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基于中医传承辅助系统的曹永清治疗便秘用药规律研究 被引量:7
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作者 赵向东 曹永清(指导) 徐向 《国际中医中药杂志》 2020年第6期583-587,共5页
目的挖掘曹永清治疗便秘的组方特点及用药规律。方法收集2007年1月1日-2017年12月31日上海中医药大学附属龙华医院曹永清教授治疗便秘的中药内服方,通过中医传承辅助系统(V2.5)对用药频次、性味归经、药物组合及药物关联等分析处理,利... 目的挖掘曹永清治疗便秘的组方特点及用药规律。方法收集2007年1月1日-2017年12月31日上海中医药大学附属龙华医院曹永清教授治疗便秘的中药内服方,通过中医传承辅助系统(V2.5)对用药频次、性味归经、药物组合及药物关联等分析处理,利用熵聚类规则分析核心组合,运用聚类规则挖掘新组合处方。结果共纳入处方561首,涉及中药113味,按频次高低排序前5位依次为枳实、厚朴、党参、茯苓、川楝子;归经以脾、胃、肝经为主;高频药物组合25组,按置信度高低排序,前3位依次为枳实-莱菔子-厚朴、枳实-厚朴-川楝子、枳实-莱菔子-厚朴-川楝子;核心组合18个,新处方9个,其中,行气方4个(44.4%),如青皮-全瓜蒌-陈皮-厚朴-莱菔子-升麻-枳实-川楝子;健脾化湿方2个(22.2%),如茯苓-生地黄-佛手-金银花-党参-白术;活血化瘀方2个(22.2%),如丹参-广藿香-没药-当归;养阴益气方1个(11.1%),即石斛-首乌藤-黄芪-茯苓-佛手。结论调治脾胃、理气化湿、活血通络是曹永清教授治疗便秘的主要思路。 展开更多
关键词 便秘(中医) 曹永清 用药经验 中医传承辅助系统 数据挖掘
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CLINICAL OBSERVATION ON THE TREATMENT OF 34 CASES OF SLOW TRANSIT CONSTIPATION WITH ELECTROACUPUNCTURE 被引量:1
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作者 吉学群 刘占芬 +1 位作者 冯超 张智龙 《World Journal of Acupuncture-Moxibustion》 2005年第3期28-31,共4页
Objective: To explore effective modelity for slow transit constipation (STC) and provide evidence for standardization of pattern identification of STC. Methods: Sixty eight cases of STC patients were randomly and ... Objective: To explore effective modelity for slow transit constipation (STC) and provide evidence for standardization of pattern identification of STC. Methods: Sixty eight cases of STC patients were randomly and evenly assigned into acupuncture group (n=34) and medication (control) group (n=34). In acupuncture group, Tianshu (天枢 ST 25) and Zhigou (支沟 TE 6) were punctured and stimulated electrically by setting the parameters of 1 Hz, continuous waves, suitable strength and duration of 30 min. Patients of the control group were ordered to take Tongbionling (bowel-movernent promotion) Capsule, 5 cap sules/time, once daily. Results: After 28 days' treatment, symptom scores in both groups were decreased significantly and colonic ejection rates within 72 hours increased considerably in comparison with pre-treatment ( P〈 0, 01 ) ; and the therapeutic effects of acupuncture group were remarkably better than those of control group in lowering symptom score and raising colonic ejection rate (P〈0.01). Conclusion: Acupuncture is a simple and practical method for the treatment of STC and its therapeutic effect is reliable. 展开更多
关键词 Slow transit constipation ELECTROACUPUNCTURE MEDICATION
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DEVELOPMENT ON CLINICAL TREATMENT OF CONSTIPATION WITH ACUPUNCTURE AND MOXIBUSTION
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作者 严兴科 崔建美 杨永清 《World Journal of Acupuncture-Moxibustion》 2005年第3期56-64,共9页
In the present paper, the authors review recent developmarrt of clinical treatment of constipation with acupunctire and moxibustion from ① body acupuncture therapy including special needling manipulations, as Ziwu Da... In the present paper, the authors review recent developmarrt of clinical treatment of constipation with acupunctire and moxibustion from ① body acupuncture therapy including special needling manipulations, as Ziwu Daojiu Needling, etc. and acupoint combination,②electrcacupunture therapy, ③ scalp-acupuncture therapy, ④ auricular acupuncture therapy, ⑤ needleembedding and acupoint-catgut-embedding therapies, ⑥ acupoint-application therapy, ⑦ combinged acupuncture aud medication therapy, ⑧ other therapies such as cupping therapy and holo-therapy, and ⑨ considerations about the action of acupuncture in the treatmnt of constipation and its prospect. Up to now, researches on the effect of acupuncture in treating constipation are seldom seen, thus, much attention should be paid about this by clinical and experimental researchers. 展开更多
关键词 CONSTIPATION Acupuncture therapy Moxibustion therapy Combined acupuncture and medication
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EVALUATION ON THE THERAPEUTIC EFFECT OF DEEP PUNCTURE OF TIANSHU (ST 25) FOR SLOW TRANSIT CONSTIPATION 被引量:1
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作者 张维 刘志顺 郭军 《World Journal of Acupuncture-Moxibustion》 2005年第3期3-7,共5页
