中药内服治疗妊娠呕吐的现代文献研究
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摘要
目的探讨中药内服治疗妊娠呕吐的辨证分型与用药规律等。方法检索近十年公开发表的有关中药内服治疗妊娠呕吐的文献,提取有关证型、方剂、伴随症状及加减中药等内容,在数据管理的基础上进行统计学分析。结果检索获取符合标准的文献140篇,总结得出妊娠呕吐常见的证候类型有:脾胃虚弱证、肝胃不和证、气阴两虚证、痰湿内阻证;常用方剂有:香砂六君子汤、苏叶黄连汤、橘皮竹茹汤、生脉散、小半夏汤;常见伴随症状及加减用药为:呕吐痰涎(瓜蒌、藿香、半夏、苏叶);口渴(石斛、麦冬、五味子);痞满(木香、砂仁、陈皮、枳壳);大便秘结(麦冬、火麻仁、玉竹、白芍)等。结论中医认为妊娠呕吐多以胃为关键,累及肝、脾两脏,治疗多以辨证选方为主,并随症加减用药,具有标本同治的独特优势。
Objective To investigate the syndrome differentiation and m edication rule of Chinese medicine in the treatment of vomiting during pregnancy. Methods Literatures published in the past 10 years on the treatment of pregnancy vomiting with traditional Chinese medicine were retrieved and relevant syndromes, prescriptions, accompanying symptoms and Chinese herbs were extracted. Statistical analysis was carried out on the basis of data management. Results 140 references were retrieved and the common syndrome types of pregnancy vomiting were summarized as follows: spleen and stomach weakness syndrome, liver and stomach disharmony syndrome, qi and yin deficiency syndrome, phlegm and dampness internal obstruction syndrome. The commonly used prescription is Xiangsha Liujunzi decoction, Suye Huanglian decoction, Jupi Zhuru decoction, Shengmai Powder, Xiaobanxia decoction. Common accompanying symptoms and modification of drugs are: vomiting sputum salivation(fructus trichosanthis,agastache rugosus, pinellia ternata, beef-steak plant leaf), thirst(dendrobium, ophiopogon, schisandra), stuffiness(Fragrance, amomum villosum, fructus aurantii, fructus aurantii), constipation(ophiopogon japonicus, ramie seed, jade bamboo, radix paeoniae alba), etc.Conclusion TCM recognizes that the key to pregnancy vomiting is the stomach, involving the liver and spleen. The treatment of pregnancy vomiting is mainly based on dialectical prescription, and the medicine is added or subtracted with the symptoms. It has the unique advantage of treating both the specimen and the spleen.
Objective To investigate the syndrome differentiation and m edication rule of Chinese medicine in the treatment of vomiting during pregnancy. Methods Literatures published in the past 10 years on the treatment of pregnancy vomiting with traditional Chinese medicine were retrieved and relevant syndromes, prescriptions, accompanying symptoms and Chinese herbs were extracted. Statistical analysis was carried out on the basis of data management. Results 140 references were retrieved and the common syndrome types of pregnancy vomiting were summarized as follows: spleen and stomach weakness syndrome, liver and stomach disharmony syndrome, qi and yin deficiency syndrome, phlegm and dampness internal obstruction syndrome. The commonly used prescription is Xiangsha Liujunzi decoction, Suye Huanglian decoction, Jupi Zhuru decoction, Shengmai Powder, Xiaobanxia decoction. Common accompanying symptoms and modification of drugs are: vomiting sputum salivation(fructus trichosanthis,agastache rugosus, pinellia ternata, beef-steak plant leaf), thirst(dendrobium, ophiopogon, schisandra), stuffiness(Fragrance, amomum villosum, fructus aurantii, fructus aurantii), constipation(ophiopogon japonicus, ramie seed, jade bamboo, radix paeoniae alba), etc.Conclusion TCM recognizes that the key to pregnancy vomiting is the stomach, involving the liver and spleen. The treatment of pregnancy vomiting is mainly based on dialectical prescription, and the medicine is added or subtracted with the symptoms. It has the unique advantage of treating both the specimen and the spleen.
引文
[1]姚欣,胡樱.妊娠呕吐的临床治疗研究进展[J].江西中医药,2016,47(6):75-78.
[2]周京晶,苟天存.妊娠恶阻病因病机浅述[J].现代中医药,2006,26(2):9-11.
[2]周京晶,苟天存.妊娠恶阻病因病机浅述[J].现代中医药,2006,26(2):9-11.