辛开苦降法临床应用进展
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摘要
辛开苦降法应用于治疗寒热错杂、虚实夹杂、升降失常等病证,涉及内、外、妇、儿各科疾病。辛开苦降法的病理特点及特殊的配伍内涵决定其适应证多为食管、脾胃、肠道等方面的疾病,研究发现,辛开苦降法治疗消化系统疾病已取得较大进展,但仍缺乏多中心、盲法、大样本研究,临床中还需结合中医学理论,进一步探索辛开苦降法治疗疾病的作用机制,拓宽辛开苦降法的使用范围,有利于提高临床疗效,减轻医疗负担。
Method of pungent dispersing and bitter descending is often used to treat coldand heat in complexity,deficiency and excess in complexity,ascending and descending disorders and other diseases,involving diseases of internal medicine,surgery,gynecology and pediatrics. The pathological characteristics and special compatibility connotation of the method of pungent dispersing and bitter descending determine that its indications are mostly diseases of esophagus,spleen,stomach and intestine. The related study has found that the treatment of digestive system diseases by the method of pungent dispersing and bitter descending has made great progress,but there is still a lack of multi-center,blind and large-sample research. In clinical practice,we need to further explore the mechanism of its treatment of diseases,broaden its scope of use,and help to improve clinical efficacy and reduce the patients' burden of medical treatment.
Method of pungent dispersing and bitter descending is often used to treat coldand heat in complexity,deficiency and excess in complexity,ascending and descending disorders and other diseases,involving diseases of internal medicine,surgery,gynecology and pediatrics. The pathological characteristics and special compatibility connotation of the method of pungent dispersing and bitter descending determine that its indications are mostly diseases of esophagus,spleen,stomach and intestine. The related study has found that the treatment of digestive system diseases by the method of pungent dispersing and bitter descending has made great progress,but there is still a lack of multi-center,blind and large-sample research. In clinical practice,we need to further explore the mechanism of its treatment of diseases,broaden its scope of use,and help to improve clinical efficacy and reduce the patients' burden of medical treatment.
引文
[1]魏本君,陈恒文,郭丽丽,等.辛开苦降法探析[J].中医杂志,2016,57(1):81-83.
[2]杨洋,魏玮,史海霞.辛开苦降法治疗脾胃病[J].中医杂志,2016,57(5):446-447,450.
[3]杨舒淳,吴芳,李龑,等.李玉贤主任医师应用辛开苦降法治疗慢性萎缩性胃炎经验[J].西部中医药,2016,29(7):45-48.
[4]任东旭,何长柏.何长柏老师采用辛开苦降法治疗慢性萎缩性胃炎的经验之谈[J].中医临床研究,2017,9(26):39-40.
[5]邵家东,魏易洪,孙博云,等.辛开苦降治疗慢性胃炎辨析[J].辽宁中医杂志,2018,45(11):2300-2302.
[6]侯理伟,史海霞,苏晓兰,等.辛开苦降法治疗慢性萎缩性胃炎的疗效的meta分析[J].中国中西医结合消化杂志,2016,24(11):832-838.
[7]胡乃强,林才志,赵海燕,等.辛开苦降法治疗萎缩性胃炎临床疗效的Meta分析[J].中医药导报,2018,24(1):89-92.
[8]魏仕兵,来要良.辛开苦降法对非糜烂性胃食管反流病患者食管动力及酸反流的影响[J].环球中医药,2017,10(10):1085-1089.
[9]童送文.辛开苦降法治疗反流性食管炎临床研究[J].亚太传统医药,2017,13(14):113-114.
[10]苏琴.辛开苦降和中汤联合西药治疗胃食管反流病52例[J].河南中医,2018,38(7):1050-1055.
[11]魏小兵.辛开苦降法治疗反流性食管炎疗效观察[J].实用中西医结合临床,2017,17(2):57-58.
[12]张旖晴,郭宇,刘涛,等.辛开苦降法治疗寒热错杂型胆汁反流性胃炎疗效观察[J].陕西中医,2017,38(7):901-902.
[13]骆亮生,袁玉芹.用辛开苦降法治疗胃溃疡的临床效果研讨[J].当代医药论丛,2017,15(24):168-169.
[14]张则甫,靳淑红,崔利宏.辛开苦降法治疗溃疡性结肠炎临床研究[J].中医学报,2016,31(4):588-590.
[15]王蓓,苏晓兰,张晓红,等.辛开苦降法治疗功能性消化不良的效果与安全性评价[J].中国医药导报,2016,13(25):112-117.
[16]顾珈裔,赵鹏程,魏玮.辛开苦降法治疗脾胃病验案3则[J].江苏中医药,2018,50(8):49-51.
