摘要
在"体质-疾病谱-主症"模式下,通过对黄芪桂枝五物汤个案的搜集整理分析与数据挖掘,从文献角度探讨该方的方证规律。结果显示该方证体质及体貌特征为神疲乏力、畏寒、少气懒言、面色无华或萎黄等;所治疾病以神经炎、产后病、雷诺氏病、颈椎病、荨麻疹为主;证属营卫气血亏虚,经脉痹阻证;阳气不足,气虚血滞证和寒凝血滞证;主症有疼痛、肢体麻木、肿胀、汗出、头晕头昏等;脉象多见沉细或细而无力、沉而无力;舌象多见舌苔薄白或白,舌质淡或淡红、淡白。方中黄芪的常用剂量高于其他药物,黄芪、大枣最大量明显高于其他药物,主要加味有当归、甘草、鸡血藤、川芎等。结果提示黄芪桂枝五物汤以以上体质体貌、主症特征的疾病为主治,以原方为基础在活血化瘀、补虚、解表、祛风湿、平肝息风等方向相应增味。
Objective： It is to study the formula syndrome rule of Classical formula of Huang-qi-gui-zhi-wu-wu decoction on relative document data based on the mode of constitution-spectrum of disease-main symptom.Methods： By collecting,sorting out the individual clinical cases,then analysis and data mining of them.Results： Constitution and appearance of its formula syndrome are lack of vitality and fatigue,chills,lack of energy even to speak,lusterless or sallow complexion.Diseases mainly treated are neuritis,postpartum disease,Raynaud＇s disease,cervical vertebra disease,urticaria.Differentiation syndromes are syndrome of meridian obstruction and defense-qi and nutrient blood deficiency,Qi deficiency and blood stasis syndrome owing to yang deficiency,blood stasis syndrome complicated cold coagulation.Main symptoms include pain,numbness,swelling,sweating,dizziness,etc.Pulses mostly are sinking and thin or thin and weak or sinking and weak.Tongue color is pale white or pink and tongue coats are thin white or white mainly.Among this formula,common dosage of Astragalus is higher than other medicinal,and maximum dosage of stragalus and jujube are significantly higher than other medicinal.Chinese angelica,licorice,spatholobus stem,Rhizoma ligustici wallichii are frequently be added.Conclusion： Formula syndrome of Huang-qi-gui-zhi-wu-wu decoction includes the constitution and appearance and main symptom characteristics attending to the diseases above mentioned.Based on the original formula,other medicinal are added accordingly promoting blood circulation to remove blood stasis,tonifying deficiency,releasing the exterior,dispelling wind and dampness,calming the liver to stop the wind.
出处
《成都中医药大学学报》
2013年第2期106-110,共5页
Journal of Chengdu University of Traditional Chinese Medicine
基金
安徽省高校省级优秀青年人才基金项目(编号:2011SQRL094)
关键词
体质-疾病谱-主症
黄芪桂枝五物汤
方证
规范化
文献研究
Constitution-spectrum of disease-main symptom
classical formula of Huang-qi-gui-zhi-wu-wu decoction
formula syndrome
standardization
document study
