目的:张景岳在《妇人规·癥瘕类》中对癥瘕提出了比较系统全面的论述,现针对其关于癥瘕的论治思想及方药应用特点进行研究。方法:运用频数统计学方法对《妇人规·癥瘕类》中所列方剂及其所使用的药物种类、性味归经及进行统计分析。结果:癥瘕类论列总方73首,其中见于《新方八阵》《古方八阵》共65首,和阵与补阵居多。所用高频药物中,以补气药、理气药、补血药为多。结论:张景岳认为癥瘕病在气分、血分,治疗上以调气为主,兼以消癥。用药偏重补益和理气药,甘辛药物居多,并且多考虑脾肝胃肾的功能。张景岳立论精当有所创新,用药师古而不泥古,其辨治思想对临床具有重要的指导意义。
Objective:ZHANG Jingyue put forward a more systematic and comprehensive exposition of Zhengjia in the Woman Rule.Zhengjia Class,now studying Zhengjia on the rule of thinking and the characteristics of herbs applied.Methods:The frequency of statistical methods for the Woman Rule.Zhengjia Class listed prescriptions and the types of drugs used,the taste of meridian and statistical analysis.Results:There were 73 prescriptions,including 65 in the Xinfang Bazhen and eight in the Gufang Bazhen.The rest of the eight prescriptions were mostly blood circulation and blood stasis.The high-frequency drugs used to strengthening Qi medicine,regulating Qi medicine,strengthening blood medicine for more.Conclusion:ZHANG Jingyue has thought that Zhengjia disease in the Qi and blood,treatment mainly to regulate Qi,and to eliminate the disease.Medication emphasis on tonic and Qi medicine,sweet and spicy drugs mostly,and more to consider the function of the spleen liver and stomach.ZHANG Jingyue has elaborated on innovation,pharmacists ancient but not stick to ancient,the clinical treatment of thinking has important guiding significance.