从方药统计探析荨麻疹复方配伍规律

【作者】 张清华；

【导师】 贾波；

【作者基本信息】 成都中医药大学 ， 方剂学， 2005， 硕士

【摘要】 目的 运用文献学方法研究中医治疗荨麻疹的组方配伍规律,并藉此提出与之相适应的治疗荨麻疹的基础方 方法 从《中医大辞典·方剂分册》、《中医外科方剂大辞典》、《中医方剂现代研究大典》、中医药相关书籍、中医药杂志、电子计算机网络信息等资源中,收集了古今治疗荨麻疹的内服方剂320首,以Microsoft Excel建立数据表进行统计分析。 结果 单味药使用频次为40次以上的药物依次为防风、甘草、荆芥、蝉蜕、当归、川芎、苦参、生地黄、赤芍、刺蒺藜、白鲜皮、茯苓、黄芩、羌活、薄荷、麻黄、酒、白术、枳壳;使用频率居前10位的药组,基本为防风、荆芥、蝉蜕、当归、川芎、苦参、生地黄、赤芍、刺蒺藜、羌活等10味药的排列组合;本病证型居前10位的依次为:风热袭表、风湿热蕴、血虚生风、血分蕴热、风寒袭表、气血两虚、表虚不固、胃肠湿热、冲任不调、瘀阻肌腠。 结论 研究表明,解表药、清热药、补虚药、平肝息风药、利水渗湿药、活血化瘀药的遣用,是中医治疗荨麻疹的基本配伍规律;风热袭表、风湿热蕴、风寒袭表、血分蕴热、胃肠湿热、冲任不调、血虚生风、表虚不固、气血两虚等为荨麻疹之常见证型;自拟荨麻疹的基础方由防风、荆芥、蝉蜕、赤芍、生地黄、苦参、当归、甘草组成。更多还原

【Abstract】 OBJECTIVE: By philology studying the signs and principles of treatment of Urticaria in accordance to the signs, treatment, and rules of Chinese medicine, this thesis aims to provide the fundamental treatment formula and the supporting data and thoughts.METHODS: With references to several major dictionaries: 《Formula Dictionary of Traditional Chinese Medicine》 , 《Surgical Formula of Dictionary of Traditional Chinese Medicine》 , 《Modern study for Formula Dictionary of Traditional Chinese Medicine》 , in the disciple of formulae including journals of TCM, relevant books, and data from electronic network, a total of 320 relevant internal formulae are collected and analyzed statistically by using the software of Microsoft Excel. RESULTS: The most popular individual medicinals that have been used over 40 times to treat this disease include ledebouriella (fang-feng, Ledebouriellae Radix), licorice (gan-cao, Glycyrrhizae), schizonepeta (jing-jie, Schizonepetae Herba er Flos), cicada molting (chan-tui, Cicadae Periostracum), tangkuei (dang-gui, Angelicae Sinensis Radix), lingusticum (chuan-xiong, Lingustici Rhizoma), flavescent sophora (ku-shen, Dophorae Flavescentis Radix), fresh rehmannia (xian-di-huang, Rehmanniae Radix Recens), red peony (chi-shao-yao, Paeoniae Radix Rubra), tribulus (ci-ji-li, Tribuli Fructus), dictamnus (bai-xian-pi, Dictamni Radicis Cortex), poria (fu-ling, Poria), scutellaria (huang-qin, Scutellariae Radix), notopterygium (qiang-huo, Notopterygii Rhizoma), mint (bo-he, Menthae Herba), ephedra (ma-huang, Ephedrae Herba), liquor, ovate atractylodes (bai-zhu, Atractylodis Ovatae Rhizoma) and bitter orange (zhi-ke, Aurantii Fructus). From ledebouriella (fang-feng, Ledebouriellae Radix) to tribulus (ci-ji-li, Tribuli Fructus) are the top ten most popular medicinals being used (taking away licorice and adding notopterygium). The ten most popular patterns of this disease include wind-heat invading the exterior, blood deficiency engendering wind, wind-damp-heat depression, heat stagnant in blood-aspect, wind-cold invading the exterior, dual deficiency of Qi-blood, insecurity resulted from external deficiency, damp-heat in stomach and intestines, disharmony between Chong and Ren vessels, and stasis-obstruction in flesh and interstices.更多还原