胶艾汤治疗妇人血证现代文献研究
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摘要
胶艾汤始见于汉·张仲景的《金匮要略·妊娠病篇》,由川芎、阿胶、甘草、艾叶、当归、芍药、干地黄7味药组成,全方寒温并用,动静相合,具有养血活血、暖宫散寒、调经止血、缓痛安胎之功。本方作用和缓,具有止血而不伤血的特点。原方用于治疗漏下、半产出血以妊娠下血,历代医家多有发挥,已成临床妇科常用方剂,而且应用于妇科之外的多种病证。
本论文收集1980～2008年与胶艾汤有关的中医文献资料,对其学术思想及现代临床运用进行研究。共分为三个部分,第一部分为本文的综述部分,介绍胶艾汤的现代临床运用概况。第二部分对胶艾汤的组方思想及学术源流进行探讨,分别从胶艾汤的方义、胶艾汤组方思想对后世的影响以及胶艾汤主治病证的变化三方面进行研究。第三部分为胶艾汤的现代临床运用与研究,本部分对胶艾汤的现代临床运用进行初步研究,其中主要对崩漏以及胎漏两病证进行重点研究,并对有关医案进行举例分析,最后对全文进行内容小结。
文中对胶艾汤组方特点总结为“止血以养为要、止血亦当祛瘀、用药不避辛温”等,提出“胞阻”病当无下血,即指妊娠腹痛。以及对现代有关胶艾汤运用医案进行分析,具有一定的创新性。本论文从文献角度着眼,兼顾临床,力求全面反映胶艾汤这一妇科名方的组方特点及运用规律。
JiaoAi formula sees Zhang Zhongjing "Synopsis of the Golden Chamber Pregnancy disease" in Hart dynasty,which is composed with 7 taste medicine like chuangxiong Ajiao gancao aiye danggui shaoyao and gandihuang.The formula combine with dynamic and static, using With cold and heat.The formula has the function of nourish blood and active blood, warm uterus and dispel cold,regulate menstruation and stop bleeding,release pain and anti-abortion.The formula has even function and contains the characteristic of stop bleeding but not injury blood.The original formula uses in treating the mild chronic bloody vaginal discharge,partly producing the hemorrhage by the pregnancy hemorrhaging,all previous dynasties doctor has much educe,has become the clinical gynecology department commonly used formula medicinal preparation,moreover applies many kinds of disease except gynecology.
The paper collects Chinese medicine literature material related with JiaoAi soup in 1980～2008,conducts the research to its academic thought and the modern clinical utilization. We divide altogether into three parts,the first part is the summary part of the article,introduce modern clinical utilization survey of JiaoAi soup.The second part carries on the discussion to the JiaoAi soup the thought of combine formula and the academic source and course, separately from explain meaning of JiaoAi soup,the thought of JiaoAi soup combination influence to the later generation as well as the JiaoAi soup mainly treats the change of disease the three aspects to conduct the research.The third part is modern clinical utilization and the research of JiaoAi soup,this part conducts the preliminary study to the modern clinical utilization of JiaoAi soup,mainly leaks two syndromes to the uterine bleeding as well as the embryo to conduct the key research,and carries on the example analysis to the related medical notes,finally carries on the content subtotal to the full text.
In the article the characteristic summary of JiaoAi soup is "the hematischesis take nourishing blood as key,the hematischesis when also removes stagnated blood,the medication not to escape pungent and warm" and so on,proposed that "the butcher block" does not have the hemorrhaging,means the pregnancy abdominal pain.As well as carries on the analysis to modern related JiaoAi soup using the medical notes,has certain innovation. The paper focuses from the literature angle,proper attention to both clinical,makes every effort to reflect JiaoAi soup comprehensively the combination of formula characteristic and the utilization rule for gynecology.
本论文收集1980～2008年与胶艾汤有关的中医文献资料,对其学术思想及现代临床运用进行研究。共分为三个部分,第一部分为本文的综述部分,介绍胶艾汤的现代临床运用概况。第二部分对胶艾汤的组方思想及学术源流进行探讨,分别从胶艾汤的方义、胶艾汤组方思想对后世的影响以及胶艾汤主治病证的变化三方面进行研究。第三部分为胶艾汤的现代临床运用与研究,本部分对胶艾汤的现代临床运用进行初步研究,其中主要对崩漏以及胎漏两病证进行重点研究,并对有关医案进行举例分析,最后对全文进行内容小结。
文中对胶艾汤组方特点总结为“止血以养为要、止血亦当祛瘀、用药不避辛温”等,提出“胞阻”病当无下血,即指妊娠腹痛。以及对现代有关胶艾汤运用医案进行分析,具有一定的创新性。本论文从文献角度着眼,兼顾临床,力求全面反映胶艾汤这一妇科名方的组方特点及运用规律。
JiaoAi formula sees Zhang Zhongjing "Synopsis of the Golden Chamber Pregnancy disease" in Hart dynasty,which is composed with 7 taste medicine like chuangxiong Ajiao gancao aiye danggui shaoyao and gandihuang.The formula combine with dynamic and static, using With cold and heat.The formula has the function of nourish blood and active blood, warm uterus and dispel cold,regulate menstruation and stop bleeding,release pain and anti-abortion.The formula has even function and contains the characteristic of stop bleeding but not injury blood.The original formula uses in treating the mild chronic bloody vaginal discharge,partly producing the hemorrhage by the pregnancy hemorrhaging,all previous dynasties doctor has much educe,has become the clinical gynecology department commonly used formula medicinal preparation,moreover applies many kinds of disease except gynecology.
