文章摘要
基于《里中医案》探究李中梓遣方用药特点
Based on the "Li zhong medical records" to explore the characteristics of Li Zhongzi's prescriptions
投稿时间:2020-01-09  修订日期:2020-04-07
DOI:
中文关键词: 李中梓  《里中医案》  频数统计  遣方用药  补益脾肾
英文关键词: Li Zhongzi  Medical records of Chinese medicine  Frequency statistics  Contingent drugs  Benefit the spleen and the kidney
基金项目:北京中医药新奥奖励基金资助项目 (2018-XAJLJJ-012);
作者单位E-mail
王雨 北京中医药大学中医学院 北京 luckyyuwang@163.com 
张钰欣 北京中医药大学中医学院 北京  
姜婧 北京中医药大学护理学院  
张雨菲 北京中医药大学中医学院 北京  
沈翊康 北京中医药大学中医学院 北京  
刘钟阳 北京中医药大学中医学院 北京  
张保春 北京中医药大学中医学院 北京 zhangbaochun11@126.com 
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中文摘要:
      [目的]探究明代医家李中梓遣方用药特点。[方法]纳入李中梓《里中医案》中所载医案134例,整理其中所载方剂和药物,建立临床方药数据库,描述方药频数并进行分析。[结果]134例医案使用方剂共53种,中药共203味。方剂使用频次最高的前8位依次是补中益气汤、六君子汤、肾气丸、十全大补汤、理中汤、六味地黄丸、归脾汤、参附汤。两方合用共出现27次,包括两方均为补益剂17次,补益剂与泻实剂合用9次,两方均为泻实剂1次。用药频数最高者分别为人参、甘草、姜、白术、陈皮、茯苓、当归、黄芪、肉桂、熟地、附子、升麻、柴胡等。[结论]李中梓遣方用药具有脾肾双补,偏重补脾;两方合用,偏于补益;用药灵活,细致精准三个特点。
英文摘要:
      [Objective] To explore the characteristics of Li Zhongzi's prescription in Ming dynasty. [Methods] 134 cases of medical cases in “Li Zhong Medical cases” by Li Zhongzi were included,? the prescriptions and medicines contained in it were sorted out, a database of clinical prescriptions was established,?the prescriptions and medicines frequency was described and analyzed.?[Results] A total of 134 medical cases were included, including 53 prescriptions and 203 medicines. The top 8 prescriptions with the highest frequency are Buzhong Yiqi Decoction, Liujunzi Decoction, Shenqi Pill, Shiquandabu Tang, Lizhong Decoction, Liuwei Dihuang Pill, Guipi Decoction, Shenfu Decoction. The two prescriptions were used together 27 times, including 17 times when both were tonic, 9 times when tonic and reducing method were used together, and 1 time when both were reducing method.The top 13 traditonal chinese medcines were ginseng, liquorice, ginger, rhizoma atractylodis macrocephalae,pericarpium citri reticulatae, poria cocos , angelica sinensis, astragalus membranaceus, cinnamon, radix rehmanniae praeparata, radix aconiti carmichaeli, cimicifugae foetidae and radix bupleuri. [Conclusion] The application of li zhongzi prescription has three characteristics:tonifying both the spleen and the kidney, especially on spleen;Two prescriptions use together, favoring the tonic; Flexible,meticulous and accurate medcine using.
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