世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
4期
514-516
,共3页
李钰蛟%刘思鸿%安欢%佟琳
李鈺蛟%劉思鴻%安歡%佟琳
리옥교%류사홍%안환%동림
秋燥%中医古籍%辨证论治%数理统计
鞦燥%中醫古籍%辨證論治%數理統計
추조%중의고적%변증론치%수리통계
Autumn Dryness%Syndrome differentiation%TCM classics%Data mining
目的：探讨中医温病古籍中秋燥病的辨证论治规律和特点，将古人对该疾病的认识加以提炼，为秋燥病中医医者的临证辨治与用药提供参考与借鉴。方法：选取数据来源，制定文献筛选标准，对温病古籍内秋燥的病因、病位、症状、治法、方剂、中药，运用SPSS 19.0软件进行数理统计。结果：14种古籍文献中，论及秋燥病因共21种。排在前三位的是燥邪（28.57％）、湿邪（15.18％）、伏气（8.93％）；涉及病位13种，排在前三位的是肺（21.57％）、太阴（13.73％）、表（9.80％）；涉及症状32种，排在前三位依次为咳嗽（14.56％）、发热（7.77％）、头痛（6.80％）；谈及治法7种，排在前三位依次为苦解（23.91％）、温法（19.57％）、滋阴（17.39％）；谈及方剂8个，排在前三位依次为白虎汤（25.00％）、清燥救肺汤（16.67％）、干地黄知母黄连阿胶汤（2，16.67％）；共运用中药42种，排在前三位的是杏仁（6.35％）、荆芥（6.35％）、芍药（6.35％）。结论：秋燥致病因素以燥邪为主，其病位在肺，证候主要包括肺卫和气分津伤见证，治法以辛凉甘润为主，“苦、温”为秋燥的特别治法。
目的：探討中醫溫病古籍中鞦燥病的辨證論治規律和特點，將古人對該疾病的認識加以提煉，為鞦燥病中醫醫者的臨證辨治與用藥提供參攷與藉鑒。方法：選取數據來源，製定文獻篩選標準，對溫病古籍內鞦燥的病因、病位、癥狀、治法、方劑、中藥，運用SPSS 19.0軟件進行數理統計。結果：14種古籍文獻中，論及鞦燥病因共21種。排在前三位的是燥邪（28.57％）、濕邪（15.18％）、伏氣（8.93％）；涉及病位13種，排在前三位的是肺（21.57％）、太陰（13.73％）、錶（9.80％）；涉及癥狀32種，排在前三位依次為咳嗽（14.56％）、髮熱（7.77％）、頭痛（6.80％）；談及治法7種，排在前三位依次為苦解（23.91％）、溫法（19.57％）、滋陰（17.39％）；談及方劑8箇，排在前三位依次為白虎湯（25.00％）、清燥救肺湯（16.67％）、榦地黃知母黃連阿膠湯（2，16.67％）；共運用中藥42種，排在前三位的是杏仁（6.35％）、荊芥（6.35％）、芍藥（6.35％）。結論：鞦燥緻病因素以燥邪為主，其病位在肺，證候主要包括肺衛和氣分津傷見證，治法以辛涼甘潤為主，“苦、溫”為鞦燥的特彆治法。
목적：탐토중의온병고적중추조병적변증론치규률화특점，장고인대해질병적인식가이제련，위추조병중의의자적림증변치여용약제공삼고여차감。방법：선취수거래원，제정문헌사선표준，대온병고적내추조적병인、병위、증상、치법、방제、중약，운용SPSS 19.0연건진행수리통계。결과：14충고적문헌중，론급추조병인공21충。배재전삼위적시조사（28.57％）、습사（15.18％）、복기（8.93％）；섭급병위13충，배재전삼위적시폐（21.57％）、태음（13.73％）、표（9.80％）；섭급증상32충，배재전삼위의차위해수（14.56％）、발열（7.77％）、두통（6.80％）；담급치법7충，배재전삼위의차위고해（23.91％）、온법（19.57％）、자음（17.39％）；담급방제8개，배재전삼위의차위백호탕（25.00％）、청조구폐탕（16.67％）、간지황지모황련아효탕（2，16.67％）；공운용중약42충，배재전삼위적시행인（6.35％）、형개（6.35％）、작약（6.35％）。결론：추조치병인소이조사위주，기병위재폐，증후주요포괄폐위화기분진상견증，치법이신량감윤위주，“고、온”위추조적특별치법。
Objective:To investigate the law and characteristics of syndrome differentiation and treatment of Autumn Dryness in the ancient books on febrile diseases , and to refine the understanding of the disease so as to provide reference for clinical treatment and med -ication.Methods:After selecting data sources and making the literature screening criteria , statistical analysis was given using the soft-ware of SPSS 19.0 in terms of the etiology, location of disease, symptoms, treatment, prescription, Chinese meteria medica of Autumn Dryness in ancient books .Results:In 14 kinds of ancient books , there were 21 kinds of etiology of Autumn Dryness , the top three were dryness ( 28.57%) , dampness ( 15.18%) , and incubative pathogen ( 8.93%) ;there were 13 kinds of disease location ,the top three were the lungs ( 21.57%) , taiyin ( 13.73%) ,and superficies ( 9.80%) ;there were 32 kinds of symptoms , the top three were cough ( 14.56%) , fever ( 7.77%) , and headache ( 6.80%) ;there were 7 kinds of treatment methods , the top three were bitter solution ( 23.91%) , warm therapy ( 19.57%) , and nourishing Yin ( 17.39%) ;there were 8 kinds of prescription , the top three were Baihu decoction ( 25.00%) , Qingzao Jiufei decoction ( 16.67%) , Gandihuang Zhimu Huanglian Ajiao decoction ( 2,16.67 %) ;there were 42 kinds of Chinese meteria medica , the top three were almonds ( 6.35%) , Jing mustard ( 6.35%) , peony ( 6.35%).Conclusion:Dryness is the main pathogen of Autumn Dryness , and its location of disease is at the lung .Its symp-toms involve qi , liquid and blood stasis of lung , and the treatment method mainly focuses on acrid , cooling, sweet and moistening .“Bit-ter and warm” are the special treatment methods for autumn dryness .
