1. 河南中医药大学老年医学研究所
2. 呼吸疾病诊疗与新药研发河南省协同创新中心
3. 河南中医药大学第一附属医院
4. 河南中医药大学
纸质出版:2016
移动端阅览
[1]李建生,马锦地,余学庆,王至婉,李庆磊,孙曙明,蔡永敏.基于现代名老中医经验的肺痿常见证候方药规律研究[J].中医杂志,2016,57(18):1598-1603.
LI Jiansheng, MA Jindi, YU Xueqing, et al. Research of Prescription Rules for Common Syndromes of Lung Wilt Disease Based on the Experiences of Famous Veteran Chinese Medicine Doctors[J]. Journal of Traditional Chinese Medicine2016, 57(18): 1598-1603.
[1]李建生,马锦地,余学庆,王至婉,李庆磊,孙曙明,蔡永敏.基于现代名老中医经验的肺痿常见证候方药规律研究[J].中医杂志,2016,57(18):1598-1603. DOI: 10.13288/j.11-2166/r.2016.18.016.
LI Jiansheng, MA Jindi, YU Xueqing, et al. Research of Prescription Rules for Common Syndromes of Lung Wilt Disease Based on the Experiences of Famous Veteran Chinese Medicine Doctors[J]. Journal of Traditional Chinese Medicine2016, 57(18): 1598-1603. DOI: 10.13288/j.11-2166/r.2016.18.016.
目的总结现代名老中医诊治肺痿的辨证用药配伍规律。方法检索现代名老中医肺病数据库和期刊中医肺病数据库
提取纳入文献证候、方剂、药物等信息
建立现代名老中医诊治肺痿文献研究数据库
统计肺痿常见证候及治疗采用方剂(经方、时方)、中药使用频率
并对各常见证候所用药物进行系统聚类分析和二元相关分析。结果共纳入13篇期刊文献及33本著作。肺痿常见证候分别为肺气阴两虚证、肺阴虚证、痰热壅肺证、肺气虚证、肺胃阴虚证和痰瘀阻肺证。肺气阴两虚证常用方剂有麦门冬汤和炙甘草汤;常用药物有麦冬、甘草、半夏;常用药对有熟地黄与石斛、枇杷叶与石膏、枇杷叶与熟地黄。肺阴虚证常用方剂为麦门冬汤;常用药物有麦冬、甘草、南沙参;常用药对有生地黄与党参、麦冬与半夏、知母与化橘红。痰热壅肺证常用方剂为千金苇茎汤;常用药物有苦杏仁、川贝母、甘草;常用药对为竹茹与芦根、桔梗与枳壳、川贝母与枇杷叶。肺气虚证常用方剂为独参汤;常用药物为黄芪、白术;常用药对有黄芪与牡蛎、丹参与当归、太子参与白术。肺胃阴虚证常用方剂为现代名老中医自拟方;常用药物有茯苓、甘草、川贝母;常用药对有砂仁与莲子、半夏与化橘红、陈皮与南沙参。痰瘀阻肺证常用方剂为香附旋覆花汤;常用药物有半夏、党参、红花;常用药对为丹参与赤芍、丹参与桃仁、枇杷叶与百部。结论现代名老中医治疗肺痿常以气虚、阴虚、痰、瘀、热为中心辨证用药
各证候用药均具有一定规律和较高临床实用价值。
Objective To summarize the experiences of modern famous veteran Chinese medicine doctors in compatibility rules of using herbs by syndrome differentiation in the diagnosis and treatment of lung wilt disease.Methods Database of Experiences of Modern Famous Veteran Chinese Medicine Doctor for Lung Disease and Journal Database of Chinese Medicine for Lung Disease were searched
and information
such as syndromes in papers included
prescriptions
herbs
etc. was extracted to build the Literature Database of Experiences of Modern Famous Veteran Chinese Medicine Doctors in Diagnosis and Treatment of Lung Wilt Disease. Common syndromes of Lung wilt disease
prescriptions( classical prescriptions and current prescriptions) for treatment
as well as herbs using frequency were calculated. Systematic cluster analysis and two elements correlation analysis were conducted for herbs in treating each common syndrome. Results Common syndromes of lung wilt disease include syndrome of deficiency of lung Qi and Yin
syndrome of deficiency of lung Yin
syndrome of phlegm-heat obstructing lung
syndrome of deficiency of lung Qi
syndrome of deficiency of lung and stomach Yin
