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.
作者
樊炜静
张秋艳
付常庚
金潇
邢彤
陈泽吉
赵馨
赵钟辉
苗丽娜
杨宝钟
FAN Wei-jing;ZHANG Qiu-yan;FU Chang-geng;JIN Xiao;XING Tong;CHEN Ze-ji;ZHAO Xin;ZHAO Zhong-hui;MIAO Li-na;YANG Bao-zhong(Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital Affiliated to Belting University of Chinese Medicine,Beijing 100078,China;Puning People's Hospital Affiliated to Southern Medical University,Puning 515300,China;Shangcai County People's Hospital,Zhumadian 463800,China)
出处
《中国中药杂志》
CAS
CSCD
北大核心
2018年第18期3764-3770,共7页
China Journal of Chinese Materia Medica
关键词
叶天士
吴鞠通
暑病
用药规律
Ye Tianshi
Wu Jutong
summer-heat disease
medication characteristics
