孟河费氏、马氏治疗胃痛经验探讨

Analyzing the Treatment of Stomachache of Menghe FEI's and MA's

[目的]通过整理孟河费氏、马氏治疗胃痛的医案,比较其用药规律,分析并探讨孟河医派治疗胃痛的经验。[方法]逐条核对,建立医案数据库,参照《中药学》对药物名称与炮制方法进行规范,运用数据挖掘方法对医案中治疗用药进行频数统计、分析,分别计算用药频数,并进行药物分类。[结果]纳入医案共40则,其中理气药、化湿药、活血化瘀药、补血药等出现频次较高;费氏每张处方约13.22味,高频药物包括当归、刺蒺藜、陈皮、青皮、木香等;马氏约10.72味,高频药物包括丹参、茯苓、当归、郁金、半夏等。[结论]孟河费氏、马氏治疗胃痛重视理气和胃法、化痰祛瘀法、治肝安胃法,其用药中正和缓、轻灵精当,细微差异中见个人特色,值得临床借鉴。

[Objective]By analyzing the treatment of stomachache of the surnames FEI and MA from Menghe scholarly sect, exploring the experiences in treatment and formula regularity. [Method]The thesis gives standard of medicine names and processing technology based on Traditional Chinese Pharmacology ;calculates the medication frequency and classifies medicines by frequency analysis.[Resuhs]There are totally 40 medical cases included in the study, statistics analysis shows that the drug is mainly Qi regulating drugs,drugs for eliminating dampness, drugs of promoting blood circulation and hematinics drugs.Mr FEI took 13.22 drugs on average, high-frequency medicines include Angelica,Tribulus terrestris,Tangerine Peel,Green Tangerine Peel, Radix aucklandiae.Mr MA took 10.72 drugs on average,high-frequency medicines include Salvia miltiorrhiza,Poria cocos,Angelica,Radix Curcumae,Pinellia. [Conclusions]The surnames FEI and MA from Menghe scholar sect paid attention to the method of regulating qi-flowing for harmonizing stomach,the method of resolving phlegm and removing blood stasis,the method of pacifying the stomach through the treatment of the liver.The idea of prescribing is moderate, lightly and well-proportioned. The nuances state their personal characteristics.It＇s worth our reference in clinical treatment.