首页|柳宝诒与吴鞠通治疗痢疾病案异同研究

柳宝诒与吴鞠通治疗痢疾病案异同研究

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目的 分析柳宝诒和吴鞠通治疗痢疾医案的异同,探索2位医家治疗痢疾的用药规律.方法 以《柳宝诒医论医案》和《吴鞠通医案》中治疗痢疾的医案为研究对象,采用Excel2010软件统计用药频次、功效分类等,分析其用药规律、病机治法的异同.结果 柳宝诒治疗痢疾以理气药、止血药、补气药、利水渗湿药为主,高频药物为木香、白术、枳壳、桔梗、砂仁等,吴鞠通治疗痢疾多用清热药、理气药、补血药、利水渗湿药,高频药物为黄芩、白芍、木香、黄连、神曲等.结论 柳宝诒和吴鞠通对痢疾的病因病机认识基本相同,吴鞠通治疗痢疾强调初痢以祛邪为主,多用清热药和理气药,久痢有虚实之分,以攻补兼施、扶助正气为主.柳宝诒在痢疾病机认识上创新性提出"宿垢"观点,治疗上提出"疏化"之法.
Study on the Similarities and Differences between Liu Baoyi and Wu Jutong in Treating Dysentery
Objective To analyze the similarities and differences between Doctor Liu Baoyi and Doctor Wu Jutong in treating dysentery;To explore their medication law in treating dysentery.Methods The medical cases of dysentery in Liu Baoyi Yi Lun Yi An and Wu Jutong Yi An were set as research objects.The Excel 2010 software was used to analyze the medication frequency and efficacy classification,and to analyze the similarities and differences of medication law,pathogenesis and treatment methods.Results Doctor Liu Baoyi mainly used qi regulating drugs,hemostatic drugs,qi-tonifying drugs,water-dispelling and dampness-permeating drugs,such as Aucklandiae Radix,Atractyodis Macrocephalae Rhizoma,Aurantii Fructus,Platycodonis Radix,and Amomi Fructus,etc.;Doctor Wu Jutong mainly used heat-clearing drugs,qi-regulating drugs,blood-tonifying drugs,diuresis drugs,and the high-frequency drugs were Scutellariae Radix,Paeoniae Radix alba,Aucklandiae Radix,Coptidis Rhizoma,and Massa Medicata Fermentata,etc.Conclusion Doctor Liu Baoyi and Doctor Wu Jutong have basically the same understanding of the etiology and pathogenesis of dysentery.Doctor Wu Jutong emphasized on eliminating the pathogenic factors at the beginning of the dysentery,mostly used antipyretic drugs and qi regulating drugs.Long-time dysentery has the characteristic of deficiency and excess.The treatment should be tonification and purgation in combination and should strengthen the body resistance.Doctor Liu Baoyi innovatively put forward the view of"Sugou"in the pathogenesis of dysentery,and proposed the method of"Shuhua"in the treatment.

Liu Baoyi Yi Lun Yi AnWu Jutong Yi AnLiu BaoyiWu Jutongdysenterymedical casessimilarities and differences

张迎泉

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泰安市中医医院,山东 泰安 271000

柳宝诒医论医案 吴鞠通医案 柳宝诒 吴鞠通 痢疾 病案 异同

齐鲁优势专科集群(2021年)

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(1)
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