周家璇治疗肝郁脾虚型慢喉痹的学术经验及用药规律研究
作者:
作者单位:

(云南中医药大学第一临床医学院,云南 昆明 650500)

作者简介:

何 鑫(1994-),女,在读硕士研究生,E-mail: 1094295687@qq.com

通讯作者:

中图分类号:

基金项目:

基金项目: 国家自然科学基金项目(81760881)


A Study on Zhou Jiaxuan‘s Academic Experience in the Treatment of Chronic Laryngeal Obstruction of the Stagnation of Liver Qi and Spleen Deficiency Type and Principles of Medication
Author:
Affiliation:

(The First Clinical Medical College, Yunnan University of Chinese Medicine, Kunming 650500, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的 基于数据挖掘分析云南名中医周家璇教授治疗肝郁脾虚型慢喉痹的用药规律,总结周家璇治疗此型慢喉痹的学术经验,挖掘核心方,为基础及临床研究提供参考和指导,做好名老中医学术经验传承工作。方法 通过门诊病历采集的方式收集周家璇教授2023年1月-2023年12月门诊诊治的肝郁脾虚型慢喉痹病例,利用中医传承计算平台(V 3.5)统计分析药物使用频次、四气五味、归经,探索核心组合,提炼核心处方。结果 共统计处方140张,涉及中药134味,使用频次在100次以上的中药有12味。药物类别以补虚药、清热药、理气药、化湿药及化痰止咳平喘药为主,药性主要为寒、温、平,药味主要为辛、苦、甘,药物归经主要为肺经、脾经、胃经、肝经。通过组方规律分析获得2味药核心组合15条、3 味药核心组合10条、4 味药核心组合1条。通过核心组合,凝练核心方3个。结论 周家璇治疗肝郁脾虚型慢喉痹用药以寒温平为主,辛苦甘三味共施,气湿痰热并治,选用半夏厚朴汤、柴胡疏肝散、玄麦甘桔汤共同加减治疗。

    Abstract:

    Objective Based on data-mining analysis, this paper aims to analyze the principles of medication of Professor Zhou Jiaxuan, a renowned traditional Chinese medicine professor in Yunnan, in the treatment of chronic laryngeal obstruction of the stagnation of liver Qi and spleen deficiency type, and to summarize Zhou Jiaxuan‘s academic experience in the treatment of this type of chronic laryngeal obstruction, explore the core prescriptions of her medication to provide references and guidance for basic and clinical research, and do perform well in inheriting the academic experiences of renowned traditional Chinese medicine. Methods The cases of chronic laryngeal obstruction of the stagnation of liver Qi and spleen deficiency type diagnosed and treated by Professor Zhou Jiaxuan from January to December in 2023 were collected through outpatient medical records collection, and the frequency of using, four properties and five tastes, and meridian tropisms were statistically analyzed by the Big Data Echuancheng Platform(v3.5) (a traditional Chinese medicine Inheritance and calculation platform), so as to explore the core combination of medication and extract the core prescriptions. Results A total of 140 prescriptions were calculated, covering a total number of 134 kinds of traditional Chinese medicine, and 12 kinds of traditional Chinese medicine were used more than 100 times. The medication mainly includes drugs to reinforce deficiency, clear heat Qi, regulate Qi, resolve dampness, phlegm, cough and asthma. The properties of these herbs are mainly cold, warm and plain. Their tastes are mainly pungent, bitter and sweet. Their meridian tropisms are mainly lung meridian, spleen meridian, stomach meridian and liver meridian. 15 combinations with 2 herbs at the core, 10 combinations with 3 herbs at the core, and 1 combination with 4 drugs at the core were obtained through the analysis of the principles of prescriptions. Through the core combinations, 3 core prescriptions are concluded. Conclusion Zhou Jiaxuan‘s treatment of chronic laryngeal obstruction of the stagnation of liver Qi and spleen deficiency type is mainly cold, warm and plain, combined with the tastes of pungent, bitter and sweet, to regulate Qi and resolve dampness, phlegm and heat Qi. These prescriptions use Banxia Houpu decoction , Chaihu Shugan San and Xuanmai Ganju decoction for addition and subtraction treatment accordingly.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-12-06
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-05-27
  • 出版日期:

温馨提示

关闭