基于频数统计的汪机用药规律及学术思想分析  

Analysis on Medication Rules and Academic Thoughts of WANG Ji Based on Frequency Statistics

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作  者:孙超[1] 张保春[2] SUN Chao;ZHANG Bao-chun(School of Traditional Chinese Medicine,Capital Medical University,Beijing 100069,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区:[1]首都医科大学中医药学院,北京100069 [2]北京中医药大学,北京100029

出  处:《中国中医药图书情报杂志》2019年第1期16-19,共4页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基  金:北京中医药"薪火传承3+3工程"崔锡章中医文化传承工作室;首都中医药研究专项重点项目(16ZY06).

摘  要:目的探析明朝医家汪机的用药规律及其治病特色,总结汪氏学术思想。方法以汪机《石山医案》中的医案资料为研究对象,整理其中所载方剂,将其中出现的内服方药的中药名称、药物剂量手工录入Excel2013表格中,利用Excel数据分析功能,描述性统计药物频数,观察数据分布趋势。结果共收集处方55首,涉及药味总数67味,人参(53次)、白术(42次)、当归(39次)、甘草(37次)、黄芪(36次)出现频次高。人参使用剂量上变异较大(最多1两,最少8分)。即使同为一类药物,使用频次、平均剂量也差别较大。结论汪机以元气为本,重视调补气血,善用人参、黄芪等调补气血之品,融合朱丹溪和李东垣的学说,临床辨证准确,用药精当,从而达到温补培元之功。Objective To explore medication rules and treatment characteristics of TCM doctor WANG Ji in the Ming Dynasty;To sum up WANG's academic thoughts.Methods Medical records in Shi Shan Yi An written by WANG ji were set as research objects,and the prescriptions in the book were combed.The names and dosage of Chinese materia medica in the prescriptions were manually input Excel 2013 table.Excel data analysis function was used to conduct descriptive statistical medicine frequency,and data distribution trend was observed.Results 55 prescriptions were collected,involving 67 kinds of Chinese materia medica.The Chinese materia medica with the highest frequency were Ginseng Radix et Rhizoma(53 times),Atractylodis Macrocephalae Rhizoma(42 times),Angelicae Sinensis Radix(39 times),Glycyrrhizae Radix et Rhizoma(37 times)and Astragali Radix(36 times).The dosage of Ginseng Radix et Rhizoma varied widely(up to 50 g,minimum 4 g).Even if they were the same type of medicine,the frequency and the average dosage were quite different.Conclusion WANG Ji highlights that primary qi is the essence and focuses on adjusting and tonifying qi and blood,and good at using medicines with the efficacy of tonifying qi and blood,such as Ginseng Radix et Rhizoma and Astragali Radix.Integrating the theories of ZHU Danxi and LI Dongyuan,WANG ji differentiates syndromes in clinic accurately and uses medicines precisely,in order to achieve the efficacy of warmly tonifying and reinforcing for primary qi.

关 键 词:汪机 《石山医案》 用药规律 温补培元 

分 类 号:R241[医药卫生—中医诊断学;医药卫生—中医临床基础;医药卫生—中医学]

 

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