摘要
目的探讨《医宗金鉴·妇科心法要诀·崩漏门》组方用药规律与特点。方法运用统计学方法,统计《医宗金鉴·妇科心法要诀·崩漏门》中所用方剂及药物的四气、五味、归经以及方剂的功能、主治、归类等所出现的频次、频率;运用文献学方法分析其组方用药规律与特色。结果《医宗金鉴·妇科心法要诀·崩漏门》共用方15首,其中补益方使用频次最高,占73.33%。15首方剂共用药物49味,其四气五味应用频次前三为温寒平,甘苦辛,分别为61.24%、20.16%及14.73%和32.18%、29.21%及29.21%。归经上,归肝经药物应用最多,占22.14%,脾肺经次之为18.32%、12.21%;功效分类上,补益药应用频次最高,其次为风类药、祛湿药,占50.00%、16.66%、15.15%。结论《医宗金鉴·妇科心法要诀·崩漏门》认为虚、热、瘀是崩漏发生的主要病机,其治崩漏,不在固涩,而在治本,即补脾、调肝、清热、化瘀。其组方用药特点体现在崇古不泥,灵活务实;重视温补,慎用涩止;崇尚调肝,注重清热化瘀。
Objective To study the rules and characteristics of medication in the treatment of metrorrhagia and metrostaxis in The Golden Mirror of Medicine: Key Points of Gynecology. Methods Statistical methods were used to summarize the frequent times and frequency of properties, flavors, channel tropism of herbs and actions, indications and categories of prescriptions in the treatment of metrorrhagia and metrostaxis in The Golden Mirror of Medicine: Key Points of Gynecology. Bibliographic method was used to analyze the rules and features of its prescription medication. Results There were 15 common prescriptions for metrorrhagia and metrostaxis in The Golden Mirror of Medicine: Key Points of Gynecology, among which the use frequency of tonic prescription was the highest, accounting for 72.73%. A total of 49 kinds of herbs were found in 15 prescriptions, and the top 3 application frequency of four natures and five flavors were warm, cold, neutral, sweet, bitter, pungent, accounting for 61.24%, 20.16%, 14.73%,32.18%, 29.12% and 29.12% respectively. As for channel tropism, the drug application of channel tropism to liver was the most,accounting for 22.14%, followed by 18.34% and 12.21% for spleen and lung. In terms of efficacy classification, tonic drugs had the highest frequency, followed by wind drugs, and clearing damp drugs, accounting for 50.00%, 16.66% and 15.15% respective.Conclusion The Golden Mirror of Medicine: Key Points of Gynecology, it is believed that main pathogenesis of metrorrhagia and metrostaxis is deficiency, heat, stasis. The treatment of metrorrhagia is not by astringents, but to treat the root causes, which is tonifying the spleen, regulating the liver, clearing heat, resolving stasis. The characteristics of mediation is reflected in flexible and pragmatic, focusing on warming and tonifying, using astringents herbs, highly liver-regulating, and focusing on heat and stasis.
作者
谈晓双
文乐兮
TAN Xiaoshuang;WEN Lexi(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)
出处
《湖南中医药大学学报》
CAS
2020年第2期170-174,共5页
Journal of Hunan University of Chinese Medicine
基金
国家中医药管理局、湖南省重点学科2015年度方剂学开放基金资助
关键词
医宗金鉴·妇科心法要诀
崩漏
补脾调肝
清热化瘀
补益药
The Golden Mirror of Medicine:Key Points of Gynecology
metrorrhagia and metrostaxis
tonifying the spleen and regulating the liver
clearing heat and resolving stasis
tonifying herbs
