本文選題：龐安時(shí) + 傷寒總病論�。� 參考：《湖北中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本文運(yùn)用文獻(xiàn)研究與現(xiàn)代統(tǒng)計(jì)學(xué)分析相結(jié)合的方法,系統(tǒng)整理龐安時(shí)《傷寒總病論》中關(guān)于溫?zé)岵〉臈l文,分析、歸納其對(duì)溫?zé)岵〔∶⒉∫�、病機(jī)及治法的論述,并進(jìn)行數(shù)據(jù)挖掘,厘清龐氏治療溫?zé)岵〉挠盟幪攸c(diǎn)及方藥配伍規(guī)律,研究龐安時(shí)的溫?zé)岵W(xué)術(shù)思想,傳承名家經(jīng)驗(yàn),指導(dǎo)溫?zé)岵〉呐R床辨證論治。方法:以《傷寒總病論》為研究對(duì)象,在篩選出龐安時(shí)治療溫?zé)岵〉?06首方劑基礎(chǔ)上,建立龐氏治療溫?zé)岵〉姆絼⿺?shù)據(jù)庫(kù),利用SPSS21.0對(duì)其進(jìn)行統(tǒng)計(jì)學(xué)處理,采用頻數(shù)分析和因子分析,對(duì)所選方劑用藥的頻次、性味、歸經(jīng)、藥物分類、配伍規(guī)律進(jìn)行數(shù)據(jù)挖掘,并運(yùn)用溫病學(xué)理論對(duì)統(tǒng)計(jì)結(jié)果進(jìn)行描述,分析、歸納龐安時(shí)關(guān)于溫?zé)岵〉牟∶�、病因、病機(jī)、癥候、治則、治法的相關(guān)論述,歸納總結(jié)出龐安時(shí)治療溫?zé)岵〉挠盟幰?guī)律,探究其溫?zé)岵W(xué)術(shù)思想的淵源、理論內(nèi)涵及對(duì)溫病學(xué)說的影響。結(jié)果:1.龐安時(shí)明確提出傷寒與溫病的不同;論述了諸多溫?zé)岵〉牟》N;認(rèn)為溫?zé)岵“l(fā)生的外因是“伏氣”致病和“異氣”致病,內(nèi)因是病人素體本虛或熱盛;病機(jī)為外感邪氣,內(nèi)生郁熱;治法上主張寒溫分治,主要用清、下二法,并根據(jù)病情配合汗法、吐法等,善用表里雙解劑,對(duì)刺法治療溫?zé)岵∫嘤薪?用藥上擅長(zhǎng)將寒涼藥與辛溫藥配合應(yīng)用,重視清熱藥與養(yǎng)陰藥的運(yùn)用,主張慎用煮散。2.對(duì)龐氏治療溫?zé)岵〉?06首方劑進(jìn)行方劑來源分析,得出龐氏治療溫?zé)岵〉姆絼┯凶詣?chuàng)方44首,其他方源頻數(shù)較高的為《傷寒論》、《備急千金要方》、《外臺(tái)秘要》。對(duì)106首方劑進(jìn)行數(shù)據(jù)分析,得出龐安時(shí)用藥頻數(shù)較高的藥物為甘草(46)、黃芩(28)、石膏(27)。按功效分,最常用的藥物類別有清熱藥:黃芩、石膏、梔子、知母;解表藥:麻黃、葛根、桂枝、升麻。四氣中用藥頻數(shù)最高的是寒性藥(286)、溫性藥(167),五味中頻數(shù)最高的為苦味藥(317)、辛味藥(280),藥物歸經(jīng)中頻數(shù)最高的是肺經(jīng)(379)、胃經(jīng)(357)、脾經(jīng)(293)。因子分析提取出的6個(gè)主因子為F1:甘草麻黃白芍知母葛根;F2:大青葉梔子石膏;F3:大黃黃芩;F4:黃芩黃連;F5:杏仁生姜白芍桂枝;F6:升麻甘草石膏葛根。結(jié)論:1.龐安時(shí)明確指出了溫?zé)岵∨c傷寒的區(qū)別,并在前代醫(yī)家的基礎(chǔ)上發(fā)展了溫?zé)岵〔∶⒉∫�、病機(jī)、治法及用藥的論述,闡述了溫?zé)岵〉谋孀C論治。2.龐安時(shí)認(rèn)為溫?zé)岵〉牟∫蛑饕獮椤胺鼩狻敝虏�、“異氣”致病和體質(zhì)因素,病機(jī)為外感邪氣,內(nèi)生郁熱,治法主要包括清法、下法,善于辛溫藥與寒涼藥配伍應(yīng)用,倡辛涼解表法,重用苦寒清熱藥,重視顧護(hù)陰液。3.龐安時(shí)對(duì)傳染性溫病的特征、病因、病機(jī)、治療及預(yù)防進(jìn)行論述,收錄和創(chuàng)制了許多預(yù)防和治療瘟疫的方劑及方法,對(duì)現(xiàn)代傳染病的防治具有一定的啟迪作用。
[Abstract]:Objective: by using the method of literature research and modern statistical analysis, this paper systematically arranges the articles about warm fever in Pang Anshi's Theory of Total Disease of Typhoid Fever, analyzes the name, etiology, pathogenesis and treatment of the disease, and sums up its discussion on the name, etiology, pathogenesis and treatment of the disease. And data mining, to clarify the characteristics of Pang's treatment of febrile fever and the law of prescription compatibility, to study Pang Anshi's academic thought of warm fever, to pass on the experience of famous experts, to guide the clinical diagnosis and treatment of warm fever. Methods: taking total typhoid fever disease as the research object, on the basis of screening 106 prescriptions for treating febrile fever, the database of Pang's prescriptions for treating febrile fever was established, and SPSS21.0 was used to deal with them statistically. Frequency analysis and factor analysis were used to mine the frequency, taste, meridian, classification and compatibility of the selected prescriptions, and the statistical results were described and analyzed by using the theory of febrile disease. This paper summarizes Pang Anshi's related exposition on the name, etiology, pathogenesis, symptoms, treatment principles and treatment methods of the warm fever disease, sums up the law of using drugs to treat the warm fever disease, and probes into the origin of his academic thought on the warm fever disease. Theoretical connotation and its influence on