CAJ | 학술논문

目的：通过收集明清时期鼓胀病病案的相关条文，挖掘其辨证分型及用药规律。方法：通过对条文进行分析，建立相应数据库，对数据进行频数分析。结果：辨证以肝郁脾虚、湿热蕴结、脾阳虚证型最为常见；药物以利水渗湿药及补虚药为主；单味药使用中前3味分别为茯苓、白术、陈皮。结论：明清鼓胀病用药规律主要为：病变脏腑，脾胃为要；辨证虚实夹杂，以虚为主；用药补泻兼施，以补为宜；证治对应，辨明主次，该规律为鼓胀病的临床和科研提供借鉴作用。
목적：통과수집명청시기고창병병안적상관조문，알굴기변증분형급용약규률。방법：통과대조문진행분석，건립상응수거고，대수거진행빈수분석。결과：변증이간욱비허、습열온결、비양허증형최위상견；약물이이수삼습약급보허약위주；단미약사용중전3미분별위복령、백술、진피。결론：명청고창병용약규률주요위：병변장부，비위위요；변증허실협잡，이허위주；용약보사겸시，이보위의；증치대응，변명주차，해규률위고창병적림상화과연제공차감작용。
This study was aimed to collect relevant provisions of bulging disease medical records in the Ming and Qing dynasties to excavate the syndrome differentiation, drug law and medication frequency analysis. A database was established to analyze relevant provisions. The results showed that the syndromes of liver stagnation and spleen deficiency, dampness-heat accumulation, spleen-yang deficiency are the most common type. The mainly used drugs are from the category to eliminate dampness and water, and to tonify the deficiency. The top three used drugs are poria, atractylodes, and dried citrus peel. It was concluded that medications used in the Ming and Qing dynasties were mainly targeted to the disordered zangfu-organ, which was mainly about the spleen and the stomach. The syn-drome differentiation is the mixture of deficiency and excess. And deficiency is the main part. The medication should combine tonification and reducing. And tonification should be paid attention to. The syndrome differentiation and treatment should be coordinated and the primary and secondary aspect should be identified. These rules provide ref-erence effect for the clinical practice and scientific research of bulging disease treatment.