真武湯的文獻(xiàn)研究和臨床上的用藥規(guī)律
發(fā)布時(shí)間：2018-10-10 12:04
【摘要】：目的:《傷寒論》有1800多年的連續(xù)不斷的學(xué)術(shù)研究與發(fā)展歷史。有一大批的的研究學(xué)者身處國(guó)內(nèi)外,著作高達(dá)3000多種,醫(yī)家有600余家,已發(fā)表的論文有17000多篇,并且不同的學(xué)術(shù)流派已經(jīng)形成,奠定了中醫(yī)學(xué)的學(xué)術(shù)地位�！秱摗穼�(duì)中醫(yī)臨床各科,以及中醫(yī)學(xué)基礎(chǔ)、診斷學(xué)、方劑學(xué)、中藥學(xué)均具有重要的指導(dǎo)意義。話雖然如此,《傷寒論》的傳承還是存著擔(dān)憂�，F(xiàn)今老一輩有經(jīng)驗(yàn)的醫(yī)家相繼離逝,寶貴的中醫(yī)學(xué)術(shù)思想和臨床經(jīng)驗(yàn)也一起消失,若有幸老中醫(yī)有徒弟門總結(jié)他們的學(xué)術(shù)經(jīng)驗(yàn),但始終有主觀成份,中醫(yī)事業(yè)正有青黃不接之勢(shì)。為要保存前輩中醫(yī)的經(jīng)驗(yàn),令愈千年的薪火得以延續(xù),但是舊有的中醫(yī)師徒傳承模式,有其限制,在者現(xiàn)代科技發(fā)展一日千里的時(shí)代,中醫(yī)學(xué)研究方法與其它學(xué)科融合將會(huì)是一條出路,給中醫(yī)學(xué)發(fā)展注入新的動(dòng)力。故此本文嘗試用文本數(shù)據(jù)挖掘及屬性偏序方法整理現(xiàn)代文獻(xiàn),從中得出一些知識(shí)發(fā)現(xiàn),供大家參考。方法:本課題納入1976-2016近40年期間在在中國(guó)期刊網(wǎng)(CNKI)上搜索與"真武湯"及"溫陽(yáng)"有關(guān)的近代文獻(xiàn)資料。當(dāng)中有364份文獻(xiàn),156份納入文獻(xiàn),納入病案246個(gè)。采集了患者不同的年齡、病程等基本信息,如癥狀、體征、舌脈象等診療信息,中醫(yī)診斷及處方用藥;再把所得資料整合后填入Excel表中,構(gòu)建簡(jiǎn)易的數(shù)據(jù)庫(kù)。完成了所有資料錄入后,再根據(jù)研究需要,建立相關(guān)的形式背景,形成屬性偏序圖;從患者的一般特點(diǎn)、主方用藥規(guī)律、不同疾病的用藥特點(diǎn)、部分藥物量效關(guān)系等角度,進(jìn)行知識(shí)發(fā)現(xiàn),探究真武湯的不同治療功效�？偨Y(jié)出真武湯的用藥特點(diǎn)。結(jié)論:1、真武湯證的主癥是:精神疲倦,畏寒,體寒,少腹不適,雙下肢浮腫,小便稀少,口渴,不欲飲,心悸。2、真武湯證的舌像是:舌淡紅或舌質(zhì)紅,舌胖大,苔白、苔薄白或苔黑;真武湯證的脈象是:脈沉,脈細(xì),脈無(wú)力,脈弱或脈浮、脈大、脈無(wú)根。3。真武湯根據(jù)主癥偏重不同、兼癥不同以及所治病不同、可適當(dāng)加味、并有一定規(guī)律可循。
[Abstract]:Objective: the Treatise of febrile Diseases has a continuous history of academic research and development for more than 1800 years. There are a large number of researchers at home and abroad, with more than 3000 works, more than 600 doctors, more than 17000 published papers, and different academic schools have formed. The theory of febrile disease is of great significance to the clinical practice of Chinese medicine, as well as to the foundation of traditional Chinese medicine, diagnostics, prescriptions, and traditional Chinese medicine. Even so, there are concerns about the legacy of the Treatise of febrile Diseases. Nowadays, the older generation of experienced doctors have passed away one after another, and the valuable academic thinking and clinical experience of traditional Chinese medicine have also disappeared. If it is fortunate that old Chinese medicine practitioners have apprentices to sum up their academic experience, but there is always a subjective component, The cause of traditional Chinese medicine is in the dark. In order to preserve the experience of the Chinese medicine practitioners of the older generation, the fire of the past thousand years can be continued. However, the old mode of inheriting Chinese medicine teachers and disciples has its limitations, in the era of rapid development of modern science and technology. The integration of traditional Chinese medicine research methods with other disciplines will be a way out and inject new impetus into the development of traditional Chinese medicine. So this paper attempts to use the method of text data mining and attribute partial ordering to sort out the modern literature, from which we can find some knowledge for your reference. Methods: during the past 40 years from 1976 to 2016, we searched the (CNKI) for modern literature related to "Zhenwu Tang" and "Wen Yang". Of these, 364 were included, 156 were included, and 246 were included in medical records. Collected the patient's different age, course of disease and so on basic information, such as symptoms, signs, tongue pulse and so on diagnosis and treatment information, traditional Chinese medicine diagnosis and prescription drug use, and then integrated the obtained data into the Excel table to build a simple database. After all the data were inputted, according to the needs of the research, the relevant formal background was established to form an attribute partial sequence map. From the general characteristics of the patients, the law of the main prescriptions, the characteristics of different diseases, the dose-effect relationship of some drugs, and so on, To explore the different therapeutic effects of Zhenwu decoction. Summed up the drug characteristics of Zhenwu decoction. Conclusion: 1, the main symptoms of Zhenwu Tang syndrome are: mental fatigue, chills, body cold, less abdominal discomfort, bloated lower limbs, rare urination, thirst, no desire to drink, palpitations. 