The paper collects Chinese medicine literature material related with JiaoAi soup in 1980～2008,conducts the research to its academic thought and the modern clinical utilization. We divide altogether into three parts,the first part is the summary part of the article,introduce modern clinical utilization survey of JiaoAi soup.The second part carries on the discussion to the JiaoAi soup the thought of combine formula and the academic source and course, separately from explain meaning of JiaoAi soup,the thought of JiaoAi soup combination influence to the later generation as well as the JiaoAi soup mainly treats the change of disease the three aspects to conduct the research.The third part is modern clinical utilization and the research of JiaoAi soup,this part conducts the preliminary study to the modern clinical utilization of JiaoAi soup,mainly leaks two syndromes to the uterine bleeding as well as the embryo to conduct the key research,and carries on the example analysis to the related medical notes,finally carries on the content subtotal to the full text.
In the article the characteristic summary of JiaoAi soup is "the hematischesis take nourishing blood as key,the hematischesis when also removes stagnated blood,the medication not to escape pungent and warm" and so on,proposed that "the butcher block" does not have the hemorrhaging,means the pregnancy abdominal pain.As well as carries on the analysis to modern related JiaoAi soup using the medical notes,has certain innovation. The paper focuses from the literature angle,proper attention to both clinical,makes every effort to reflect JiaoAi soup comprehensively the combination of formula characteristic and the utilization rule for gynecology.
引文
[1]连建伟.妇人妊娠病脉证并治篇.浙江中医学院学报,2005,(3):60
[2]李飞,柴瑞霁.止血方剂配伍方法的探讨.南京中医药大学学报(自然科学版),1988,(2):5
[3]余建华.《金匮要略》妇人病篇学术思想初探.现代医药卫生,2005,(11).
[4]须义贞,沈仲理,.《金匮要略》妇科方剂解析.上海中医药杂志,2006,(8).42-43
[5]汪红,顾勤.胶艾汤用药特点及对后世组方的启示.中医药学刊,2001,(4):384-385
[6]熊殿文,刘增援.胶艾汤加味辨治功能性子宫出血20例体会.北京中医,1986,(6):31
[7]梁珊,甄秀丽,林芝彩.胶艾四物汤加减治疗功能失调性子宫出血病180例.河北中医,1999,(2):99
