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中医文献中肺积和息贲治疗的方药规律研究 被引量:7

Rules of Treatment and Prescription-Herbs on Feiji and Xiben in Chinese Medicine Literatures
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摘要 目的:探讨治疗肺积和息贲的处方用药规律及其所反映的病机要点,为肺癌治疗提供思路和方法。方法:应用电子检索的方法,对中医文献中关于肺积和息贲治疗的文献进行收集、整理,摘录其治疗的方药,运用统计软件SPSS 16.0对药物进行频数和频率分析。结果:化痰止咳药、补虚药、毒性药、理气药、温里药、利水渗湿药、化湿药、解表药、活血化瘀药是治疗的主要药类;补虚药中以益气和养阴的药物为主。所有的药物中以辛、苦、甘、温热及归脾肺胃经之品常用。结论:中医文献中肺积和息贲治疗以扶正补虚、化痰祛湿、理气活血、以毒攻毒为主;方药性味主要选用辛、苦、甘及温热之品,归经主要为脾、肺、胃经。通过药物分析可以初步推论民国及其以前的医家认为肺积和息贲为本虚标实的疾病,本虚以气阴两虚为主,标实以痰、湿、瘀、毒为主。 Objectives : To explore the herbal administration roles, the syndrome and pathogenesis in TCM ]iteratures. Methods : The prescriptions and herbs were collected during and before the period of the Republic of China, analyzing data by frequency analysis. Results : Phlegm - dispelling and cough - suppressing medicine, tonifying and replenishing medi- cine, toxic herbs, qi - regulating medicine, interior - warming medicine, dampness - draining diuretic medicine, dampness -resolving medicine,exterior- releasing medicine and blood -activating and stasis- resolving medicine are the main types of herbs,qi and yin - tonifying medicine are more commonly used. The herbs mainly belong to lung, spleen and stomach channels and are characterized by the flavor of pungency, sweetness, bitterness and warmth - heat. Conclusions : Reinforcing the healthy qi and restoring deficiency, dispelling phlegm and eliminating dampness, regulating qi and activa- ting blood circulation and treating with poisonous agents are the main methods of treatment inTCM literatures. The flavor of herbs is mainly pungency, sweetness, bitterness and warmth -heat. The channels of herbs are mainly lung, spleen, stomach meridians. For further analysis, we preliminarily infer that Feiji and Xiben are the diseases with root deficiency with insufficiency of qi and yin and branch excess with phlegm, dampness, blood stasis and toxin.
出处 《中华中医药学刊》 CAS 2014年第3期638-640,共3页 Chinese Archives of Traditional Chinese Medicine
关键词 中医文献 肺积 息贲 方药 频数分析 TCM literatures Feiji Xiben prescription - herbs frequency analysis
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