【摘要】：目的分析比較葉天士和薛生白在治療濕熱類溫病的用藥異同及各自治法特點。方法根據(jù)葉天士、薛生白兩人著作中的醫(yī)案,借助中醫(yī)傳承輔助系統(tǒng),應(yīng)用關(guān)聯(lián)規(guī)則及χ~2檢驗比較二者用藥異同。結(jié)果葉、薛二家在治療濕熱類溫病時,茯苓、陳皮、厚樸、杏仁、滑石、澤瀉、半夏、薏苡仁、白術(shù)、蒼術(shù)等10味均有較高的使用頻率,其中杏仁、滑石、澤瀉3味藥物的使用中葉天士要多于薛生白,具有顯著性差異(P0.05)。在藥物配伍方面,葉、薛二家均喜用茯苓-陳皮-厚樸;不同的是葉天士還喜用黃芩-黃連、豬苓-澤瀉、滑石-竹葉-杏仁等配伍,而薛生白使用較多的是杏仁-厚樸-白豆蔻、陳皮-白術(shù)-茯苓、厚樸-茯苓-陳皮-草果等配伍。結(jié)論葉、薛二家在治療濕熱類溫病時均遵行了《內(nèi)經(jīng)》的治濕原則,另外葉氏的常用配伍也體現(xiàn)了其"總以苦辛寒治濕熱"的用藥特色,而薛氏的用藥則體現(xiàn)了其"濕熱病屬陽明太陰者居多"的認(rèn)識,治療以中焦陽明、太陰為主。
[Abstract]:Objective to analyze and compare the differences and similarities between Ye Tianshi and Xue Shengbai in the treatment of damp-heat febrile disease. Methods according to the medical records of Ye Tianshi and Xue Shengbai, the similarities and differences of drug use were compared by using association rule and 蠂 ~ 2 test. Results in the treatment of damp-heat febrile disease, the 10 flavors of leaf, Xue Erjia, Poria cocos, Chen Pei, Magnolia officinalis, almond, talc, almond, Atractylodes macrocephala, Atractylodes macrocephala and Atractylodes macrocephala all had a high frequency of use, including almonds and talc. The use of 3 kinds of medicine in alisma was more than Xue Shengbai, with significant difference (P0.05). When it comes to drug compatibility, Ye and Xue both prefer to use Poria cocos, Chen Pei and Magnolia officinalis. The difference is that Ye Tianshi also likes to use Scutellaria Coptis, Polyporus Alismatis, Talc, Bamboo Leaf and Almond, etc. Xue Shengbai used almond-Magnolia-white nutmeg, Chenpi-Atractylodes-Poria cocos, Magnolia-Poria-Chen Pei-grass fruit compatibility. Conclusion Ye and Xue Erjia followed the principle of treating dampness in treating damp-heat febrile diseases. In addition, Ye's common compatibility also reflected the characteristics of "treating dampness and heat with bitter and bitter cold". Xue's medication reflects the recognition that the damp-heat disease is mainly Yangming and Taiyin, which is mainly treated by Jiaoyangming and Taiyin.
【作者單位】： 北京中醫(yī)藥大學(xué)宣傳部;北京中醫(yī)藥大學(xué)中醫(yī)學(xué)院;
【基金】：北京中醫(yī)藥大學(xué)新奧“名老中醫(yī)藥經(jīng)驗挖掘?qū)W術(shù)研究重點項目”
【分類號】：R254

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