| 王婧琳,李鸿涛,马越,等.朱丹溪四物汤应用特色探析[J].浙江中医药大学学报,2024,48(10):1249-1255. |
| 朱丹溪四物汤应用特色探析 |
| Application Characteristics of ZHU Danxi’s Siwu Decoction |
| DOI：10.16466/j.issn1005-5509.2024.10.008 |
| 中文关键词: 朱丹溪 四物汤 治法 定性 定量 养血助阴 补血益气 医案 |
| 英文关键词: ZHU Danxi Siwu Decoction therapies qualitative quantitative nourish blood and assist Yin tonify blood and Qi medical records |
| 基金项目:国家重点研发计划(2023YFC3502901)；第五批全国中医临床优秀人才研修项目(国中医药人教〔2022〕239);中国中医科学院科技创新工程(CI2021A00505) |
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| 中文摘要: |
| [目的] 探析金元医家朱丹溪临证运用四物汤的经验与特色。[方法] 全面收集朱丹溪医著中四物汤医案及医论，对方药部分采用定量频次统计及关联规则分析方法；对医论部分采用定性主题分析方法，用Nvivo 11对病机及治法进行开放式编码、轴心式编码及核心式编码，构建朱丹溪运用四物汤的病机及治法体系。[结果] 共收集朱丹溪应用四物汤的医案97则、医论125条，涉及内科杂病40种、妇科疾病6种、外科疾病8种、男科疾病3种、儿科疾病1种。用药频次前10位为:当归、白芍、川芎、熟地黄、白术、人参、陈皮、生甘草、黄芩、黄柏。以四物汤为主方，根据不同病机分别配合养阴(39)、清热(37)、祛风(23)、益气(28)、生血(28)、行血(27)六法。[结论] 朱丹溪临证广泛运用四物汤养血法(养血助阴、养血清热、养血祛风)与补血法(补血益气、补血生血、补血行血)治疗由血虚、血实引起的内、妇、外、男、儿科诸病。 |
| 英文摘要: |
| [Objective] To explore the clinical experience and characteristics of ZHU Danxi’s Siwu Decoction， a famous doctor in Jin Yuan Dynasties. [Methods] This study comprehensively collected the medical cases and theories of Siwu Decoction in ZHU Danxi’s medical works. Statistics and association rules analysis methods were used for prescriptions and drugs. The qualitative theme analysis method was used in the medical theory sections， and pathogenesis and treatment were respectively coded at three levels by Nvivo 11， open coding，axial coding and selective coding. Finally， the pathogenesis and treatment system of ZHU Danxi using Siwu Decoction was constructed.[Results] A total of 97 medical case reports of ZHU Danxi using Siwu Decoction were collected， having 125 discussions about Siwu Decoction， and involving 40 internal diseases，6 gynecological diseases，8 surgical diseases，6 andrological diseases and 1 pediatric disease. The top 12 drugs frequencies were Danggui， Baishao， Shu Dihuang， Baizhu， Renshen， Chenpi， Gancao， Huangqin and Huangbai. Based on Siwu Decoction， six methods were applied to treat corresponding syndromes based on the different pathogenesis，which were nourishing Yin (39)， clearing heat (37)， dispelling wind (23)， supplementing Qi (28)， generating blood (28) and promoting blood (27). [Conclusion] ZHU Danxi widely used Siwu Decoction for nourishing blood method and generating blood method to treat a variety of diseases on the internal disease， gynecological disease， surgical disease， andrological disease and pediatric disease caused by deficiency of blood or domination of pathogen in blood. The former was nourishing blood and assisting Yin， nourishing blood and clearing heat， nourishing blood and dispelling wind. The latter was tonifying blood and Qi， replenishing and generating blood， replenishing blood and promoting blood circulation. |
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