摘要
目的:梳理分析中医古籍中蜜炙附子含咽法治疗咽痛的运用规律。方法:利用"中华医典"(光盘版)作为资料信息平台,通过建立咽痛数据库、蜜炙附子数据库进行初筛、二筛、人工检索,创建分析数据集,对符合标准的条文进行四诊、舌象、病因病机等分析。结果:最终纳入符合条件的条文50条,适合蜜炙附子含咽法的患者,病势急骤,存在有受寒或伤阳的病因病机,四诊和舌象虽然存在吞咽不畅、咽喉肿胀严重、喉中哮鸣音等实证表现,但同时亦可见咽不红肿、语声低微、舌色白不肿、脉细数微等阴证、寒证、虚证的表现。结论:蜜炙附子含咽法主治的咽痛四诊特点表现为"整体虚寒,局部实证",主要病因病机为阳虚寒盛;蜜炙附子含咽法简便廉验。
Objective： To analyze the application law of pharynx method with honeyed aconite in the treatment of sore throat in ancient books of Chinese medicine. Methods： ＂ Chinese medical classics＂（ cd-rom version） as data information platform was applied,the sore throat database and honeyed aconite database were established for preliminary screening,secondary screening,manual retrieval,and the analysis data set was established. The articles meeting the criteria were analyzed from the aspects of four diagnostic methods,tongue manifestation,etiology and pathogenesis. Result： Eventually 50 articles conforming to the criteria were included. The criteria for patients suitable for the pharynx method with honeyed aconite include： acute onset,etiology and pathogenesis of cold attack or yang impairment,difficult swallowing,severe throat swelling,wheezing rale in the throat,and simultaneous yin syndrome,cold syndrome and deficiency syndrome of non-swelling pharynx,weak voice,pale tongue but not swollen,thin and rapid and feeble pulse. Conclusion： The pharynx method with honeyed aconite in treating sore throat is characterized as the manifestations of ＂ overall deficient cold and local excess＂. The main etiology and pathogenesis is yang deficiency and cold exuberance. The pharynx method with honeyed aconite is a simple,economical and effective method.
出处
《河南中医》
2017年第3期543-547,共5页
Henan Traditional Chinese Medicine
基金
广东省科技攻关计划研究专项(编号:粤财工[2013]173号)
关键词
蜜炙附子
含咽法
咽痛
古籍整理
honeyed aconite
pharynx method
sore throat
collation of ancient books
