频次、性味归经频次、类别频次、高频次使用药对、核心药物组合、异病同治用方分析,煎服法特色分析。通过多层次、全方位、网络化分析,来探讨《医宗必读》内科病证的方药应用特点,整理李中梓独特方药应用经验。另外,选取《医宗必读》内科病证中真中风、痢疾、痰饮、汗证等疾病分析其用药频次、性味归经频次、高频次使用药对,总结李中梓对此四个内科疾病的方药应用特点,并结合《医宗必读》相关论述对该四种病证进行诊治探讨。结果:李中梓在《医宗必读》内科病证用方中善用温平之性的药物,用药药味以辛、苦、甘为重,其用药归脾经最多,其中理气药、补虚药、温里药、化湿药四类药平均使用频次较高,且四类药中使用频次最高的分别是陈皮、人参、肉桂、厚朴。其用方中蕴含配伍形式多样的药对,有19种之多。《医宗必读》内科病证用方以异功散为核心基础用方。《医宗必读》内科病证用方中的补中益气汤、六君子汤、理中汤、二陈汤、八味丸、六味丸等方剂应用于20%以上的病证中。另外,李氏很注重服药的方法,重视运用引经药。李氏对真中风、痢疾、痰饮、汗证等疾病治疗有独到的诊疗经验。结论:《医宗必读》内科病证方药应用重视温补,特别重视补气、温阳,用药慎用攻伐;李中梓临证注重脾肾,尤重脾胃,喜用异功散为核心基础方来补脾理脾,是典型补土派;临证用方中应用配伍形式多样的药对,可有效提高临床疗效;其临证用方的服药方法颇具特色,注重运用引经药。李氏临证,皆重视脏腑,突出脏腑辨证,尤重脾胃,是典型“补土派”。
[Abstract]:Objective: based on data mining technology, to study the characteristics of prescription and drug application of medical diseases and syndromes. Methods: using software tools such as traditional Chinese Medicine (TCM) inheritance Assistance platform (V2.0) and Excel2003, 450 prescriptions of 35 kinds of medical diseases and syndromes were used, including the frequency of medicine, the frequency of meridian, the frequency of classification, and the frequency of high frequency. Combination of core drugs, analysis of the same treatment of different diseases, analysis of the characteristics of decoction method. Through multi-level, omni-directional and network analysis, this paper discusses the characteristics of the prescription and medicine application of the medical disease syndrome, and collates the unique application experience of Li Zhongzi. In addition, select the true apoplexy, dysentery, phlegm drink, sweating syndrome and other diseases in the medical syndromes to analyze the frequency of drug use, the frequency of returning the sexual flavor to the meridian, the high frequency of the use of medicine pairs, and summarize the characteristics of Li Zhongzi's prescription and medicine application for these four internal diseases. The diagnosis and treatment of the four kinds of syndromes were discussed. Results: Li Zhongzi made good use of Wen Ping's medicine in the prescription of Internal Medicine Disease Syndrome. The medicine flavor was Xin, bitter, and sweet. The medicine was mostly used by the spleen meridian, among which, the medicine for regulating qi, tonifying the deficiency, warming the lipophilic medicine. The average use frequency of the four kinds of drugs is higher, and the highest frequency of the four kinds of drugs is Chen Peel, Ginseng, Cinnamon and Magnolia officinalis. There are as many as 19 kinds of medicine pairs in their prescriptions, and there are as many as 19 kinds of them. The prescription of internal medicine disease syndrome is based on Yigong San. < Yizong must read > the decoction of replenishing Qi in Internal Medicine, the decoction of six Gentlemen, the decoction of Lizhong, the decoction of Li-zhong, the decoction of supplementing Qi, the decoction of six Gentlemen, and the decoction of Lizhong, Erchen decoction, Ba-Wei Pill, Liuwei Pill and other prescriptions are used in more than 20% of the disease syndromes. In addition, Li pays great attention to the method of taking medicine, attaches importance to the use of meridian medicine. Li has unique experience in the treatment of stroke, dysentery, phlegm and sweat syndrome. Conclusion: the medicine of internal diseases and syndromes should pay attention to temperature supplement, especially to invigorate qi, warm yang, and use drugs with caution in cutting. Li Zhongzi's clinical syndrome focuses on spleen and kidney, especially on spleen and stomach, and likes to use Yigong San as the core prescription to replenish spleen and live-spleen, which is a typical school of tonifying soil, and it can effectively improve the clinical curative effect by using various kinds of drugs in the prescription of clinical syndromes. Its clinical use of prescription medicine method is characteristic, pay attention to the use of meridian medicine. Li's clinical syndrome, all attach importance to the viscera, highlighting the zang-fu syndrome, especially the spleen and stomach, is a typical "soil-filling school."
【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】:R24

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