[8]李祥华,覃章元,覃涛,.胶艾汤治疗更年期崩漏56例临床观察.长江大学学报(自科版)医学卷,2007,(1):74
[9]周成钦.胶艾汤加味治疗功能性子宫出血54例临床观察.广东医学,1994,(9):630
[10]姜华,李敏.胶艾汤加味治疗功血36例临床观察.甘肃中医学院学报,2002,(1):41
[11]王景龙,.加味胶艾汤治疗功能性子宫出血155例.中医药临床杂志,1991,(2):13-14
[12]林胜英,翟浩泉.加味胶艾汤治疗崩漏56例.辽宁中医杂志,200l,(10):607
[13]林胜英,翟浩泉.加味胶艾汤治疗崩漏56例.辽宁中医杂志,2001,(10):607]
[14]李冬梅.加味芪菟胶艾汤治疗先兆流产96例.湖南中医杂志,2005,(2):53
[15]熊翡.参芪胶艾汤治疗先兆流产35例疗效观察.浙江中医学院学报,2000,(4):23
[16]冯秀贞,刁本泉,胶艾汤加减治疗先兆流产42例.河北中医,1987,(6):30
[17]虞百祥.胶艾汤合寿胎丸治疗先兆流产51例.浙江中医杂志,1997,(3):113
[18]黄雅仙,严宇仙.金匮胶艾汤加减治疗药物流产后出血不止52例.浙江中西医结合杂志,1997,(5):299-300
[19]陶华,丁素娟.胶艾汤加味防治药物流产不全97例.宁夏医学杂志,2005,(5):337-338
[20]郭沈旺.《金匮要略》妇人腹痛辨治.浙江中医学院学报,1997,(1):14
[21]赵可宁.《金匮要略》治妇人腹痛方药临证举隅.国医论坛,1995,(1):16
[22]叶腾辉.论《金匮要略》治疗妇人妊娠产后腹痛.四川中医,2003,(8):8
[23]张丽娟.芎归胶艾汤和柴苓汤对特发性镜下血尿的疗效观察.国外医学.中医中药分册,1997,(5):36
[24]乔艳贞.胶艾汤加味治疗过敏性紫癜.河南中医,2004,(3):15。
[25]刘苏,吴荷馨.胶艾汤加减治疗乳糜尿.浙江中医杂志,1999,(12):511
[26]孙旗立.胶艾汤验案举隅.实用中医内科杂志,1989,(1):41
[27]李存敬,董景勇.胶艾汤临证新用举隅.新中医,1990,(9):44-45
[28]殷明贵,.胶艾汤新用举隅.吉林中医药,1985,(5):26
[29]任利,翟亚平,商保军.胶艾汤缩宫止血作用及对性激素水平的影响。陕西中医,2001,22(6):380-381
[30]李祥华,王文英。胶艾汤对动物离、在体子宫活动的影响。中国中药杂志,2005,30(2):154-156
[31]李祥华,王文英.胶艾汤对实验性出血的影响。湖背省卫生职工医学院学报,2004,17(1):16-17
[32]黄世领,贾卫,管喜文,等.芎归胶艾汤对小白鼠血细胞及纤维蛋白原的影响.临床军医杂志,2000,28(2):47
[33]李明,谢鸣.四物汤及其三个加味方对大鼠急性血瘀模型的药效作用比较.时珍国医国药,2006,17(9):1682-1684
[34]李明,谢鸣.四物汤及其三个加味方对大鼠血虚模型的药效作用比较.浙江中医杂志,2005(1):38-40
[1]邹孟城.三十年临证探研录。上海:上海科学技术出版社,2000:163-164
[2]柯雪帆.疑难病证思辨录.北京:人民卫生出版社,2005.
[3]毛玉生.试论《伤寒论》中的芍药及其应用.中医杂志,1981(11):67-69
[4]朱南孙。朱小南妇科经验选.北京:人民卫生出版社,1980:20
[5]中医研究院.蒲辅周医疗经验.北京:人民卫生出版社,1976:92-93
[6]李培生。《金匮》妇科方研讨(下).湖北中医杂志,1983(4):45-48
[7]马建中.旋覆花汤治疗宫内残留物的临证体会.河北中医药学报,2000,15(4):26
[8]王娟,王涛,刘春来.胶姜汤治疗功能性子宫出血32例.中国民间疗法,2000,8(1):31-32
[9]王辅民.胶姜汤治疗功能失调性子宫出血.山东医药,1990(6):52
[10]张谷才.试谈孙思邈的崩漏治法.浙江中医学院学报,1985,9(3):1-3
[11]侯启年.“胞阻”释义.中医杂志,1990(10):58
[12]李华.“胞阻”浅议.国医论坛,1997,12(3):42
[13]张尊如,王永梅.关于炙甘草汤中清酒问题的探讨.中国中医基础医学杂志,2001,7(7):61-62
[1]徐陈如,许书亮,蔡之芬.《金匮》胶艾汤治疗妇女下血证92例.贵阳中医学院学报
[2]王景龙.加味胶艾汤治疗功能性子宫出血155例.中医临床与保健.19913(2):14.
[3]陈启华.胶艾四物汤治疗崩漏举隅.中国民间疗法.2005,13(6):40.
[4]严季澜,顾植山.中医文献学.中国中医药出版社,北京,2002:157
[2]李飞,柴瑞霁.止血方剂配伍方法的探讨.南京中医药大学学报(自然科学版),1988,(2):5
[3]余建华.《金匮要略》妇人病篇学术思想初探.现代医药卫生,2005,(11).
