桃核承气汤证脉证研究

Pulse and Syndromes of Taohe Chengqi Decoction Syndrome

目的:通过探讨桃核承气汤的主证、兼证、舌象、脉象,为桃核承气汤的临床应用提供理论依据。方法:通过查阅著名的中医医案书籍和1987年1月-2009年12月发行的医学期刊,选取94例以桃核承气汤为治疗方法的文献,通过数据处理、分析和总结,探讨桃核承气汤证的主证、兼证、舌象、脉象以及诊断方法。结果:94例文献中,出现的症状总数目为44个,各症状出现总次数为423次;便秘、腹胀满、癫狂、烦躁可作为桃核承气汤的主证;黄色为桃核承气汤证舌苔的主要颜色;弦脉、涩脉、数脉、沉脉及复合脉象为桃核承气汤证的主要脉象。结论:本研究使桃核承气汤的临床应用更加规范化,为探索桃核承气汤方证提供了一种新的研究方法。

Objective： To provide theoretical basis for clinical application of Taohe Chengqi Decoction through the probe into its main symptoms, accompanying symptoms, tongue picture and pulse manifestation. Methods： By consulting the famous TCM books and medical jnurnals issued from January. 1987 to December 2009, selected 94 cases of the literature treated with Taohe Chengqi Decoction, tile main syndrome, accompanying syndrome, tongue tfieture, pulse manifestation and diagnosis method of Taohe Chengqi Decoction were explored through data processing, analysis and summary. Results ： Among 94 cases of literature, the total number of symptoms is 44, the total occurring times of symptoms are 423 ; the main symptoms are constipation, abdomi- nal distension, mania and restlessness; yellow is the primary color of tongue; the main pulse manifestation are astringent pulse, taut pulse, rapid pulse, deep pulse and compound pulse. Conclusion： The research makes the clinical application of Taohe Chengqi Decoction more standardized, aod provides a new research method to explore Taohe Chengqi Decoction syndrome.