基于五运六气学说探讨唐兴荣戊戌年辨治胃痛规律

Discussion on Rule of TANG Xingrong in Treating Stomachacheg in 2018 from the Theory of Five Circuit Phases and Six Climatic Factors

目的:以唐兴荣教授于2018年(戊戌年)诊治胃痛的有效中医处方为研究对象构建数据库,通过统计分析进行经验总结,结合五运六气学说探讨其在中医临证研究方面的应用价值,形成辨治经验供进一步传承。方法:应用Microsoft Excel软件构建唐教授临证规律数据库,应用SPSS24.0数据统计软件,通过频数分析、描述性统计分析等数据统计方法,挖掘其中潜在的证型和用药规律,并将该规律结合运气学说进行分析。结果:构建了唐教授在胃痛患者中临证的诊治方证数据库,实现方证的实时采集与数据转录,结合当年的五运六气学说,挖掘归纳出唐教授治疗胃痛组方——肝脾(胃)同治,兼顾气血的特点。结论:通过建立方药证治数据库、利用统计技术进行中医方药和五运六气规律的研究,方法可行,结果可靠,可用于总结名中医的临床经验特色。

Objective:Taking Prof.TANG Xingrong's effective Chinese medicine prescriptions for the diagnosis and treatment of stomachache in 2018 as the research objects,the database was constructed.The experience was summarized through statistical analysis,and the applicational value of the theory of five phases circuits and six climatic factors in the study of clinical syndromes of Chinese medicine was discussed,so as to form the experience of differentiation and treatment for further inheritance.Methods:Microsoft Excel software was used to build the database of Prof.TANG's clinical syndrome law,and SPSS24.0 data statistical software was used to dig out the potential syndrome type and medication law through frequency analysis,descriptive statistical analysis and other data statistical methods,and the law was analyzed in combination with the theory of circuit and qi.Results:The database of prescriptions of Prof.TANG in diagnosing and treating stomachache patients was constructed to realize real-time collection and data transcription of prescriptions.Combined with the theory of five phases circuits and six climatic factors in 2018,the characteristics of Prof.TANG's prescriptions for stomachache were excavated and concluded—simultaneous treatment of the liver,the spleen(the stomach)combined with qi and blood.Conclusion:The method is feasible,whose results are reliable,and it can be used to summarize the clinical experience characteristics of famous Chinese medicine practitioners.