[4]须义贞,沈仲理,.《金匮要略》妇科方剂解析.上海中医药杂志,2006,(8).42-43
[5]汪红,顾勤.胶艾汤用药特点及对后世组方的启示.中医药学刊,2001,(4):384-385
[6]熊殿文,刘增援.胶艾汤加味辨治功能性子宫出血20例体会.北京中医,1986,(6):31
[7]梁珊,甄秀丽,林芝彩.胶艾四物汤加减治疗功能失调性子宫出血病180例.河北中医,1999,(2):99
[8]李祥华,覃章元,覃涛,.胶艾汤治疗更年期崩漏56例临床观察.长江大学学报(自科版)医学卷,2007,(1):74
[9]周成钦.胶艾汤加味治疗功能性子宫出血54例临床观察.广东医学,1994,(9):630
[10]姜华,李敏.胶艾汤加味治疗功血36例临床观察.甘肃中医学院学报,2002,(1):41
[11]王景龙,.加味胶艾汤治疗功能性子宫出血155例.中医药临床杂志,1991,(2):13-14
[12]林胜英,翟浩泉.加味胶艾汤治疗崩漏56例.辽宁中医杂志,200l,(10):607
[13]林胜英,翟浩泉.加味胶艾汤治疗崩漏56例.辽宁中医杂志,2001,(10):607]
[14]李冬梅.加味芪菟胶艾汤治疗先兆流产96例.湖南中医杂志,2005,(2):53
[15]熊翡.参芪胶艾汤治疗先兆流产35例疗效观察.浙江中医学院学报,2000,(4):23
[16]冯秀贞,刁本泉,胶艾汤加减治疗先兆流产42例.河北中医,1987,(6):30
[17]虞百祥.胶艾汤合寿胎丸治疗先兆流产51例.浙江中医杂志,1997,(3):113
[18]黄雅仙,严宇仙.金匮胶艾汤加减治疗药物流产后出血不止52例.浙江中西医结合杂志,1997,(5):299-300
[19]陶华,丁素娟.胶艾汤加味防治药物流产不全97例.宁夏医学杂志,2005,(5):337-338
[20]郭沈旺.《金匮要略》妇人腹痛辨治.浙江中医学院学报,1997,(1):14
[21]赵可宁.《金匮要略》治妇人腹痛方药临证举隅.国医论坛,1995,(1):16
[22]叶腾辉.论《金匮要略》治疗妇人妊娠产后腹痛.四川中医,2003,(8):8
[23]张丽娟.芎归胶艾汤和柴苓汤对特发性镜下血尿的疗效观察.国外医学.中医中药分册,1997,(5):36
[24]乔艳贞.胶艾汤加味治疗过敏性紫癜.河南中医,2004,(3):15。
[25]刘苏,吴荷馨.胶艾汤加减治疗乳糜尿.浙江中医杂志,1999,(12):511
[26]孙旗立.胶艾汤验案举隅.实用中医内科杂志,1989,(1):41
[27]李存敬,董景勇.胶艾汤临证新用举隅.新中医,1990,(9):44-45
[28]殷明贵,.胶艾汤新用举隅.吉林中医药,1985,(5):26
[29]任利,翟亚平,商保军.胶艾汤缩宫止血作用及对性激素水平的影响。陕西中医,2001,22(6):380-381
[30]李祥华,王文英。胶艾汤对动物离、在体子宫活动的影响。中国中药杂志,2005,30(2):154-156
[31]李祥华,王文英.胶艾汤对实验性出血的影响。湖背省卫生职工医学院学报,2004,17(1):16-17
[32]黄世领,贾卫,管喜文,等.芎归胶艾汤对小白鼠血细胞及纤维蛋白原的影响.临床军医杂志,2000,28(2):47
[33]李明,谢鸣.四物汤及其三个加味方对大鼠急性血瘀模型的药效作用比较.时珍国医国药,2006,17(9):1682-1684
[34]李明,谢鸣.四物汤及其三个加味方对大鼠血虚模型的药效作用比较.浙江中医杂志,2005(1):38-40
[1]邹孟城.三十年临证探研录。上海:上海科学技术出版社,2000:163-164
[2]柯雪帆.疑难病证思辨录.北京:人民卫生出版社,2005.
[3]毛玉生.试论《伤寒论》中的芍药及其应用.中医杂志,1981(11):67-69
[4]朱南孙。朱小南妇科经验选.北京:人民卫生出版社,1980:20
[5]中医研究院.蒲辅周医疗经验.北京:人民卫生出版社,1976:92-93
[6]李培生。《金匮》妇科方研讨(下).湖北中医杂志,1983(4):45-48
[7]马建中.旋覆花汤治疗宫内残留物的临证体会.河北中医药学报,2000,15(4):26
[8]王娟,王涛,刘春来.胶姜汤治疗功能性子宫出血32例.中国民间疗法,2000,8(1):31-32
[9]王辅民.胶姜汤治疗功能失调性子宫出血.山东医药,1990(6):52
[10]张谷才.试谈孙思邈的崩漏治法.浙江中医学院学报,1985,9(3):1-3
[11]侯启年.“胞阻”释义.中医杂志,1990(10):58
[12]李华.“胞阻”浅议.国医论坛,1997,12(3):42
[13]张尊如,王永梅.关于炙甘草汤中清酒问题的探讨.中国中医基础医学杂志,2001,7(7):61-62
[1]徐陈如,许书亮,蔡之芬.《金匮》胶艾汤治疗妇女下血证92例.贵阳中医学院学报
[2]王景龙.加味胶艾汤治疗功能性子宫出血155例.中医临床与保健.19913(2):14.
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