黄星楼治疗脾胃病用药规律浅析

Analysis on the rule of Huang Xinglou's medication in the treatment of spleen and stomach diseases

目的:探讨黄星楼老师治疗脾胃病的用药规律。方法:整理黄星楼老师遗存的治疗脾胃病处方92张,将处方患者姓名、性别、年龄、处方组成、剂数等信息录入Excel表,并对各药物用药频数、类别、性味、归经等进行统计学分析。结果:92张处方中男性53人,女性39人,年龄最小17岁,最大74岁。剂数最少2剂,最多7剂。共使用中药203味,总用药频数1067次,平均每张处方开具中药11.60味。用药频数前5位中药分别为陈皮、佛手、茯苓、川楝子、生鸡内金;用药类别前5位分别为理气药、补虚药、化痰止咳平喘药、消食药、利水渗湿药;药味以苦、辛、甘为主,药性以温、寒、平为主;药物归经主要集中于脾、肝、肺、肾、胃五经。结论:黄星楼老师认为脾胃病临床常见证型主要为“肝胃不和、脾胃虚寒、痰饮中阻、热郁中脘、瘀阻胃脘”五类,治疗宜以“通”为用,以“和”为贵,常采用调和肝胃、补中益气、化痰和中、清热和胃、祛瘀通络等法随证施治,并注重肝脾同治、气血同治、肺胃同治。处方用药严谨,喜用生鸡内金、生乳香、生没药等生药,注重产地、炮制、采收、药用部位和地产药材等的使用,具有良好的借鉴意义。

Objective:To explore the rule of Huang Xinglou's medication in the treatment of spleen and stomach diseases.Methods:92 prescriptions for spleen and stomach diseases left by Professor Huang Xinglou were sorted out.The information of patient's name,gender,age,prescription composition and dosage number were recorded in Excel table,and the frequency,category,taste and meridian attribution of each drug were analyzed statistically.Results:Among the 92 prescriptions,53 were male and 39 were female.The youngest was 17 years old and the oldest was 74 years old.The dosage should be at least 2 doses and at most 7 doses.A total of 203 herbal medicines were used.The total frequency of medication was 1067 times,with an average of 11.60 herbal medicines per prescription.The top five traditional Chinese medicines were Chen pi(陈皮),Foshou(佛手),Fuling(茯苓),Chuanlianzi(川楝子),Shengjineijin(生鸡内金);the top five medicines were Liqi medicinals(理气药),Buxu medicinals(补虚药),H uatan zhike Pingchuan medicinals(化痰止咳平喘药),Xiaoshi medicinals(消食药),Lishui Shenshi medicinals(利水渗湿药),antifeeding drugs and water-diffusing and dampnesspermeating drugs;Ku(苦),Xin(辛)and Gan(甘)were the main medicinal flavors,while Wen(温),Han(寒)and Ping(平)were the main medicines;meridian attribution was mainly concentrated in Pi(脾),Gan(肝),Fei(肺),Shen(肾),Wei(胃).Conclusion:Professor Huang Xinglou believes that the common clinical syndromes of Ganwei Buhe(肝胃不和),Piwei Xuhan(脾胃虚寒),Tangying Zhongzhu(痰饮中阻),Reyu Zhongwang(热郁中脘),Yuzu Weiwang(瘀阻胃脘)five types.The treatment should be"Tong(通)"for the purpose of"Yong(用)",and"He(和)"for the“Gui(贵)”,and the methods of Tiaohe Ganwei(调和肝胃),Buzhong Yiqi(补中益气)、Huatan(化痰),QinWeiRe(清胃热),Quyu Tongluo(祛瘀通络).Collaterals are often used.And attention is given to the treatment of Ganpi tongzhi(肝脾同治),Qixue tongzhi(气血同治),FeiwWei Tongzhi(肺胃同治).The prescription is rigorous in medication,preferring Shengjineijin(生鸡内金),Shengruxiang(生乳香),Shengmeiyao(生没药)and other crude drugs,paying attention to the use of origin,processing,harvesting,medicinal parts and local medicinal materials,which has a good reference significance.