主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (3): 52-58.doi: 10.3969/j.issn.2095-6606.2021.03.012

• 文献研究 • 上一篇    下一篇

基于近现代医案探讨桃核承气汤证治规律*

李冉1, 付春梅2, 罗亚敏1, 周冉冉1, 李伊然1, 陶晓华1#   

  1. 1 北京中医药大学中医学院 北京 100029;
    2 北京中医药大学期刊中心
  • 收稿日期:2020-10-16 出版日期:2021-05-30 发布日期:2021-06-08
  • 通讯作者: #陶晓华,男,博士,教授、主任医师,博士生导师,E-mail:xhtao1963@126.com
  • 作者简介:李冉,女,硕士
  • 基金资助:
    *国家重点研发计划项目资助(No.2019YFC1709200, No.2019YFC1709201), 科技部重大新药创制(No.2018ZX09721005-007-009)

Syndrome treatment rules of Taohe Chengqi Decoction based on contemporary medical records*

Li Ran1, Fu Chunmei2, Luo Yamin1, Zhou Ranran1, Li Yiran1, Tao Xiaohua1#   

  1. 1 School of Chinese Medicine,Beijing University of Chinese Medicine, Beijing 100029;
    2 Journal Center, Beijing University of Chinese Medicine
  • Received:2020-10-16 Online:2021-05-30 Published:2021-06-08

摘要: 目的 探讨桃核承气汤在近现代临床中的证治规律,为临床应用提供参考。方法 通过计算机检索中国知网、维普、万方数据库以及手动检索医案类书籍中有关桃核承气汤的医案,检索时间为1912年1月1日—2019年12月31日,并建立数据库使用SPSS 22.0软件进行统计分析。结果 343例医案中男性患者154例(44.90%),女性患者189例(55.10%),男女比例为1∶1.23;发病年龄多集中在21~40岁之间,占基本年龄医案分布的67.31%;涉及病名85种,症状162个,舌质9种,苔色和苔质共13种,脉象24种;服药疗程7剂以内占比74.62%,药后反应大便增多占比50.85%;加味药物有166种,筛选出桃核承气汤主治病种6个,主要症状11个。结论 桃核承气汤证男女均可发生,以女性较多;患者以青壮年居多;主要症状为大便秘结、少腹急结、烦躁、小便不利、腹胀痛、口干渴、神识不清、发热、腰痛、纳差和不寐。近现代医家运用桃核承气汤的范围不断扩大,临床中符合瘀热互结的病机,皆可灵活加减应用。

关键词: 桃核承气汤, 医案, 数据分析, 证治规律

Abstract: Objective To explore the syndrome treatment rules of Taohe Chengqi Decoction in modern times, and to provide reference for clinical application. Methods CNKI, VIP,WanFang databases were searched and manual retrieval was added to retrieve medical books, and relevant medical records of Taohe Chengqi Decoction were collected. The search time started from January 1,1912 to December 31,2019.And a database was established.SPSS 22.0 software was used for statistical analysis. Results Among the 343 medical cases,there were 154 male patients(44.90%) and 189 female patients (55.10%), with a male to female ratio of about 1:1.23.The majority of the onset age was 21-40 years,accounting for 62.2% of the medical cases in the basic age.There were 85 disease names,and 162 symptoms,9 tongue nature,13 coating colours and coating nature and 24 pulse manifestations. The effect was better with 7 doses (74.62%).The post-medication stools increased, accounting for 50.85%. A total of 166 kinds of medicinals were used to modify the formula.Six main diseases and 11 main symptoms were screened out. Conclusions The Taohe Chengqi Decoction pattern could occur in both men and women, more in women.The majority of patients are young adults.Constipations, spasmodic pain in the lower abdomen,vexations,difficulty in micturition,abdominal distension,thirst,unconsciousness,fever,back pains,poor appetite and insomnia are the main symptoms. The scope of Taohe Chengqi Decoction used by modern TCM practitioners has been expanded continuously. It is in line with the pathogenesis of blood stasis and heat in clinical practice, which can be flexibly added and subtracted.

Key words: Taohe Chengqi Decoction, medical records, data analysis, syndrome treatment rules

中图分类号: 

  • R2-03