2. The tongue of Zhenwu decoction is like: pale red tongue or red tongue, fat tongue, white fur, etc. Thin white fur or moss black; Zhenwu Tang syndromes pulse is: deep, fine, weak veins, weak or floating veins, veins large, veins without root. 3. Zhenwu decoction according to the main symptoms of different, and different symptoms and different treatments, can be properly added, and there are certain laws to follow.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2017
【分類號(hào)】：R289.5
[Abstract]:Objective: the Treatise of febrile Diseases has a continuous history of academic research and development for more than 1800 years. There are a large number of researchers at home and abroad, with more than 3000 works, more than 600 doctors, more than 17000 published papers, and different academic schools have formed. The theory of febrile disease is of great significance to the clinical practice of Chinese medicine, as well as to the foundation of traditional Chinese medicine, diagnostics, prescriptions, and traditional Chinese medicine. Even so, there are concerns about the legacy of the Treatise of febrile Diseases. Nowadays, the older generation of experienced doctors have passed away one after another, and the valuable academic thinking and clinical experience of traditional Chinese medicine have also disappeared. If it is fortunate that old Chinese medicine practitioners have apprentices to sum up their academic experience, but there is always a subjective component, The cause of traditional Chinese medicine is in the dark. In order to preserve the experience of the Chinese medicine practitioners of the older generation, the fire of the past thousand years can be continued. However, the old mode of inheriting Chinese medicine teachers and disciples has its limitations, in the era of rapid development of modern science and technology. The integration of traditional Chinese medicine research methods with other disciplines will be a way out and inject new impetus into the development of traditional Chinese medicine. So this paper attempts to use the method of text data mining and attribute partial ordering to sort out the modern literature, from which we can find some knowledge for your reference. Methods: during the past 40 years from 1976 to 2016, we searched the (CNKI) for modern literature related to "Zhenwu Tang" and "Wen Yang". Of these, 364 were included, 156 were included, and 246 were included in medical records. Collected the patient's different age, course of disease and so on basic information, such as symptoms, signs, tongue pulse and so on diagnosis and treatment information, traditional Chinese medicine diagnosis and prescription drug use, and then integrated the obtained data into the Excel table to build a simple database. After all the data were inputted, according to the needs of the research, the relevant formal background was established to form an attribute partial sequence map. From the general characteristics of the patients, the law of the main prescriptions, the characteristics of different diseases, the dose-effect relationship of some drugs, and so on, To explore the different therapeutic effects of Zhenwu decoction. Summed up the drug characteristics of Zhenwu decoction. Conclusion: 1, the main symptoms of Zhenwu Tang syndrome are: mental fatigue, chills, body cold, less abdominal discomfort, bloated lower limbs, rare urination, thirst, no desire to drink, palpitations. 2. The tongue of Zhenwu decoction is like: pale red tongue or red tongue, fat tongue, white fur, etc. Thin white fur or moss black; Zhenwu Tang syndromes pulse is: deep, fine, weak veins, weak or floating veins, veins large, veins without root. 3. Zhenwu decoction according to the main symptoms of different, and different symptoms and different treatments, can be properly added, and there are certain laws to follow.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2017
【分類號(hào)】：R289.5
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