摘要
【目的】分析郭绍举教授门诊治疗泄泻病例的中医证型、证候要素的分布特点及用药规律,以期为泄泻的临床诊疗提供参考。【方法】采用回顾性研究方法,分析郭绍举教授于2011年10月至2019年9月期间在深圳市中医院门诊治疗泄泻病例的证型、病位证素、病性证素、中药用药频次情况。【结果】纳入分析的2632份病例中,共涉及中医证型23种,频次最高的3种证型为脾虚湿盛、肝郁脾虚、脾胃虚寒;涉及病位证素8个,居前3位的病位证素为脾、肝、胃;涉及病性证素8个,居前3位的病性证素为湿、寒、热;涉及中药212味,频次较高的依次为白术、茯苓、陈皮等。【结论】郭绍举教授辨治泄泻的思路如下:脾虚湿盛为泄泻的核心病机,贯穿疾病始终,湿邪是促进泄泻发展的重要影响因素,中后期易夹杂阴虚、阳虚、气血两虚等复杂证候表现;治疗以健脾、运脾、化湿为基本原则,常根据病情发展及寒热虚实辨证配伍涩肠药、理气药、健脾药等。郭绍举教授辨治泄泻的用药规律可为岭南地区该病的临床诊疗提供参考。
Objective To investigate the distribution of traditional Chinese medicine(TCM)syndrome types and syndrome elements of diarrhea patients and medication rules for the diarrhea outpatients treated by Professor GUO Shao-Ju,so as to provide a reference for the clinical diagnosis and treatment of diarrhea.Methods A retrospective study was conducted to analyze the distribution of syndrome types,disease-location syndrome elements,diseasenature syndrome elements,and the medication frequency of Chinese herbal medicine in the diarrhea patients treated by Professor GUO Shao-Ju in the outpatient department of Shenzhen Traditional Chinese Medicine Hospital from October 2011 to September 2019.Results A total of 2632 cases were included in the analysis,and 23 syndrome types were involved.The three syndrome types with the highest frequency were the syndrome of predominant dampness due to spleen deficiency,syndrome of liver depression and spleen deficiency,and the syndrome of deficiency cold in the spleen and stomach.There were 8 disease-location syndrome elements in total,and the top 3 diseases-location syndrome elements were spleen,liver,and stomach.Eight disease-nature syndrome elements were involved,and the top 3 disease-nature syndrome elements were dampness,cold,and heat.A total of 212 Chinese herbal medicines were used for the included cases,and the herbs with the higher frequency in descending order were Atractylodis Macrocephalae Rhizoma,Poria,and Citri Reticulatae Pericarpium.Conclusion Professor GUO Shao-Ju’s approach to the treatment of diarrhea is as follows:predominant dampness due to spleen deficiency is considered as the core pathogenesis of diarrhea and is present throughout the course of the disease,pathogenic damp is an important influencing factor for promoting the development of diarrhea,and the complex syndromes complicated with yin deficiency,yang deficiency and qi-blood deficiency are common at the middle and late stages of the disease;the treatment of diarrhea should follow the basic principles of streng
作者
吴钰淇
张伟健
李娟娟
许琳
罗爽
郭绍举(指导)
WU Yu-Qi;ZHANG Wei-Jian;LI Juan-Juan;XU Lin;LUO Shuang;GUO Shao-Ju(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518033 Guangdong,China;Science and Technology Innovation Center,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2024年第2期476-481,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:82204994,82104482)
广东省中医药局专项研究项目(编号:20200511112929)。
关键词
泄泻
中医证型
证素
脾虚湿盛
白术
茯苓
陈皮
郭绍举
diarrhea
traditional Chinese medicine(TCM)syndrome types
syndrome elements
predominant dampness due to spleen deficiency
Atractylodis Macrocephalae Rhizoma
Poria
Citri Reticulatae Pericarpium
GUO Shao-Ju
