古籍中抑郁症相关病证治疗用方的使用频数分析
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摘要
目的:对古籍中抑郁症相关病证治疗常用方进行梳理、统计分析,并与现代抑郁症治疗常用方对比。方法:采用传统文献研究方法与现代数理统计方法相结合。结果:检索《中华医典》,共发现4 806条条文,进一步筛选出类似抑郁症条文319条。经频数分析,常用方依使用频数高低排序有:甘麦大枣汤、归脾汤、淡竹茹汤、大枣汤、温胆汤、七福饮、紫苏子汤、七气汤、逍遥散、人参养荣汤、沉香降气汤。结论:归脾汤、甘麦大枣汤从古至今一直是治疗抑郁症的重要推荐方。治则上,古代医家倾向补血养血,养心安神,病位侧重心脾;现代医家多从肝论治,且用方祛痰力相对较弱。
Objective: To classify and analyze commonly used prescriptions for the treatment of depression related syndromes in Chinese medical classics, and to compare with the commonly used prescriptions for the treatment of modern depressive episodes. Methods: The traditional literature research methods combined with modern mathematical statistics. Results:A total of 4 806 articles were retrieved from Chinese Medical Class, and 319 articles similar to the depressive episodes were further screened out. After the frequency analysis, according to the frequency of use: Ganmai Dazao Decoction, Guipi Decoction,Danzhuru Decoction, Dazao Decoction, Wendan Decoction, Qifu Decoction, Zisuzi Decoction, Qiqi Decoction, Xiaoyao Powder,Renshen Yangrong Decoction, Chenxiang Jiangqi Decoction. Conclusion: Guipi Decoction, Ganmai Dazao Decoction are important recommendations for the treatment of depression since ancient times. On the rule, ancient physicians tend to blood nourishing and tranquilizing by nourishing the heart, the disease focus on heart and spleen; and modern physicians more from the liver on governance. In addition, compared with Chinese medical classics, the treatment of phlegm strength is relatively weak in modern times.
Objective: To classify and analyze commonly used prescriptions for the treatment of depression related syndromes in Chinese medical classics, and to compare with the commonly used prescriptions for the treatment of modern depressive episodes. Methods: The traditional literature research methods combined with modern mathematical statistics. Results:A total of 4 806 articles were retrieved from Chinese Medical Class, and 319 articles similar to the depressive episodes were further screened out. After the frequency analysis, according to the frequency of use: Ganmai Dazao Decoction, Guipi Decoction,Danzhuru Decoction, Dazao Decoction, Wendan Decoction, Qifu Decoction, Zisuzi Decoction, Qiqi Decoction, Xiaoyao Powder,Renshen Yangrong Decoction, Chenxiang Jiangqi Decoction. Conclusion: Guipi Decoction, Ganmai Dazao Decoction are important recommendations for the treatment of depression since ancient times. On the rule, ancient physicians tend to blood nourishing and tranquilizing by nourishing the heart, the disease focus on heart and spleen; and modern physicians more from the liver on governance. In addition, compared with Chinese medical classics, the treatment of phlegm strength is relatively weak in modern times.
引文
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[7]杨玉兴,权元文,杨艳斐,等.120例老年抑郁症患者临床表现及中医证候特征研究.中华中医药杂志,2017,32(8):3833-3836
[2]裘沛然.中华医典.长沙:湖南电子音像出版社,2014
[3]美国精神医学学会.精神障碍诊断与统计手册(第五版).张道龙等,译.北京:北京大学出版社,北京大学医学出版社,2015
[4]曹洪欣,王永炎.中医循证临床实践指南.北京:中国中医药出版社,2011:146-165
[5]田景平,温泽淮,郭新峰,等.归脾汤治疗抑郁症疗效与安全性的系统评价.中国中医药信息杂志,2016,23(4):36-40
[6]田景平,温泽淮,李艳,等.甘麦大枣汤治疗抑郁症疗效与安全性的系统评价.中国实验方剂学杂志,2015,21(21):202-207
[7]杨玉兴,权元文,杨艳斐,等.120例老年抑郁症患者临床表现及中医证候特征研究.中华中医药杂志,2017,32(8):3833-3836