当代医药论丛
噹代醫藥論叢
당대의약론총
Contemporary Medicine Forum
2015年
19期
32-34
,共3页
姜半夏%上消化道肿瘤%中药配伍
薑半夏%上消化道腫瘤%中藥配伍
강반하%상소화도종류%중약배오
ginger Pinellia%upper digestive tract cancer%compatibility of Traditional Chinese medicine
目的:探析用姜半夏治疗上消化道肿瘤的用药配伍规律。方法:将我院肿瘤内科中医专家在2015年1月-6月持续使用含有姜半夏的处方进行治疗的40例上消化道肿瘤患者作为研究对象。搜集、整理这些患者所用的含姜半夏处方,然后分析这些处方中与姜半夏配伍的中药种类及其配伍规律。结果:在治疗上消化道肿瘤时,与姜半夏配伍的中药主要分为三类,即“扶正”类中药、“祛邪”类中药及“止血”类中药。其中,“扶正”类中药分为“补气养阴”类中药、“和胃健脾”类中药及“养心安神”类中药,“祛邪”类中药分为“清热解毒”类中药、“活血化瘀”类中药及“行气化痰”类中药。此外,“止血”类中药也是与姜半夏配伍的常用药物。在这些中药中,“和胃健脾”类中药与姜半夏配伍的频次远高于其他类的中药。结论:在拟定治疗上消化道肿瘤的含有姜半夏的处方时应坚持扶正为主、祛邪为辅的用药原则,在选择“扶正”类中药时应以“和胃健脾”类中药为先,“补气养阴”类中药次之,在选择“祛邪”类中药时以“清热解毒”类中药为主治疗食管癌、以“行气化痰”类中药为主治疗胃癌,然后根据患者的实际情况灵活地选用“养心安神”、“活血化瘀”及“止血”类药物。
目的:探析用薑半夏治療上消化道腫瘤的用藥配伍規律。方法:將我院腫瘤內科中醫專傢在2015年1月-6月持續使用含有薑半夏的處方進行治療的40例上消化道腫瘤患者作為研究對象。搜集、整理這些患者所用的含薑半夏處方,然後分析這些處方中與薑半夏配伍的中藥種類及其配伍規律。結果:在治療上消化道腫瘤時,與薑半夏配伍的中藥主要分為三類,即“扶正”類中藥、“祛邪”類中藥及“止血”類中藥。其中,“扶正”類中藥分為“補氣養陰”類中藥、“和胃健脾”類中藥及“養心安神”類中藥,“祛邪”類中藥分為“清熱解毒”類中藥、“活血化瘀”類中藥及“行氣化痰”類中藥。此外,“止血”類中藥也是與薑半夏配伍的常用藥物。在這些中藥中,“和胃健脾”類中藥與薑半夏配伍的頻次遠高于其他類的中藥。結論:在擬定治療上消化道腫瘤的含有薑半夏的處方時應堅持扶正為主、祛邪為輔的用藥原則,在選擇“扶正”類中藥時應以“和胃健脾”類中藥為先,“補氣養陰”類中藥次之,在選擇“祛邪”類中藥時以“清熱解毒”類中藥為主治療食管癌、以“行氣化痰”類中藥為主治療胃癌,然後根據患者的實際情況靈活地選用“養心安神”、“活血化瘀”及“止血”類藥物。
목적:탐석용강반하치료상소화도종류적용약배오규률。방법:장아원종류내과중의전가재2015년1월-6월지속사용함유강반하적처방진행치료적40례상소화도종류환자작위연구대상。수집、정리저사환자소용적함강반하처방,연후분석저사처방중여강반하배오적중약충류급기배오규률。결과:재치료상소화도종류시,여강반하배오적중약주요분위삼류,즉“부정”류중약、“거사”류중약급“지혈”류중약。기중,“부정”류중약분위“보기양음”류중약、“화위건비”류중약급“양심안신”류중약,“거사”류중약분위“청열해독”류중약、“활혈화어”류중약급“행기화담”류중약。차외,“지혈”류중약야시여강반하배오적상용약물。재저사중약중,“화위건비”류중약여강반하배오적빈차원고우기타류적중약。결론:재의정치료상소화도종류적함유강반하적처방시응견지부정위주、거사위보적용약원칙,재선택“부정”류중약시응이“화위건비”류중약위선,“보기양음”류중약차지,재선택“거사”류중약시이“청열해독”류중약위주치료식관암、이“행기화담”류중약위주치료위암,연후근거환자적실제정황령활지선용“양심안신”、“활혈화어”급“지혈”류약물。
OBJECTIVE Analysis of compatibility law with ginger Pinellia on upper digestive tract cancer treatment. METHODS Survey our hospital in January – June 2015 continued and only use the Prescription which containing ginger Pinellia treatment gastric cancer and esophageal cancer each 20 patients., Statistical analysis of the prescription, Summarize the Compatibility Law. RESULTS when using the prescription which containing ginger Pinellia treatment upper digestive tract cancer the “nourish the spleen and stomach” drug compatibility frequency much higher than other drugs. The “qi and resolving phlegm” drug compatibility frequency much higher than the “detoxification” drug in gastric prescription, but esophageal cancer is the opposite. CONCLUSION: When Ginger Pinellia combination therapy the upper digestive tract cancer, should be strengthening the body resistance first of all, secondly eliminating evil. The combination treatment of strengthening the body resistance should be using the “nourish the spleen and stomach” drug first of all; the combination treatment of eliminating evil should be using the “qi and resolving phlegm” drug first of all in gastric cancer treatment and using the “detoxification” drug first of all in esophageal cancer treatment.