古代医家水肿医案100例用药规律研究

Study on Medication Regularity in 100 Cases of Edema Treated by Ancient Scholars

收集古代水肿医案100例,建立水肿用药数据库,利用中医传承辅助平台V2.0进行统计及相关数据分析,探讨古代医家治疗水肿的用药规律,以期对临床用药提供启示。结果发现古代医家治疗水肿的常用药物是茯苓、泽泻、陈皮、白术、大腹皮、茯苓皮等。其中药性以温、平、寒性药为主,药味以甘、辛、苦、淡为主。归经多入脾、胃、肺、肾经。古代医家对水肿病证的病位及病机的认识基本上是一致的,治疗上以肺、脾、肾三脏为主,辨阴阳虚实,标本同治。

One hundred ancient medical cases of edema were collected and the medication database was set up. Using TCM inheritance assistant platform V2. 0,the relevant data were analyzed statistically so as to explore the medication regularity of the ancient scholars in treatment of edema and to provide the approach to clinical medication. The common drugs for edema treated with ancient medical scholars are poria cocs,rhizome alismatis,pericarpium citri reticulatae,rhizome atractylodis macrocephalae,pericarpium arecae,poria peel,etc. The herbs are warm,neutral or cold in nature,sweet,pungent,bitter or tasteless in flavor,acting on the spleen,stomach,lung and kidney meridians. The ancient medical scholars have a consistent recognition on the location of sickness and the pathogenesis of edema. In the treatment,the lung,spleen and kidney are mainly considered; yin,yang,deficiency and excess are differentiated; the primary and secondary are equally important.