张珍玉诊疗经期延长的辨证及用药规律研究
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摘要
目的:基于中医传承辅助系统软件,分析张珍玉治疗经期延长的辨证和用药规律。方法:筛选张珍玉1997~2005年应用中药治疗经期延长处方47首,将辨证和处方用药录入中医传承辅助平台,对处方进行组方用药规律分析。结果:肝气郁结是张珍玉辨证经期延长的主证;处方涉及中药41味,用药频次前6位为:砂仁、人参、当归、柴胡、炒白芍、炒白术,处方中常用药对组合前5位为:人参、砂仁,人参、当归,当归、砂仁,炒白芍、柴胡,人参、炒白芍。结论:张珍玉治疗经期延长以疏肝解郁、健脾益气为主,体现了张珍玉"从肝论治"的诊疗思维。
Objective:Based on TCMISS,this paper analyzed the syndrome differentiation and medication rule of ZHANG Zhenyu in the treatment of menostaxis.Methods:Total 47 prescriptions in treating menostaxis(1997~2005) by ZHANG Zhenyu were selected and the syndrome differentiation and medication were recorded in TCMISS respectively.Then,the author studied the medication rules.Results:Liver qi stagnation was the major syndrome of menostaxis and 41 herbal medicine were adopted in ZHANG Zhenyu's prescriptions,among which villous amomum fruit(Sharen),ginseng(Renshen),angelica(Danggui),Chinese thorowax root(Chaihu),parched debark peony root(Chaobaishao) and white atractylodes rhizome(Chaobaizhu) were the first 6 frequently used medication.The most frequently used medicinal combinations include:ginseng(Renshen) and villous amomum fruit(Sharen),ginseng(Renshen) and angelica(Danggui),angelica(Danggui) and villous amomum fruit(Sharen),parched debark peony root(Chaobaishao) and Chinese thorowax root(Chaihu),ginseng(Renshen) and parched debark peony root(Chaobaishao).Conclusion:Soothing the liver qi and relieving depression,invigorating the spleen and replenishing qi were the most frequently used methods by ZHANG Zhenyu in the treatment of menostaxis.
Objective:Based on TCMISS,this paper analyzed the syndrome differentiation and medication rule of ZHANG Zhenyu in the treatment of menostaxis.Methods:Total 47 prescriptions in treating menostaxis(1997~2005) by ZHANG Zhenyu were selected and the syndrome differentiation and medication were recorded in TCMISS respectively.Then,the author studied the medication rules.Results:Liver qi stagnation was the major syndrome of menostaxis and 41 herbal medicine were adopted in ZHANG Zhenyu's prescriptions,among which villous amomum fruit(Sharen),ginseng(Renshen),angelica(Danggui),Chinese thorowax root(Chaihu),parched debark peony root(Chaobaishao) and white atractylodes rhizome(Chaobaizhu) were the first 6 frequently used medication.The most frequently used medicinal combinations include:ginseng(Renshen) and villous amomum fruit(Sharen),ginseng(Renshen) and angelica(Danggui),angelica(Danggui) and villous amomum fruit(Sharen),parched debark peony root(Chaobaishao) and Chinese thorowax root(Chaihu),ginseng(Renshen) and parched debark peony root(Chaobaishao).Conclusion:Soothing the liver qi and relieving depression,invigorating the spleen and replenishing qi were the most frequently used methods by ZHANG Zhenyu in the treatment of menostaxis.
引文
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[2]迟华基,魏凤琴.中国百年百名中医临床家——张珍玉[M].北京:中国中医药出版社,2001:28.
[3]魏凤琴,王小平,张安玲,等.经典是中医理论的源头活水——张珍玉学术思想研究[J].长春中医药大学学报,2014,30(6):1027-1028.
[4]李志安.张珍玉学术经验简介[J].山东中医杂志,2000,8,19(8):487-489.
[5]魏凤琴.张珍玉教授治疗经期延长特色摭拾[J].中医药学刊,2003,21(1):21.
[6]张先河.论脾胃生理病理特点[J].山东中医学院学报,1988,12(3):14-15.
[7]于婉晨.张珍玉顾护脾胃学术思想探讨[J].山东中医药大学学报,2015,39(1):52-53.