蒿芩清胆汤之证治特点浅析

Brief Analysis on the Treatment Characteristics with Haoqin Qingdan Decoction

选取符合标准的160例医案,对医案中的症状、药物进行规范后,建立相关数据表,进行频数统计,总结症状、脉象、药物等方面的特点。通过对160例当代医家临床验案中的常见症状、舌象脉象、原方药物及加味药物等资料进行频数统计,分析蒿芩清胆汤现代临床应用的证治特点。研究发现蒿芩清胆汤在现代临床应用中,常见症状有胸闷、胸胁胀疼、干呕呃逆、寒热如疟、不饥、小便黄、大便干、发热、汗出不畅、吐酸苦水,舌红苔腻,脉弦滑数。原方药物多用青蒿、黄芩、竹茹、枳壳、陈皮、半夏、茯苓,常用加味药物是栀子、柴胡、苍术、瓜蒌、石膏、荆芥等。

One hundred and sixty medical cases met the inclusive criteria were collected. After the normalization of the symptoms and medicines in the medical cases,the related data sheet was set up for the frequency statistical analysis and the summarization of the characteristics in symptoms,pulse condition and medicines,etc. By the frequency statistical analysis on the common symptoms,tongue condition,pulse condition,original formula and supplementary medicines in 160 cases of the medical masters in contemporary era,the treatment characteristics with haoqin qingdan decoction in clinic were analyzed. The study discovered that in the clinical application of haoqin qingdan decoction,the common symptoms included chest oppression,distention and pain in the chest and hypochondriac region,retching,hiccup,alternative chills and fever,no desire of hungry,yellow urine,dry stool,fever,hesitant sweating,acid reflux with bitter taste in the mouth,red tongue with sticky coating,wiry,rolling and rapid pulse. The ingredients included artemisia apiacea,scutellaria baicalensis,caulis bambusae in taeniam,fructus aurantii,pericarpium citri reticulatae,pinellia ternate and poria cocos. The common supplementary herbs were fructus gardenia,radix bupleuri,rhizome atractylodis,trichosanthes kirilowii maxim,gypsum,schizonepeta,etc.