先秦至东汉腹痛证治规律研究

Study on the Rule for Diagnosis and Treatment of Abdominal Pain from Pre-Qin to Eastern Han Dynasty

目的探求先秦至东汉腹痛证治规律。方法选取该时期具有治疗腹痛功效的方剂,对方剂证型、药物性味归经、药物频次、药物功效类属进行频数统计,并用SPSS Statistics 26.0对高频药物进行聚类分析。结果共选取73方,涉及112味药(归经纳入107味),证候以脾胃虚寒证最为多见,药性以温性、热性为主,药味多为甘味、辛味,药物归经以肺、脾、胃、肝经为主,高频药物之首为白芍,取高频药物前10味进行聚类分析,可聚为4类。结论先秦至东汉时期腹痛证型、用药多样,辨证论治已趋成熟,为后世腹痛的辨治奠定了基础。

Objective To explore the rules of abdominal pain treatment from Pre-Qin to Eastern Han Dynasty.Methods Formulas with the efficacy of treating abdominal pain in this period were selected for the study,and the frequency statistics of formulas,drug flavour and meridian,drug frequency,and drug efficacy categories were conducted,and the cluster analysis of high-frequency drugs was performed with SPSS Statistics 26.0.Results A total of 73 prescriptions were selected,involving 112 flavours(107 flavours were included in the classification of meridians).The symptoms were most common in the spleen and stomach deficiency and cold syndrome,the medicinal properties were mainly warm and hot,and the medicinal flavours were mostly sweet and pungent,and the medicinal meridians were mainly the lung,spleen,stomach,and liver meridians,and the first high-frequency medication was Paeonia lactiflora,and the first 10 flavours were taken for cluster analysis,which could be clustered into four categories.Conclusion During this period,abdominal pain was characterized by a variety of symptoms and medications,and the identification and treatment of abdominal pain had become mature,laying a foundation for the identification and treatment of abdominal pain in later generations.