基于现代文献对中医经典祛湿方剂临床应用的分析
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R289

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中医湿证国家重点实验室专项项目(中医二院[2020]20号);广州中医药大学学科研究重点项目(XK-2019027)


Analysis of Clinical Application of Traditional Chinese Medicine Classic Prescription of Dispelling Dampness Method Based on Modern Literature
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    摘要:

    目的:系统梳理中医经典祛湿方剂的临床运用情况,探讨其遣方用药规律。方法:参照《中医方剂学》将中医祛湿法的燥湿和胃、清热祛湿、利水渗湿、温化寒湿及祛风胜湿五类,进行分类,共分成:化湿法、燥湿法、利湿法、胜湿法及渗湿法;其中化湿法细分为疏表化湿、清热化湿、解毒化湿;燥湿法细分为苦寒燥湿和苦温燥湿;利湿法细分为淡渗利湿、温阳利湿、滋阴利湿、清热利湿及温肾利水;胜湿法细分为祛风胜湿和活血胜湿。以法统方,分别检索古代经典名方目录(第一批)、《中医方剂学》和《中华医典》,检索出祛湿方剂,再以方剂名为检索词,检索中国知网、万方、维普三大中文期刊数据库,筛选出运用该类方剂的文献进行分析。结果:共检索出71 首经典祛湿方剂,来源于38 部中医经典,纳入现代文献456 篇,共涉及282 种疾病,共使用了122 味中药,药物总使用频次3 783 次。结论:梳理经典祛湿方剂,明确其来源出处及证治,了解其现代临床应用,掌握经典祛湿方剂的组方构造,对于明确湿病(证) 的病因证治研究,可充分挖掘经典祛湿方剂的现代应用,并将提供指引作用。

    Abstract:

    Abstract:Objective:To systematically sort out the clinical application of traditional Chinese medicine classic dampness removing prescription and explore the law of its prescription. Methods:According to the Science of TCM Prescriptions,TCM dampness removing method can be divided into five categories: dry dampness and harmonize the stomach,clearing heat and dampness,clearing damp and promoting diuresis,warming cold-damp and eliminating wind and surpassing dampness. The eliminating dampness method can be subdivided into relieving exterior and eliminating dampness, clearing heat and eliminating dampness,detoxification and eliminating dampness. Dryness and dampness method is subdivided into bitter cold dryness and dampness and bitter temperature dryness and dampness. The method of diuresis is subdivided into light infiltration and diuresis, warming yang and diuresis, nourishing yin and diuresis, clearing heat and diuresis and warming kidney and water. It is subdivided into dispelling wind and promoting blood circulation. Based on the legal formula, the catalogue of ancient classic famous prescriptions(the first batch),the Science of TCM Prescriptions and the Chinese Medical Code were searched respectively, and the dehumidification prescription was retrieved. Then, taking the name of the prescription as the search term,the three Chinese Journal Databases of CNKI,Wanfang and VIP were searched,and the literature using the prescription was selected for analysis. Results: A total of 71 classic antidampness prescriptions were retrieved, which came from 38 classics of traditional Chinese medicine and included 456 modern literatures. A total of 282 diseases were involved. A total of 122 species of traditional Chinese medicines were used,and the total frequency of drug use was 3 783 times. Conclusion: Combing the classic dampness removing prescription, clarifying its source and syndrome treatment, understanding its modern clinical application, and mastering the formula structure of the classic dampness removing prescription can fully excavate the modern application of the classic dampness removing prescription for clarifying the etiology,syndrome and treatment of dampness disease or dampness syndrome.

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郑欢,秦书敏,吴皓萌,杨元明,张海燕,黄绍刚.基于现代文献对中医经典祛湿方剂临床应用的分析[J].新中医,2021,53(21):17-22

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  • 在线发布日期: 2021-11-12
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