Objective: To evaluate the short-term and middle-long-term therapeutic effects of deep puncture of Tianshu (天枢 ST 25) for slow transit constipation (STC). Methods: Sixty cases of STC patients were evenly rando... Objective: To evaluate the short-term and middle-long-term therapeutic effects of deep puncture of Tianshu (天枢 ST 25) for slow transit constipation (STC). Methods: Sixty cases of STC patients were evenly randomized into Methods: group and medication group. In acupuncture group, electroaoupuncture (EA, 20 Hz, continuous waves and tolerable strength) was applied to bilateral Tienshu (ST 25) for 30 min after deep puncture. The treatment was given once daily, 5 sessions every week, two weeks altogether. Patients of control group were ordered to take Lactulose ( 10mL/time, b. i. d), two weeks altogether. Cleveland Constipation Score (CCS) and colonic transit time (COT) were used to evaluate the therapeutic effect. Results: After treatment, both COS and COT showed that the therapeutic effect of acupuncture group was significantly superior to that of medication group (P〈0.05). Six-months' follow up showed that the therapeutic effect of acupuncture still maintained in 13 of the 22 cases visited, while that of control group only maintained in 1 of the 19 cases. Conclusion: The therapeutic effect of deep puncture of Tianshu (ST 25) for STC is definite and has a middle-long-term effect. The patients have no any unfavorable reactions. 展开更多
关键词 Slow transit constipation Acupuncture therapy Deep puncture of Tianshu (ST 25)
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明清吴门医家医籍便秘处方配伍特色分析研究 被引量:6
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作者 王晓鹏 乐音子 +2 位作者 孙明明 甄曙光 颜帅 《国际中医中药杂志》 2019年第9期992-997,共6页
目的采用数据挖掘方法分析明清吴门医家医籍便秘处方用药特色,为当代临床便秘治疗提供参考.方法检索南京中医药大学图书馆古籍文献数据库中明清吴门医家便秘处方,建立数据库,采用频数分析法分析常见药物及证型,采用关联规则和复杂网络... 目的采用数据挖掘方法分析明清吴门医家医籍便秘处方用药特色,为当代临床便秘治疗提供参考.方法检索南京中医药大学图书馆古籍文献数据库中明清吴门医家便秘处方,建立数据库,采用频数分析法分析常见药物及证型,采用关联规则和复杂网络分析等数据挖掘方法分析组方规律.结果纳入处方202首,涉及证型18种,其中以气滞证比例最高,其次是阴虚证、湿热证、血虚证和肝胃不和证;涉及中药61味,用药频次前10位依次为当归、苦杏仁、柏子仁、火麻仁、半夏、陈皮、肉苁蓉、生地黄、白芍、大黄,药对有桔梗-苦杏仁,红花-桃仁,红花-当归等,角药有红花-郁李仁-桃仁,红花-郁李仁-当归,红花-当归-桃仁,白芍-大黄-厚朴等,并以相关药对为核心组成不同的核心处方.结论明清吴门医家多认为便秘为本虚标实,以辛润通络为其治疗大法,并重视活血化瘀、温阳及理气化痰等治法,强调便秘与肺、脾、肝和肾的关系. 展开更多
关键词 便秘(中医) 吴门医家 中医流派 数据挖掘 用药特色 配伍规律 中医药学文献
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基于气机升降理论辨治老年功能性便秘 被引量:7
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作者 杨品华 刘明 +4 位作者 朱光海 李元浩 郭子媛 高娅雪 郭利华 《国际中医中药杂志》 2020年第4期389-391,共3页
基于气机升降理论,结合老年患者生理病理特点,探讨老年功能性便秘的治疗,认为老年功能性便秘与人体气机升降失调密切相关,故治疗应以调节人体气机升降为旨,以升阳降浊、提壶揭盖、调节情志为法,盖因人体气机升降有序,血津液得以正常输布... 基于气机升降理论,结合老年患者生理病理特点,探讨老年功能性便秘的治疗,认为老年功能性便秘与人体气机升降失调密切相关,故治疗应以调节人体气机升降为旨,以升阳降浊、提壶揭盖、调节情志为法,盖因人体气机升降有序,血津液得以正常输布,则大肠之秘结可解也。 展开更多
关键词 便秘(中医) 功能性便秘 老年病 气机升降 中医药疗法 医案 经验心得
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《景岳全书》论治秘结探讨 被引量:1
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作者 欧淑君 李健 《国际中医中药杂志》 2019年第9期1009-1011,共3页
本文对明代医家张景岳在《景岳全书》中论治秘结病的学术思想进行介绍,探析其辨治方法及方药特色.张景岳认为秘结一病"除阳明热结之外,则悉由肾",在临证分型上提出"有火便是阳结,无火便是阴结",治疗上重视察阴阳、... 本文对明代医家张景岳在《景岳全书》中论治秘结病的学术思想进行介绍,探析其辨治方法及方药特色.张景岳认为秘结一病"除阳明热结之外,则悉由肾",在临证分型上提出"有火便是阳结,无火便是阴结",治疗上重视察阴阳、寒热、虚实、气血、温凉以治之. 展开更多
关键词 《景岳全书》 便秘(中医) 秘结病 阳结 阴结
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Effects of Acupuncture on the Constipation in Rats Model 被引量:1
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作者 严兴科 张广全 +5 位作者 杨永清 杨波 高洋 王富春 洪杰 崔学军(翻译) 《Journal of Acupuncture and Tuina Science》 2007年第5期270-273,共4页
Objective: To investigate the effects of acupuncture on constipation in rats. Method: Compound diphenoxylate was used to set up rat model of constipation. After needling “Hegu” and “Housanli”, the time to first ... Objective: To investigate the effects of acupuncture on constipation in rats. Method: Compound diphenoxylate was used to set up rat model of constipation. After needling “Hegu” and “Housanli”, the time to first bowel movement, and stool grains quantity and weight in 12 rats were observed. Results: The time to first bowel movement was delayed, and the stool grains quantity and weight were reduced in the model rats. Acupuncture could significantly shorten the time to first bowel movement, and increase stool grains quantity and weight. Conclusion: Acuouncture can imorove the defecating abilities in rats model ofconstioation. 展开更多
关键词 CONSTIPATION Defecation function Acupuncture Therapy
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