1. 北京中医药大学东直门医院
2. 北京中医药大学中医学院
纸质出版:2017
移动端阅览
[1]张钰欣,张保春.茧唇证型及用药规律明清文献研究[J].中医杂志,2017,58(15):1327-1330.
ZHANG Yuxin, ZHANG Baochun. Literature Research on Syndrome Types and Medication Rules of Lip Cancer in Ming & Qing Dynasties[J]. Journal of Traditional Chinese Medicine2017, 58(15): 1327-1330.
[1]张钰欣,张保春.茧唇证型及用药规律明清文献研究[J].中医杂志,2017,58(15):1327-1330. DOI: 10.13288/j.11-2166/r.2017.15.017.
ZHANG Yuxin, ZHANG Baochun. Literature Research on Syndrome Types and Medication Rules of Lip Cancer in Ming & Qing Dynasties[J]. Journal of Traditional Chinese Medicine2017, 58(15): 1327-1330. DOI: 10.13288/j.11-2166/r.2017.15.017.
目的基于明清文献探讨茧唇的证候类型及用药规律。方法检索北京中医药大学图书馆中有关明清时期记载茧唇的中医文献。提取纳入文献证候及方药信息
进行统一规范化处理后建立茧唇中医治疗数据库
对其证型、方剂、药物及其类别进行频数分析。结果最终纳入文献42篇
提取证型14个
涉及方剂55种
中药167味。证型出现频次最高的前6位依次是脾胃积热证(15)、心脾积热证(14)、脾经风热证(13)、肝火炽热证(10)、胃火炽盛证(9)、肾虚内热证(9)。内服方剂中
出现频次最高的前6位方剂依次是清胃散(10)、柴胡疏肝散(9)、济阴地黄丸(8)、加减八味丸(6)、归脾丸(5)和清凉甘露饮(5);外用方剂中
出现频次最高的前3位方剂依次是黄柏散(12)、白灰散(5)和青皮烧灰方(5)。内服方剂中
药物类别出现频次前3位的依次是清热药(19)、补虚药(18)和解表药(9);外用方剂中
药物类别出现频次前4位的依次为清热药(17)、活血化瘀药(14)、祛风湿药(12)和解表药(9)。单味药出现频次最高的前6位依次是甘草(22)、当归(16)、牡丹皮(10)、黄芩(10)、熟地黄(10)和茯苓(10)。结论茧唇的主要证型为脾胃积热证、心脾积热证、脾经风热证、肝火炽热证、胃火炽盛证和肾虚内热证
治疗方法为内外合治
内治法常清热与补虚相结合兼以解表
外治法常清热、活血、祛风湿、解表共举。
Objective To explore the syndrome types and medication rules of lip cancer based on literature in Ming-Qing dynasties.MethodsChinese medical literature related to lip cancer in Ming-Qing dynasties were reviewed in library of Beijing University of Chinese Medicine.Syndrome
prescription and herb information of included literature was extracted.After unified standardized processing
database of Chinese medicine treating lip cancer was established.Frequency analysis was made on syndrome types
prescriptions
herbs and herbs’classification.Results Forty-two papers were included at last
with 14 syndrome types
55 prescriptions
167 herbs.Top 6 syndrome types of high frequency were syndrome of heat accumulation in spleen-stomach(15)
syndrome of heat accumulation in heart-spleen(14)
syndrome of wind-heat in spleen channel(13)
syndrome of exuberance heat of liver fire(10)
syndrome of exuberance of stomach fire(9)and syndrome of internal heat due to kidney deficiency(9).Among oral decoctions
top 6 prescriptions of high frequency were Qingwei San(清胃散
10)
Chaihu Shugan San(柴胡疏肝散
9)
Jiyin Dihuang Wan(济阴地黄丸
8)
modified Bawei Wan(加减八味丸
6)
Guipi Wan(归脾丸
5)and Qingliang Ganlu Yin(清凉甘露饮
5).Among external prescriptions
top 3 of high frequency were Huangbai San(黄柏散
12)
Baihui San(白灰散
5)and Qingpi Shaohui Fang(青皮烧灰方
5).Among oral decoctions
top 3 herb types of high frequency were clearing heat herbs(19)
replenishing deficiency herbs(18)and relieving superficies herbs(9).Among external prescriptions
top 4 herb types of high frequency were clearing heat herbs(17)
activating blood&resolving stasis herbs(14)
dispelling wind-damp herbs(12)and relieving superficies herbs(9).Top 6 single herbs of high frequency were Gancao[Radix Glycyrrhizae](22)
Danggui[Radix Angelicae Sinensis](16)
Mudanpi[Cortex Moutan Radicis](10)
Huangqin[Radix Scutellariae](10)
Shudihuang[Radix Rehmanniae Preparata](10)and Fuling[Poria](10).Conclusion Main syndrome types of lip cancer were syndrome of heat accumulation in spleen-stomach
syndrome of heat accumulation in heart-spleen
syndrome of wind-heat in spleen channel
syndrome of exuberance heat of liver fire
syndrome of exuberance of stomach fire and syndrome of internal heat due to kidney deficiency.The treatment method was internal and external combination therapy.The internal therapy was combining clearing heat and replenishing deficiency
with relieving superficies.The external therapy was combining clearing heat
activating blood
dispelling wind-damp and relieving superficies.
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