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三平祖师药签防治中医湿证用药特点探析

Analysis on the Medication Characteristics of Ancestor Sanping Herbal Notes in the Prevention and Treatment of Traditional Chinese Medicine Dampness Syndrome
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摘要 目的应用中医传承辅助平台数据挖掘方法对三平祖师药签进行数据分析,以探讨祖师药签在湿证防治上的用药特点与规律,以供临床运用及继承发扬。方法运用软件统计报表系统对药签的用药性味、归经、用药模式及关联规则进行统计分析,探讨其用药特点及规律。结果三平祖师药签用药共49味,应用频率居前10的是茯苓、甘草、当归、牛膝、山药、白术、陈皮、生地黄、芡实、党参;四性以平、温、寒为主;五味以甘、苦、辛为要;归经以入脾、肺、肾经为重;核心药对为白术-茯苓、牛膝-当归;常见配伍倾向为厚朴-砂仁,木瓜-牛膝。结论三平祖师药签从闽南地区中焦脾虚湿盛与下焦湿浊痹阻常见病机入手,立法参闽南气候湿热之实,重视甘平之药陪补脾胃以恢复元气,佐以苦辛理气燥湿、甘寒清热利湿之法以缓脾之困,与闽南地区湿浊为患的病因病机相合,在湿证防治用药选择上值得效法。 Objective The data mining method of traditional Chinese medicine inheritance auxiliary platform was applied to analyze the data of Ancestor Sanping herbal notes,in order to explore the characteristics and rules of medicine use of Ancestor Sanping herbal notes in the prevention and treatment of dampness syndrome,so as to provide clinical application and inheritance.Methods Using statistical reporting system of the platform,statistical analysis was carried out on the medicinal properties and tastes,meridian entry,toxicity and efficacy frequency of the herbal notes,to explore the characteristics and regularity of drug use.Results Ancestor Sanping herbal notes have a total of 49 flavors,and the top 10 application frequency are mild and non⁃toxic,with licorice,Poria,Angelica,Achyranthes bidentata,Chinese yam,atractylodes macrocephala,dried tangerine peel,habitat,Gorgon fruit,amomum villosum.The meridian entry is mainly in the spleen,lung and kidney meridians,and the medicinal effect is mainly in strengthening the spleen and removing dampness.Conclusion The prescription of Ancestor Sanping herbal notes is simplified,and its legislation is based on the fact that the climate in South Fujian is damp and hot,and the patients are deficient of the spleen frequently,using sweet and mild herbal medicine to nourish the middle jiao,assisted with the methods of regulating qi,drying dampness,clearing heat and removing dampness to relieve the spleen.The treatment is in line with the medical practice.The selection of drugs for prevention and treatment of dampness syndrome should be followed by us.
作者 蔡秋梅 韩春雯 CAI Qiumei;HAN Chunwen(Department of Health and Wellness,Zhangzhou Health Vocational College,Fujian Province,Zhangzhou 363000,China)
出处 《光明中医》 2023年第24期4728-4731,共4页 GUANGMING JOURNAL OF CHINESE MEDICINE
关键词 湿证 三平祖师药签 中医药疗法 dampness syndrome Ancestor Sanping herbal notes therapy of TCM
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