世界中医药
文章摘要
引用本文:李钰蛟 刘思鸿 安 欢 佟 琳.温病古籍中的秋燥辨治规律数据分析[J].世界中医药,2014,9(04):.  
温病古籍中的秋燥辨治规律数据分析
Study on Differentiation and Treatment Rule of Autumn Dryness Based on Data Mining of TCM Classics on Warm Diseases
投稿时间:2013-12-04  
DOI:10.3969/j.issn.1673-7202.2014.04.036
中文关键词:  秋燥  中医古籍  辨证论治  数理统计
English Keywords:Autumn Dryness  Syndrome differentiation  TCM classics  Data mining
基金项目:科技部中医药古籍与方志的文献整理(编号:2009FY120300);中国中医科学院自选题(编号:ZZ070302)
作者单位
李钰蛟 刘思鸿 安 欢 佟 琳 中国中医科学院中医药信息研究所北京100700 
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中文摘要:
      目的:探讨中医温病古籍中秋燥病的辨证论治规律和特点,将古人对该疾病的认识加以提炼,为秋燥病中医医者的临证辨治与用药提供参考与借鉴。方法:选取数据来源,制定文献筛选标准,对温病古籍内秋燥的病因、病位、症状、治法、方剂、中药,运用SPSS 19.0软件进行数理统计。结果:14种古籍文献中,论及秋燥病因共21种。排在前三位的是燥邪(28.57%)、湿邪(15.18%)、伏气(8.93%);涉及病位13种,排在前三位的是肺(21.57%)、太阴(13.73%)、表(9.80%);涉及症状32种,排在前三位依次为咳嗽(14.56%)、发热(7.77%)、头痛(6.80%);谈及治法7种,排在前三位依次为苦解(23.91%)、温法(19.57%)、滋阴(17.39%);谈及方剂8个,排在前三位依次为白虎汤(25.00%)、清燥救肺汤(16.67%)、干地黄知母黄连阿胶汤(2,16.67%);共运用中药42种,排在前三位的是杏仁(6.35%)、荆芥(6.35%)、芍药(6.35%)。结论:秋燥致病因素以燥邪为主,其病位在肺,证候主要包括肺卫和气分津伤见证,治法以辛凉甘润为主,“苦、温”为秋燥的特别治法。
English Summary:
      To investigate the law and characteristics of syndrome differentiation and treatment of Autumn Dryness in the ancient books on febrile diseases, and to refine the understanding of the disease so as to provide reference for clinical treatment and medication.Methods:After selecting data sources and making the literature screening criteria, statistical analysis was given using the software of SPSS 19.0 in terms of the etiology, location of disease, symptoms, treatment, prescription, Chinese meteria medica of Autumn Dryness in ancient books.Results:In 14 kinds of ancient books, there were 21 kinds of etiology of Autumn Dryness, the top three were dryness ( 28.57% ) , dampness ( 15.18% ) , and incubative pathogen ( 8.93% ); there were 13 kinds of disease location ,the top three were the lungs ( 21.57% ) , taiyin ( 13.73% ) ,and superficies ( 9.80% ); there were 32 kinds of symptoms , the top three were cough ( 14.56% ) , fever ( 7.77% ) , and headache ( 6.80 % );there were 7 kinds of treatment methods, the top three were bitter solution ( 23.91% ) , warm therapy ( 19.57% ) , and nourishing Yin ( 17.39% ); there were 8 kinds of prescription , the top three were Baihu decoction ( 25.00% ) , Qingzao Jiufei decoction ( 16.67% ) , Gandihuang Zhimu Huanglian Ajiao decoction( 2,16.67 % ); there were 42 kinds of Chinese meteria medica, the top three were almonds ( 6.35% ) , Jing mustard ( 6.35% ) , peony ( 6.35% ).Conclusion:Dryness is the main pathogen of Autumn Dryness, and its location of disease is at the lung. Its symptoms involve qi, liquid and blood stasis of lung, and the treatment method mainly focuses on acrid, cooling, sweet and moistening. “Bitter and warm” are the special treatment methods for autumn dryness.
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