马伟明辨治慢性萎缩性胃炎脾胃湿热证组方及随症加减规律研究
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R249;R259

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国家中医药管理局全国基层名老中医药专家传承工作室基金支持项目(国中医药人教发[2016]4I号);余姚市科技计划项目(2018YPT06)


Study on Rules of Prescription and Symptom-Oriented Modification by MA Weiming in Syndrome Differentiation and Treatment of Chronic Atrophic Gastritis with Spleen- Stomach Dampness-Heat Syndrome
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    摘要:

    收集及选取马伟明主任中医师治疗慢性萎缩性胃炎脾胃湿热证的首诊医案,并录入中医传承辅助系统软件,分析组方规律,根据中医症状,提取其相关药物,探讨马伟明主任中医师治疗慢性萎缩性胃炎脾胃湿热证的组方用药及随症加减规律,阐述其临证经验。结果共纳入348 个医案,通过“方剂分析”明确常用药物为姜半夏、炒黄连、香茶菜、玫瑰花、大血藤、蛇六谷等6 个;通过“医案分析”明确前10 位中医症状为胃脘痞胀、胃脘痛、口苦口臭、呃逆、恶心呕吐、大便黏滞不爽、嗳气、身倦困重、反酸、胃脘灼热。根据“中医症状”分别提取其相关“方剂”进行“症-药”分析,得出随症加减的方药变化规律。可见,采用中医传承辅助系统软件可展现马伟明治疗慢性萎缩性胃炎“病证结合,辨证除症”的个体化诊疗模式。

    Abstract:

    Abstract:Medical cases of chronic atrophic gastritis spleen-stomach dampness-heat syndrome at initial diagnosis by the chief Chinese medicine physician MA Weiming were collected and selected, and were input into the Chinese Medicine Inheritance Support System to analyze the prescription rule. Relevant Chinese medicines were collected according to Chinese medicine symptoms. Rules of prescription and symptom-oriented modification by MA Weiming in the syndrome differentiation and treatment of chronic atrophic gastritis with spleen-stomach dampness-heat syndrome were discussed,and his clinical experience was expounded. Finally,a total of 348 medical cases were included. Through the analysis of prescriptions,it was found that the commonly used Chinese medicines included Rhizoma Pinelliae Praeparatum, stir- bake Rhizoma Coptidis, Rabdosia amethystoides(Benth.) Hara, Flos Rosae Rugosae, Caulis Sargentodoxae and Amorphophallus sinensis Belval. Through the analysis of medical cases,it was clear that the top ten Chinese medicine symptoms were distension of stomach duct, stomach duct pain, bitter taste in the mouth and fetid mouth odor, hiccup, nausea and vomiting, sloppy stool, belching,heavy body and fatigue,acid reflux,as well as scorching heat in the stomach duct. Prescriptions that were related to different Chinese medicine symptoms were collected to carry out a “symptoms-Chinese herbs” analysis,so as to find out the rules of modification of prescription based on symptoms. It can be seen that the application of Chinese Medicine Inheritance Support System can present MA Weiming's individualized diagnosis and treatment mode of chronic atrophic gastritis,namely “combine the disease with the syndrome and eliminate symptoms based on syndrome differentiation”.

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劳士权,谷红苹,韩旭丰,指导:马伟明.马伟明辨治慢性萎缩性胃炎脾胃湿热证组方及随症加减规律研究[J].新中医,2021,53(11):222-226

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  • 在线发布日期: 2021-06-10
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