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朱丹溪临证方药特点的方剂计量学研究
  • ISSN号:1009-5551
  • 期刊名称:《新疆医科大学学报》
  • 时间:0
  • 分类:R249[医药卫生—中医临床基础;医药卫生—中医学] R289.1[医药卫生—方剂学;医药卫生—中药学;医药卫生—中医学]
  • 作者机构:[1]新疆医科大学中医学院,新疆乌鲁木齐830011, [2]新疆吐鲁番市人民医院,新疆吐鲁番838000
  • 相关基金:国家自然科学基金(30660219)
中文摘要:

目的探讨朱丹溪临证用药特点,分析其医学理论与临床实践的关联性。方法运用方剂计量学的指标体系和分析方法对朱丹溪医论与医案所载方药的功效、归经、四性、五味进行统计对比,并运用相关分析等数理统计方法进行综合分析评价。结果 (1)朱丹溪在临证处方用药使用最多的依次为清热、补气、化痰、解表、理气类药物;使用归脾经、胃经药物较多,使用心经、肝经、肾经药物差别不甚明显;多用脏经药物,少用腑经药物;喜用药性为温性、寒性药物,而用凉性、热性药物较少;用苦味、辛味的药物较多,酸味、咸味药物较少。(2)临证医论与医案的药物功效相关性分析结果,相关系数r=0.917(P〈0.01);二者药物归经相关系数r=0.990(P〈0.01);药物四性相关系数r=0.996(P〈0.01);药物五味相关系数r=0.994(P〈0.01)。结论朱丹溪是滋阴派的倡导者,创立了阳有余阴不足论、相火论,临床用药善治杂病,尤其善于治疗痰证和郁证,这些理论与经验在本文对朱丹溪临证处方用药的方剂计量学分析中得到证实。朱丹溪医论与医案用药关联性极强,表明其理论与临床实践的高度统一。

英文摘要:

Objective To explore the characteristics of the medical herbs used in the clinical by Danxi Zhu and to analyze relevance of the medical theory and clinical practice.Methods To use Index System of Prescription Metrology and Analysis Method to compare and analyze the effectiveness,meridians,four properties,five flavors of the herbs written in the medical theory and medical case records of Danxi Zhu;Correlation analysis of mathematical statistics was used to conduct a comprehensive analysis.Results(1) medical herbs widely used in the clinical by Danxi Zhu were in sequence of clearing heat,reinforcing qi,dissolving phlegm,relieving the exterior,regulating qi;most medical herbs belonging to Spleen meridian,Stomach meridian.There was no significant differences in using herbs belonging to Heart,Liver and Kidney meridian.Medical herbs belonging to zang-organ,warm,cold,bitter,pungent-spicy were more used,while fu-organ,cool,heat,sour,salty were less used.(2) the correlation coefficient of effectiveness of medical herbs r=0.917(P0.01);correlation coefficient of the meridian r=0.990(P0.01);correlation coefficient of four properties r=0.996(P0.01);correlation coefficient of five flavors r=0.994(P0.01).Conclusion Danxi Zhu is an advocator of nourishing yin school,who initiates "viewpoint of yang being in excess while yin being in deficiency" and "viewpoint of ministerial fire".He was good at treating difficult diseases especially in the phlegm and melancholia diseases.The theories and experiences in this article were confirmed by metrology analysis.The relevance of using medical herbs was very strong,and it showed that its theory and clinical practice was a high degree of unity.

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期刊信息
  • 《新疆医科大学学报》
  • 中国科技核心期刊
  • 主管单位:新疆医科大学
  • 主办单位:新疆医科大学
  • 主编:哈木拉提.吾甫尔
  • 地址:乌鲁木齐市新医路393号
  • 邮编:830011
  • 邮箱:xjykdxxb@163.com
  • 电话:0991-4365141
  • 国际标准刊号:ISSN:1009-5551
  • 国内统一刊号:ISSN:65-1204/R
  • 邮发代号:58-100
  • 获奖情况:
  • 国家教育部优秀科技期刊三等奖,新疆优秀期刊奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,中国中国科技核心期刊
  • 被引量:16959