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基于数据挖掘对柴胡类方方证规律的研究
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摘要
在“方证相关”理论的指导下,以柴胡类方为对象,建立柴胡类方的方证信息资料数据库;运用频次分析、关联规则、聚类分析对柴胡类方数据库进行数据挖掘以获得柴胡类方的方药证治规律及柴胡类方的方证类属关系。
     研究一:基于频次统计对柴胡类方方证规律的研究
     材料:《中医方剂大辞典》为本课题的资料来源,通过对类方的界定,选取符合条件的柴胡类方作为研究对象,得到类方共657首。方法:摘取资料中的方药(方名、方源、药物、剂量、剂型、用法)和病证的信息点(症征、病因、病机、病名等),依据《中医临床诊疗术语》、《中华本草》、《中医药学名词》、《中医证候鉴别诊断学》、《中医症状鉴别诊断学》等对资料进行信息规范化处理,建立柴胡类方的数据库,使用ACCESS查询功能统计柴胡类方信息。结果:(1)方药频次统计结果显示:柴胡类方配伍涉及185味药物,其中高频药物有:柴胡、黄芩、甘草、生姜、芍药、半夏、人参、茯芩、陈皮、大黄、当归、栀子、大枣、麦冬、枳壳、地黄、白术、知母、葛根、石膏、升麻、芒硝、川芎、黄连、枳实、桔梗、天花粉、厚朴、竹叶、防风、黄芪、地骨皮、肉桂、青皮、犀角、丹皮、桂枝、干姜、鳖甲、泽泻、龙胆草、茵陈、瓜萎、羌活、槟榔、苍术、木通、草果、猪芩、薄荷等;主要涉及补益、解表、清热、化痰、行气、利湿、泻下、化湿、温里、活血的配伍结构;高频药对有:黄芩+柴胡、甘草+黄芩、甘草+柴胡、生姜+黄芩、生姜+柴胡、芍药+黄芩、芍药+柴胡、半夏+黄芩、半夏+柴胡、生姜+甘草、人参+黄芩、人参+柴胡;高频药团有:甘草+黄芩+柴胡、生姜+黄芩+柴胡、芍药+黄芩+柴胡、半夏+黄芩+柴胡、生姜+甘草+柴胡、生姜+甘草+黄芩、人参+黄芩+柴胡等。剂型统计的结果显示,汤剂是使用最多的剂型,丸散剂的送药介质有米饮、姜汤、白汤、温水、粥饮、百沸汤、姜茶汤、麦冬汤、温酒9种。(2)病证频次统计结果显示:柴胡类方中,涉及症征532首,涉及病机155首,涉及病因259首,涉及病名433首。其中主治症征出现最多的是寒热往来、发热/潮热、头痛、口渴/口干、呕吐、心烦/烦躁、但热不寒、食欲不振、脉弦、脉数、大便秘结、咳嗽、四肢疼痛、胸闷、胁痛。高频症征组合主要有呕吐+寒热往来、脉数十脉弦、小便不利+大便秘结、口苦+寒热往来、脉弦+寒热往来、但热不寒+头痛、四肢疼痛+食欲不振、耳聋+口苦、食欲不振+寒热往来、呕吐+头痛、口渴+发热、心烦+呕吐;耳聋+口苦+寒热往来、脉数十脉弦+寒热往来、耳聋+口苦+胁痛、口苦+呕吐+寒热往来、口苦+脉数+脉弦、食欲不振+呕吐+寒热往来、耳聋+胁痛+寒热往来、口苦+胁痛+寒热往来、心烦+呕吐+寒热往来、口苦+脉数+寒热往来。类方主治病证中排在前10位的病机有热入血室、少阳不和、肝胆热盛、热扰胸膈、肝火上炎、胃热、脾胃气虚、热痰、血虚、少阳风热;排在前10位的病因有伤寒、疫疠、伤风、痰饮、妊娠疟邪、时气、怒气、体质、劳役、疟邪;排在前10位的病名是疟疾、伤寒、发热、瘟疫、虚劳、黄疸、感冒、外感热病、妊娠疟疾、小儿诸热。
     研究二:基于关联分析对柴胡类方方证规律的研究
     材料:同研究一。方法:使用研究一中的数据库,采用Excel和SQL Server绑定的购物篮分析工具挖掘药物之间、症征之间、药物和症征之间、药物和病机之间、药物和病名之间的关联规则。结果:(1)主要关联药对有猪苓(?)泽泻、草果→厚朴、麻黄→石膏、青皮→厚朴、麻黄→葛根、茵陈→栀子、芒硝→大黄、川芎→地黄、丹皮→当归、黄芪→人参、厚朴→陈皮、鳖甲→茯苓等;(2)主要关联症征有:口苦(?)耳聋、脉弦(?)脉数、大便秘结(?)小便不利、口苦→寒热往来;)(3)主要关联药-症组合有大便秘结→芒硝、大便秘结→大黄、发黄→栀子、心下痞→半夏、四肢疼痛→麦冬、小便不利→大黄、自汗→陈皮、耳聋→半夏、大便秘结→甘草&大黄、口干→芍药&甘草等;关联药-病组合有:黄疸→茵陈、虚劳→黄芪、闭经→当归、子烦→麦冬、妊娠疟疾→白术、虚劳→当归、发热→陈皮等。
     研究三:基于聚类分析对柴胡类方方证规律的研究
     材料:同研究一。方法:数据库同上,采用Excel和SQL Server绑定的类别检测工具,根据药物信息、症征信息和药-症信息进行聚类分析。结果:综合分析得到:(1)柴胡类方所含5类配伍结构:清解阳明+养阴退热配伍、理气燥湿化痰+健脾利水渗湿配伍、养血活血+凉血散瘀配伍、小柴胡汤原方配伍、泻热通腑+清利肝胆及升降气机配伍类。(2)柴胡类方所含7类证候:外寒里热证、少阳本证、少阳郁热+脾胃不和证、风热上扰证、心经热盛证、三焦热壅证、阴虚内热+三焦郁滞证。(3)柴胡类方中含有4类药-证组合:和胃降逆+清热活血配伍与少阳郁热证;益气养阴+清热泻火配伍与阴虚内热证;清利通腑配伍与三焦热闭证;祛湿化浊+健脾行滞配伍与湿热内阻+升降失司证。
     研究表明:柴胡类方主病有疟疾、瘟疫、虚劳、黄疸、外感热病等,涉及现代传染病、肺系疾病、脾胃病、肝胆病、脑病、寄生虫病、小儿疾病、妊娠产后病、耳鼻喉病、外科皮肤疾病等多科及多系统疾病;主要病因是风寒、疫疠、疟邪等外感之邪;病机的主要特征是寒热虚实夹杂,最多涉及热入血室、少阳不和、肝胆热盛、胸胃热扰、脾胃气虚、痰热等证;症征则以寒热往来、或口苦、或脉弦数三症为中心,与发热、头痛、口中干渴、心烦、呕吐、食欲不振、大便秘结、咳嗽、肢痛、胸闷、胁痛等症的不同组合为特征。
     柴胡类方以原类方的核心药物为基础,广泛涉及补益、解表、清热、化痰、行气、祛湿、泻下、温里、活血类药物的配伍。类方方药中的药对、药团、药组等与方证中的病名、病机、症征之间具有一定关联性。聚类分析结果提示柴胡类方内存在药物、症征方面的类属特征。
     结论:数据挖掘技术用于研究类方方证规律具有一定的可行性。
The research of law between Formula and Syndrome about Bupleurum Analogous Formulas based on data mining method
     With the guidance of the theory of relation between Formula and Syndrome, using the Bupleurum Analogous Formulas as the study object, the researcher builds the data base of Bupleurum Analogous. Adopt frequencies, associative rules and cluster analysis to excavate the formula syndrome rules and category relationship of Bupleurum Analogous.
     Research 1:The research of law between Formula and Syndrome about Bupleurum Analogous Formulas based on frequency analysis
