1. 江苏省中医药研究院中西医结合医院
2. 南京中医药大学
纸质出版:2012
移动端阅览
[1]田耀洲,张红陶,顾铮.孟河医派四大医家临证胃食管反流病相类病症的证治规律研究[J].中医杂志,2012,53(01):55-59.
TIAN Yaozhou 1, ZHANG Hongtao 2, GU Zheng 2. Study on the Laws of Treatment for the Diseases Similar to Gastroesophageal Reflux Disease by the Four Physicians of Menghe School[J]. Journal of Traditional Chinese Medicine2012, 53(1): 55-59.
[1]田耀洲,张红陶,顾铮.孟河医派四大医家临证胃食管反流病相类病症的证治规律研究[J].中医杂志,2012,53(01):55-59. DOI: 10.13288/j.11-2166/r.2012.01.028.
TIAN Yaozhou 1, ZHANG Hongtao 2, GU Zheng 2. Study on the Laws of Treatment for the Diseases Similar to Gastroesophageal Reflux Disease by the Four Physicians of Menghe School[J]. Journal of Traditional Chinese Medicine2012, 53(1): 55-59. DOI: 10.13288/j.11-2166/r.2012.01.028.
目的通过整理分析孟河医派费、马、丁、巢四家医案中胃食管反流病(GERD)相类病症的医案
研究孟河医派核心人物在GERD相类病症方面的证治规律。方法运用数据挖掘方法中的关联规则分析GERD相类症状、证候要素与中药之间的关联关系
并对GERD相类病症的用药进行频数分析。结果共统计出GRED相关症状7种
病位7种
证候要素13种
中药116味。症状—证候要素、症状—中药、证候要素—中药、中药—中药之间都存在强的关联规则。结论该类病症的主要病位是胃、肝、脾;主要病机是肝胃不和
痰湿阻胃
胃气上逆
肝胃不和包括肝气犯胃和肝火犯胃;以抑木和中、化痰利湿、泻肝理脾为主要治则
在此基础上遵循寒者温之、热者清之、虚者补之的原则;处方用药上以和缓为特色
药性以平为主
慎用苦寒
但不畏温热
常以抑木和中汤、戊己丸、二陈汤加减化裁。
Objective To study the laws of treatment for the diseases similar to gastroesophageal reflux disease (GERD) by the key physicians of Menghe School
through sorting out and analyzing the medical records of Dr.FEI
Dr.MA
Dr.DING
and Dr.CHAO on the diseases similar to GERD
to provide the experience for the modern doctors for treating such diseases.Methods Using the association rules of datamining methods to analyze the symptoms
syndrome factors
and the distribution of Chinese medicines used for the treatment
and to analyze the correlations between the symptoms/syndrom similar to GERD and the frequency of traditional Chinese medicines.Results There were 7symptoms similar to GERD
involving 7diseased organs
13syndrome factors
and 116Chinese herbs found by data statistics.There were existing strong correlations between the symptoms and syndrome factors
the symptoms and traditional Chinese medicines
the syndrome factors and traditional Chinese medicines
and the medicines and medicines.Conclusion The main diseased organs related to the diseases similar to GERD are the stomach
liver
and spleen.The main pathogeneses are disharmony between the liver and stomach
which includes the liver qi attacking the stomach and the liver fire attacking the stomach
the phlegm damp retention in the stomach
and the stomach qi abnormally going upward.The main treating principles are checking the wood and harmonizing the middle Jiao
dissolving the phlegm and discharging the damp
and reducing the liver and regulating the spleen
on the basis of which
following the way of treating the cold syndrome with hot-natured medicines
treating the heat syndrome with the medicines clearing heat
and treating the deficiency syndrome with tonifying method.In the prescriptions
the medicines used in treatment are mostly gentle and neutral in nature
those which are bitter and cold are applied with care
while those warm and heat ones are adopted.The modified Yimu Hezhong Decoction [ Decoction for checking the wood and harmonizing the middle Jiao ]
Wuji Pill (Pill for soothing the liver
regulating the spleen
clearing heat
and harmonizing the stomach)
and ErChen Decoction (Decoction for cough due to damp phlegm caused by dysfunction of the spleen) are commonly administered.
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