[17]刘旭,岳妍.辛开苦降法治疗肠粘连验案一则[J].亚太传统医药,2018,14(4):134-135.
[18]刘添文,陈新林,缪旺冬,等.半夏泻心汤治疗腹泻型肠易激综合征临床观察[J].新中医,2016,48(8):75-79.
[19]张建非,魏玮,苏晓兰.魏玮教授辛开苦降法治疗功能性便秘经验总结[J].中国社区医师,2017,33(24):88-89.
[20]苏莹.辛开苦降法治疗食管裂孔疝一例[J].中国疗养医学,2018,27(8):894-895.
[21]王旭光,杨大男.论辛开苦降法治疗实证呕吐[J].光明中医,2016,31(2):160-161.
[22]倪雪娇.华海清运用辛开苦降法治疗多涎症1例[J].江苏中医药,2016,48(5):60-61.
[23]孙娴,徐静,华召来,等.辛开苦降法对24例上消化道癌前病变患者舌苔菌群的影响[J].中华中医药杂志,2018,33(8):3322-3326.
[24]周平,孙娴,陆斌,等.辛开苦降法治疗上消化道癌前病变的疗效评价[J].内蒙古中医药,2018,10(10):30-32.
[25]张蓉,李冀.半夏泻心汤辛开苦降法治疗结肠癌的临床效果[J].检验医学与临床,2017,14(19):2904.
[26]孙志刚.辛开苦降法联合半夏泻心汤治疗结肠癌临床研究[J].亚太传统医药,2017,13(8):125-126.
[27]王俊涛,尹怡,李晓婷,等.半夏泻心汤辛开苦降法联合m FOLFOX6方案治疗晚期结肠癌[J].中医药信息,2019,36(1):34-37.
[28]胡啸明,刘胜.辛开苦降法的源流探讨及其在乳腺癌术后的应用体会[J].上海中医药杂志,2016,50(4):61-63.
[29]陈赐慧.用辛开苦降法防治化疗所致消化道黏膜炎应用浅析[J].浙江中西医结合杂志,2016,26(8):767-769.
[30]邵金英.辛开苦降法和天麻勾藤饮调治H型高血压的老年患者疗效的临床研究[J].中医临床研究,2017,9(17):36-38.
[31]王阶.辛开苦降法在心血管疾病中的运用[N].中国中医药报,2016-02-03(004).
[32]史丽伟,杜立娟,倪青.半夏泻心汤治疗糖尿病的理论探讨与临床应用[J].中医杂志,2018,59(3):246-250.
[33]朱一波,王昕.从“辛开苦降”论治湿热中阻型多囊卵巢综合征[J].天津中医药大学学报,2017,36(1):20-22.
[34]靳丹.罗世杰应用半夏泻心汤治疗小儿支气管炎初探[J].现代中医药,2018,38(2):17-18.
[35]李艳威,万强.万强教授运用半夏泻心汤加减治疗口臭的经验[J].世界最新医学信息文摘,2018,18(62):209.
[36]潘明,卢永屹.卢永屹运用辛开苦降法治疗不寐的常用药对举隅[J].湖南中医杂志,2017,33(8):26-28.
[37]张侠福,朱婉华.辛开苦降法治疗不寐临床运用浅析[J].新中医,2016,48(10):193-194.
[38]娄静.论辛开苦降法治疗糖尿病性胃轻瘫[J].中医临床研究,2016,8(16):98.
[2]杨洋,魏玮,史海霞.辛开苦降法治疗脾胃病[J].中医杂志,2016,57(5):446-447,450.
[3]杨舒淳,吴芳,李龑,等.李玉贤主任医师应用辛开苦降法治疗慢性萎缩性胃炎经验[J].西部中医药,2016,29(7):45-48.
[4]任东旭,何长柏.何长柏老师采用辛开苦降法治疗慢性萎缩性胃炎的经验之谈[J].中医临床研究,2017,9(26):39-40.
[5]邵家东,魏易洪,孙博云,等.辛开苦降治疗慢性胃炎辨析[J].辽宁中医杂志,2018,45(11):2300-2302.
[6]侯理伟,史海霞,苏晓兰,等.辛开苦降法治疗慢性萎缩性胃炎的疗效的meta分析[J].中国中西医结合消化杂志,2016,24(11):832-838.
[7]胡乃强,林才志,赵海燕,等.辛开苦降法治疗萎缩性胃炎临床疗效的Meta分析[J].中医药导报,2018,24(1):89-92.
[8]魏仕兵,来要良.辛开苦降法对非糜烂性胃食管反流病患者食管动力及酸反流的影响[J].环球中医药,2017,10(10):1085-1089.