     Materials:Using the Proprietary Chinese medicine dictionary as the material source, with the premise of Analogous Formulas definition. Methods:Select the eligibility formula, around the information of formula-medicine and disease -syndrome, which include the formula name, formula source, formula medicine, dosage, formulation, usage and symptom, disease reason, pathogenesis, disease name, etc. According to the Clinic Terminology of Traditional Chinese, the Chinese herbal, Noun of TCM, Differential diagnostics of TCM syndrome, TCM symptoms differential diagnostics, to standardizing the formula-syndrome information and build the Bupleurum Analogous data base.Using the function of query, achieve the statistics the frequencies of any kinds of the database. Results:(1) The formula-medicine frequency analysis shows that 185 medicines can be found in all the formulas. The frequency analysis shows that the high frequency medicine including:radix bupleuri, scutellaria, glycyrrhiza, ginger, peony, pinellia, ginseng, poria, tangerine peel, rhubarb, angelica, gardenia, jujube, radix ophiopogonis, bitter orange, rehmannia, atractylodes macrocephala, rhizoma anemarrhenae, radix puerariae, gypsum, rhizoma, mirabilite, ligusticum wallichii, rhizoma coptidis, fructus aurantii immaturus, platycodon grandiflorum, radices trichosanthis, mangnolia officinalis, bamboo leaf, radices sileris, radix astragali, cortex lycii radicis, cortex cinnamomi, pericarpium citri reticulatae viride, rhinoceros horn, cortex moutan, cassia twig, rhizoma zingiberis, turtle shell, rhizoma alismatis, felwort, oriental wormwood, trichosanthes kirilowii Maxim, rhizoma seu radix notopterygii, areca-nut, rhizoma atractylodis, akebiaquinata, amomum tsao-ko, grifola, mentha haplocalyx. The frequency statistic shows that the high frequency compatible structure including benefit, relieving exterior syndrome, clearing heat, reducing phlegm, promoting the circulation of qi, remove dampness through dieresis, galactic, resolving dampness, inner worming, invigorate the circulation of blood. The high frequency combination including:scutellaria +radix bupleuri, glycyrrhiza +scutellaria, glycyrrhiza +radix bupleuri, ginger +scutellaria, ginger +scutellaria, paeonia +scutellaria, paeonia +radix bupleuri, pinellia ternata+scutellaria, pinellia ternata+radix bupleuri, ginger +lycyrrhiza, ginseng +scutellaria, ginseng +radix bupleuri; glycyrrhiza +scutellaria +radix bupleuri, ginger +scutellaria +radix bupleuri, paeonia +scutellaria +radix bupleuri, pinellia ternate +scutellaria +radix bupleuri, ginger +glycyrrhiza +radix bupleuri, ginger+ glycyrrhiza +scutellaria, ginseng+ scutellaria +radix bupleuri. The dosage statistic shows that decoction is the most. Pill powder using transfer media include congee, ginger decoction, water soup, worm water, gruel, boiling soup, gingertea, Dwarf lilyturf soup, warm wine. (2) Disease and syndrome statistical results show that:disease signs involves in 532 formulas, the 657 formula involved in the pathogenesis of 155 formula, formulas involved in the etiology describe 259 formula, formulas involved in the disease narrative 433 formula, the most are alternate chills and fever, fever, headache, thirsty, vomiting, upset, only hot, loss of appetite, be agitated, pulse string, pulse fast, constipation, hot flashes, cough, limb