补脾胃泻阴火升阳汤临证用药规律的文献研究

Literature Study on the Medication Law of Bupiwei Xieyinhuo Shengyang Decoction

归纳补脾胃泻阴火升阳汤临证用药规律。方法通过中国知网(CNKI)、维普中文科技期刊数据库(VIP)、万方数据知识服务平台(WF)检索1990—2021年关于补脾胃泻阴火升阳汤的医案,进行用药规律的文献研究。结果补脾胃泻阴火升阳汤主要治疗虚实夹杂、寒热错杂之脾胃病,其中柴胡作为君药,使用频次最高、药量最大;医家临证常减去人参、生石膏、羌活,加入补虚药、清热药和利水渗湿药,主要有党参、白术、白芍、当归、黄柏等。结论补脾胃泻阴火升阳汤运用“补脾泻火升阳”调整脾胃平衡。

Objective To summarize the clinical medication law of Bupiwei Xieyinhuo Shengyang Decoction.Methods The medical cases of Bupiwei Xieyihuo Shengyang Decoction from 1990 to 2021 were retrieved through China National Knowledge Infrastructure(CNKI),VIP Chinese Science and Technology Periodical Database,and Wanfang Data Knowledge Service Platform.The literature research on the medication law was carried out.Results Bupiwei Xieyinhuo Shengyang Decoction was mainly used to treat spleen and stomach diseases with deficiency-excess in complexity and mixed cold and heat.Bupleuri Radix was used as the sovereign medicinal,with the highest frequency and the largest dosage.In the clinical treatment,Ginseng Radix et Rhizoma,Gypsum,and Notopterygii Rhizoma et Radix were often subtracted,and tonic,antipyretic,and diuretic and hygroscopic drugs were added,mainly including Codonopsis Radix,Atractylodis Macrocephalae Rhizoma,Paeoniae Radix Alba,Angelicae Sinensis Radix,and Phellodendri Chinensis Cortex.Conclusion Bupiwei Xieyinhuo Shengyang Decoction can adjust the balance of spleen and stomach by tonifying spleen,purging fire,and raising yang.