[9]童送文.辛开苦降法治疗反流性食管炎临床研究[J].亚太传统医药,2017,13(14):113-114.
[10]苏琴.辛开苦降和中汤联合西药治疗胃食管反流病52例[J].河南中医,2018,38(7):1050-1055.
[11]魏小兵.辛开苦降法治疗反流性食管炎疗效观察[J].实用中西医结合临床,2017,17(2):57-58.
[12]张旖晴,郭宇,刘涛,等.辛开苦降法治疗寒热错杂型胆汁反流性胃炎疗效观察[J].陕西中医,2017,38(7):901-902.
[13]骆亮生,袁玉芹.用辛开苦降法治疗胃溃疡的临床效果研讨[J].当代医药论丛,2017,15(24):168-169.
[14]张则甫,靳淑红,崔利宏.辛开苦降法治疗溃疡性结肠炎临床研究[J].中医学报,2016,31(4):588-590.
[15]王蓓,苏晓兰,张晓红,等.辛开苦降法治疗功能性消化不良的效果与安全性评价[J].中国医药导报,2016,13(25):112-117.
[16]顾珈裔,赵鹏程,魏玮.辛开苦降法治疗脾胃病验案3则[J].江苏中医药,2018,50(8):49-51.
[17]刘旭,岳妍.辛开苦降法治疗肠粘连验案一则[J].亚太传统医药,2018,14(4):134-135.
[18]刘添文,陈新林,缪旺冬,等.半夏泻心汤治疗腹泻型肠易激综合征临床观察[J].新中医,2016,48(8):75-79.
[19]张建非,魏玮,苏晓兰.魏玮教授辛开苦降法治疗功能性便秘经验总结[J].中国社区医师,2017,33(24):88-89.
[20]苏莹.辛开苦降法治疗食管裂孔疝一例[J].中国疗养医学,2018,27(8):894-895.
[21]王旭光,杨大男.论辛开苦降法治疗实证呕吐[J].光明中医,2016,31(2):160-161.
[22]倪雪娇.华海清运用辛开苦降法治疗多涎症1例[J].江苏中医药,2016,48(5):60-61.
[23]孙娴,徐静,华召来,等.辛开苦降法对24例上消化道癌前病变患者舌苔菌群的影响[J].中华中医药杂志,2018,33(8):3322-3326.
[24]周平,孙娴,陆斌,等.辛开苦降法治疗上消化道癌前病变的疗效评价[J].内蒙古中医药,2018,10(10):30-32.
[25]张蓉,李冀.半夏泻心汤辛开苦降法治疗结肠癌的临床效果[J].检验医学与临床,2017,14(19):2904.
[26]孙志刚.辛开苦降法联合半夏泻心汤治疗结肠癌临床研究[J].亚太传统医药,2017,13(8):125-126.
[27]王俊涛,尹怡,李晓婷,等.半夏泻心汤辛开苦降法联合m FOLFOX6方案治疗晚期结肠癌[J].中医药信息,2019,36(1):34-37.
[28]胡啸明,刘胜.辛开苦降法的源流探讨及其在乳腺癌术后的应用体会[J].上海中医药杂志,2016,50(4):61-63.
[29]陈赐慧.用辛开苦降法防治化疗所致消化道黏膜炎应用浅析[J].浙江中西医结合杂志,2016,26(8):767-769.
[30]邵金英.辛开苦降法和天麻勾藤饮调治H型高血压的老年患者疗效的临床研究[J].中医临床研究,2017,9(17):36-38.
[31]王阶.辛开苦降法在心血管疾病中的运用[N].中国中医药报,2016-02-03(004).
[32]史丽伟,杜立娟,倪青.半夏泻心汤治疗糖尿病的理论探讨与临床应用[J].中医杂志,2018,59(3):246-250.
[33]朱一波,王昕.从“辛开苦降”论治湿热中阻型多囊卵巢综合征[J].天津中医药大学学报,2017,36(1):20-22.
[34]靳丹.罗世杰应用半夏泻心汤治疗小儿支气管炎初探[J].现代中医药,2018,38(2):17-18.
[35]李艳威,万强.万强教授运用半夏泻心汤加减治疗口臭的经验[J].世界最新医学信息文摘,2018,18(62):209.
[36]潘明,卢永屹.卢永屹运用辛开苦降法治疗不寐的常用药对举隅[J].湖南中医杂志,2017,33(8):26-28.
[37]张侠福,朱婉华.辛开苦降法治疗不寐临床运用浅析[J].新中医,2016,48(10):193-194.
[38]娄静.论辛开苦降法治疗糖尿病性胃轻瘫[J].中医临床研究,2016,8(16):98.