叶天士与吴鞠通治疗暑病的用药特色分析
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摘要
该研究通过中医传承辅助平台系统,借助医案记载,对叶天士和吴鞠通治疗暑病的用药特色进行分析,总结2人用药的规律,并比较二者之间的异同,探索二者之间的联系。结果发现对于暑病,2人均认可暑与湿的关系,吴鞠通认为"风"也是重要致病因素;治疗方面2人均以寒药、温药为主,多用苦、甘、辛味,以肺、脾、胃、心经为主;2人均常用苦杏仁、滑石、地黄、麦冬、半夏等药,叶天士使用玄参、通草、薏苡仁等药更多,吴鞠通使用石膏、淡豆豉、薄荷等药更多;同时也挖掘出了2人多个用药高频药对组合,并推导出新方,为暑病的进一步理解和治疗提供参考。
Through the traditional Chinese medicine inheritance platform system,with the help of medical records,Ye Tianshi and Wu Jutong's medication characteristics for summer heat sickness were analyzed,the laws of the two people's medication were summarized,and the similarities and differences between the two were explored to explore the relationship. As a result,it was found that both of them recognized the relationship between summer heat and wetness,and Wu Jutong believed that " wind" was also an important pathogenic factor. Both of the patients were treated with cold medicine and warm medicine. They used mostly bitter,sweet,pungent taste and lungs,spleen,stomach,and heart meridian are the main components; two are commonly used Armeniacae Semen Amarum,Talcum,Rehmanniae Radix,Ophiopogonis Radix,Pinelliae Rhizoma and other drugs,Ye Tianshi use Scrophulariae Radix,Tetrapanacis Medulla,Coicis Semen and other drugs more,Wu Jutong use Gypsum Fibrosum,Sojae Semen Praeparatum,Menthae Haplocalycis Herba and other drugs more; at the same time,a combination of two high-frequency medicines used by two people has been excavated,and a new prescription has been deduced to provide a reference for further understanding and treatment of summer diseases.
Through the traditional Chinese medicine inheritance platform system,with the help of medical records,Ye Tianshi and Wu Jutong's medication characteristics for summer heat sickness were analyzed,the laws of the two people's medication were summarized,and the similarities and differences between the two were explored to explore the relationship. As a result,it was found that both of them recognized the relationship between summer heat and wetness,and Wu Jutong believed that " wind" was also an important pathogenic factor. Both of the patients were treated with cold medicine and warm medicine. They used mostly bitter,sweet,pungent taste and lungs,spleen,stomach,and heart meridian are the main components; two are commonly used Armeniacae Semen Amarum,Talcum,Rehmanniae Radix,Ophiopogonis Radix,Pinelliae Rhizoma and other drugs,Ye Tianshi use Scrophulariae Radix,Tetrapanacis Medulla,Coicis Semen and other drugs more,Wu Jutong use Gypsum Fibrosum,Sojae Semen Praeparatum,Menthae Haplocalycis Herba and other drugs more; at the same time,a combination of two high-frequency medicines used by two people has been excavated,and a new prescription has been deduced to provide a reference for further understanding and treatment of summer diseases.
引文
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[13]唐仕欢,陈建新,杨洪军,等.基于复杂系统熵聚类方法的中药新药处方发现研究思路[J].世界科学技术——中医药现代化,2009(2):225.
[14]刘小玉,李玉娟,姜厚望,等.叶天士与薛生白治疗湿热下利的用药特色分析[J].中国中药杂志,2018,43(8):1720.
[15]李玉娟,刘小玉,姜厚望,等.叶天士与薛生白治疗湿热痞证用药特色分析[J].中国中药杂志,2017,42(12):2391.
[2]叶天士.临证指南医案[M].北京:人民卫生出版社,2017.
[3]吴鞠通.温病条辨[M].北京:人民卫生出版社,2017.
[4]中国药典.一部[S].2015.
[5]钟赣生.中药学[M].北京:中国中医药出版社,2012.
[6]吴嘉瑞,唐仕欢,郭位先,等.基于数据挖掘的名老中医经验传承研究述评[J].中国中药杂志,2014,39(4):614.
[7]严瑶琦,孙静,张莉,等.基于数据挖掘和网络药理学的痛风湿热蕴结证用药规律和作用机制分析[J].中国中药杂志,2018,43(13):2824.
[8]贡保东知,罗晴方,余羊羊,等.基于数据挖掘和整合药理学平台的藏医治疗脾胃病用药规律及作用机制[J].中国中药杂志,2018,43(16):3368.
[9]易亚乔,方锐,葛金文,等.基于数据挖掘的历代医家痴呆相关病症用药规律分析[J].中国中药杂志,2018,43(16):3376.
[10]张晓朦,李凡,张冰,等.数据挖掘乌头类中成药不良反应特点与合理用药警戒[J].中国中药杂志,2018,43(2):216.
[11]王庆,陈忆莲,吴国琳,等.基于数据挖掘探析名老中医余国友治疗胃肠功能衰竭用药规律[J].中国中药杂志,2017,42(19):3809.
[12]李健,卢朋,唐仕欢,等.基于中医传承辅助系统的治疗肺痈方剂组方规律分析[J].中国实验方剂学杂志,2012(2):254.
[13]唐仕欢,陈建新,杨洪军,等.基于复杂系统熵聚类方法的中药新药处方发现研究思路[J].世界科学技术——中医药现代化,2009(2):225.
[14]刘小玉,李玉娟,姜厚望,等.叶天士与薛生白治疗湿热下利的用药特色分析[J].中国中药杂志,2018,43(8):1720.
[15]李玉娟,刘小玉,姜厚望,等.叶天士与薛生白治疗湿热痞证用药特色分析[J].中国中药杂志,2017,42(12):2391.