pain, dry mouth, bosom frowsty, pleura pain. For the high frequency of disease combination appears for a major disease combination:vomiting+alternate chills and fever, pulse fast+pulse string, urination+constipation, mouth bitter+alternate chills and fever, pulse string+ alternate chills and fever, only hot+headache, limbs pain+loss of appetite, deafness +mouth bitter, loss of appetite+alternate chills and fever, vomiting+headache, thirsty+fever, upset+vomiting; deafness+mouth bitter+alternate chills and fever, pulse fast+pulse string+alternate chills and fever, deafness+mouth bitter+pleura pain, mouth bitter+vomiting+alternate chills and fever, mouth bitter+pulse fast+ pulse string, loss of appetite+vomiting+alternate chills and fever, deafness+pleura pain+alternate chills and fever, mouth bitter+pleura pain+alternate chills and fever, upset+vomiting+alternate chills and fever, mouth bitter+pulse fast+alternate chills and fever. The pathogenesis appear the top 10 times including heat into the blood room, less Yang unsuitable, liver and guts heat, chest with heat interference, suffered inflammation, stomach heat, spleen and stomach deficiency, hot phlegm, deficiency of blood, wind-heat of less Yang, etc.; the reasons of disease appear among them the top 10 times including the etiology of typhoid fever, epidemic disease, cold, phlegm retention, pregnancy anopheles evil, anger, constitution, fatigue, labor, anopheles evil; the disease appear among them the top 10 times including malaria, typhoid fever, fever, plague, virtual fatigue, jaundice, colds, exogenous febrile disease, pregnancy and malaria, wild diarrhea.
     Research 2:The research of law between Formula and Syndrome about Bupleurum Analogous Formulas based on correlation analysis
     Materials:Ditto. Methoeds:With market basket analysis tool, find the association rules. Results:Correlation analysis shows that the main connection including agaric ? rhizoma alismatis, amomum tsao-ko→mangnolia officinalis, ephedra→gypsum, pericarpium citri reticulatae viride→mangnolia officinalis, ephedra→the root of kudzu vine, herba artemisiae capillaris→jasmine, mirabilite→rheum officinale, Ligusticum wallichii→rehmannia, the root bark of the peony tree→angelica sinensis, astragalus mongholicus→ginseng, mangnolia officinalis→pericarpium citri reticulatae, turtle shell→poria cocos, etc. The main correlation symptom including mouth bitter→deafness, pulse string? pulse fast, constipation ? urination, mouth bitter→alternate chills and fever; the main correlation between medicine and symptom including constipation→mirabilite, constipation→rheum officinale, jaundice→jasmine, urination→jasmine, painful abdominal mass→pinellia ternate, limbs pain→radix ophiopogonis, urination→rheum officinale, spontaneous perspiration→pericarpium citri reticulatae, deafness→pinellia ternate, constipation→glycyrrhiza and rheum officinale, mouth dry→paeonia and glycyrrhiza, etc.; the main correlation between medicine and disease including icterus→oriental wormwood, virtual fatigue→astragalus, amenorrhoea→angelica, contempt when pregnancy→radix ophiopogonis, malaria when pregnancy→rhizoma atractylodis macrocephalae, virtual fatigue→angelica, fever→pericarpium citri reticulatae, etc.