febrile disease theory. The result is 1: 1. Pang An-shih clearly proposed the difference between typhoid fever and febrile disease; discussed many kinds of febrile diseases; and considered that the external causes of warm fever disease were "latent qi" and "abnormal qi", and the internal causes were the deficiency of the patient's body or heat, and the pathogenesis of the disease was exogenous evil gas. Endogenetic stagnation of heat; in the treatment of cold and heat, the two main methods are clear and lower, and according to the condition of the disease combined with sweating, spitting, and so on, to make good use of the epidermis and double antipyretic, there are also achievements in the treatment of febrile fever by needling; the medicine is good at combining the cold cooling medicine with the Xin Wen medicine. Attach importance to the use of heat-clearing medicine and yin-nourishing medicine, advocating careful use of boiled powder. 2. The sources of 106 prescriptions for treating febrile fever were analyzed. The results showed that 44 prescriptions of Pang's treatment for febrile fever were self-made, the other ones with higher frequency were Treatise of febrile typhoid, important prescription of preparing emergency, and secret of external station. According to the data analysis of 106 prescriptions, it was found that the drugs with higher frequency were Glycyrrhiza uralensis 46, Scutellaria baicalensis 28, gypsum 27. According to efficacy, the most commonly used drugs are: Radix Scutellariae, Gypsum, Gardenia, Anemarrhena; antipods: ephedra, Pueraria, Guizhi, Concha. The highest frequency of drug use in the four qi groups were cold drug (T286N), mild drug (167N), five flavors (the highest frequency was the bitter drug (317g), the Xin flavor medicine (280g), the highest frequency of the medicine was the lung meridian (379n), the stomach meridian (357N), the spleen meridian (2933ng). The six main factors extracted by factor analysis were F1: Radix Anemarrhenae Radix Radix Glycyrrhizae, Radix Anemarrhenae Alba, Radix Almond, Radix Ephedra, Radix Almond, Radix Paeoniae Alba, Radix Almond, Radix Paeoniae Alba. Conclusion 1. Pang Anshi clearly pointed out the difference between febrile fever and typhoid fever, and developed the name, etiology, pathogenesis, treatment method and medication of the disease on the basis of previous physicians, and expounded the differentiation of syndrome and treatment of warm fever disease. Pang An-shih believed that the main causes of warm fever were "latent qi", "different qi" and physical factors. The pathogenesis of the disease was exogenous evil qi, endogenetic stagnation of heat. The treatment mainly included the Qing method and the lower method, and was good at the combination of xingwen medicine and cold and cool medicine. The method of promoting Xin Liang and resolving table, reusing bitter cold and clearing heat medicine, paying attention to protecting Yin liquid. 3. Pang Anshi discussed the characteristics, etiology, pathogenesis, treatment and prevention of infectious febrile disease, collected and developed many prescriptions and methods for the prevention and treatment of plague, which has a certain enlightening effect on the prevention and treatment of modern infectious diseases.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R249;R254

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