as well as syndrome of phlegm and blood stasis obstructing lung. Commonly used prescriptions for treating syndrome of deficiency of lung Qi and Yin were Maimendong Decoction and Zhigancao Decoction. Commonly used herbs were Maidong [Radix Ophiopogonis
麦 冬 ]
Gancao [Radix liquiritiae
甘草] and Banxia [Rhizoma Pinelliae
半夏]. Commonly used couplet herbs were Shudihuang [Radix Rehmanniae Preparata
熟地黄]-Shihu [Herba Dendrobii
石斛]
Pipaye [Folium Eriobotryae
枇杷叶]-Shigao[Gypsum Fibrosum
石膏]and Pipaye-Shudihuang. Commonly used prescription of treating syndrome of deficiency of lung Yin was Maimendong Decoction( 麦门冬汤). Commonly used herbs were Maidong
Gancao and Nanshashen[Radix Adenophorae
南沙参]. Commonly used couplet herbs were Shengdihuang [Radix Rehmanniae Recens
生地黄]-Dangshen [Radix Codonopsis
党参]
Maidong-Banxia and Zhimu [Rhizoma Anemarrhenae
知母]-Huajuhong[Exocarpium Citri Grandis
化橘红]. Commonly used prescription for treating syndrome of phlegm-heat obstructing lung was Qianjin Weijing Decoction( 千金苇茎汤). Commonly used herbs were Kuxingren [Semen Armeniacae Amarae
苦杏仁]
Chuanbeimu [Bulbus Fritillariae Cirrhosae
川贝母] and Gancao. Commonly used couplet herbs were Zhuru [Caulis Bambusae in Taenia
竹茹]-Lugen [Rhizoma Phragmitis
芦根]
Jiegeng [Radix Platycodonis
桔梗]-Zhiqiao [Fructus Aurantii
枳壳]and Chuanbeimu-Pipaye. Commonly used prescription for treating syndrome of deficiency of lung Qi was Dushen Decoction( 独参汤). Commonly used herbs were Huangqi [Radix Astragali seu Hedysari
黄芪]and Baizhu [Rhizoma Atractylodis Macrocephalae
白术]. Commonly used couplet herbs were HuangqiMuli [Concha Ostreae
牡 蛎 ]
Danshen [Radix Salviae Miltiorrhizae
丹 参]-Danggui and Taizishen [Radix Pseudostellariae
太子参]-Baizhu. Commonly used prescription for treating syndrome of deficiency of lung and stomach Yin was self-designed decoctions by modern famous veteran Chinese medicine doctors. Commonly used herbs were Fuling [Poria
茯苓]
Gancao and Chuanbeimu. Commonly used couplet herbs were Sharen [Fructus Amomi Villosi
砂仁]-Lianzi [Semen Nelumbinis
莲子]
Banxia-Huajuhong and Chenpi [Pericarpium Citri Reticulatae
陈皮]-Nanshashen. Commonly used prescription for treating syndrome of phlegm and blood stasis obstructing lung was Xiangfu Xuanfuhua Decoction( 香附旋覆花汤). Commonly used herbs were Banxia
Dangshen and Honghua [Flos Carthami
红花]. Commonly used couplet herbs were Danshen-Chishao [Radix Paeoniae Rubra
赤芍]
DanshenTaoren [Semen Persicae
桃仁] and Pipaye-Baibu [Radix Stemonae
百部]. Conclusion Modern famous veteran Chinese medicine doctors using herbs to treat lung wilt disease by syndrome differentiation usually revolved around Qi deficiency
Yin deficiency
phlegm
blood stasis and heat. There are certain rules in using herbs to treat syndromes
and they might have high clinical practical value.
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