     Research 3:The research of law between Formula and Syndrome about Bupleurum Analogous Formulas based on cluster analysis
     Materials:Ditto. Methods:With market category detection tool, find the category information. Results:Analysis by synthesis showed that:(1) The bupleurum analogous formulas shows 5 formations as clearing YangMing+nourish yin and abatement of fever, Qi dry wet+the wet water permeability spleen, nourishing blood and promoting blood flow+cool the blood dissipate blood stasis, Xiao Chaihu Tang's structure, diarrhea fever and relaxing the bowels+clearing liver-gallbladder and adjust the movement of qi. (2) The bupleurum analogous formulas shows 7 syndromes as extra cool and inner hot, original of shaoyang, muggy of shaoyang+ incoordination between the spleen and the stomach, rising of wind-hot, heart sutra hot filled, tri-jiao hot filled, yin asthenia generating intrinsic heat+tri-jiao stasis. (3) The bupleurum analogous formulas shows 4 medicine-syndrome combinations as harmonize the stomach+clearing fever and promoting blood flow with muggy of shaoyang, tonifying qi and yin+clearing a way heat and reducing fire with yin asthenia generating intrinsic heat, clearing and relaxing the bowels with tri-jiao closed because of the heat, clearing damp+tonifying spleen with damp and hot resistance+ lift disorders.
     Indications:The study indicates that bupleurum analogous formulas was related to infectious disease, lung disease, taste of disease, liver disease, encephalopathy, parasitic diseases, pediatric diseases, pregnancy and postpartum disease, ent, surgery illness skin disease; the treatment of disease and syndrome involves the main causes are cold, epidemic disease, anopheles evil; chills and fever and deficiency-excess complication are the main pathogenesis feature, the most involving heat into the blood room, less Yang unsuitable, liver and gallbladder heat, stomach and chest heat, spleen and stomach deficiency, hot phlegm, etc. The center of the symptoms involves alternate chills and fever, mouth bitter, pulse string or fast which has the relationship of combination with fever, headache, thirsty, upset, vomiting, loss of appetite, constipation, cough, myalgia and bosom frowsty and hypochondriac pain.
     The above 3 researches showed that the compatibility of bupleurum analogous formulas was related to benefit, relieving exterior syndrome, clearing heat, reduce phlegm, promoting the circulation of qi, flow swiftly, resolving dampness, inner worm, invigorate the circulation of blood.The medicine group and the disease, pathogenesis, symptom showed some relevance. The clustering analysis hints of bupleurum analogous formulas within category features of medicine and symptom.
     Conclusion:The data mining technology used to study the formula syndrome rules of analogous formulas has certain feasibility.
引文
[1]顿宝生.试论类方及其鉴别[J].陕西中医学院学报,1988,17(3):38-39.
    [2]何伦,顿宝生.常用类方鉴别运用(一)[J].陕西中医,1984,5(1):36-38.
    [3]邢斌,曾林蕊,周纪芗.类方研究的思路与方法[J].上海中医药大学学报,2004,18(2):17-18.
    [4]吴红彦,刘喜平,李沛清.桂枝汤及其类方的源流衍化考[J].中成药,2002,24(7):544-545.
    [5]石历闻.温胆汤类方的源流、方证及加减规律探讨[J].江苏中医,2001,22(1):33-34.
    [6]李明,谢鸣.温胆汤类方追溯引发的思考[J].陕西中医,2002,23(5):451-452.
    [7]魏晓芬,李静华,刘小刚.泻心汤及其类方源流考[J].承德医学院学报,2005,22(2):124-126.
    [8]张声生,朱培一.承气类方衍义研究[J].北京中医,2006,25(4):215-217.
    [9]李滨.二陈汤及其类方的化裁与应用[J].中医文献杂志,2003,3:18-20.
    [10]孙玄厹,邢斌,任宏丽等.大承气汤类方主治病症规律探析[J].环球中医药,2009,2(2):121-123.
    [11]郭春兰,王燕丽.中医“调和”思想-桂枝汤及类方中桂芍比例解析[J].中医药信息,2002,19(1):31.
    [12]霍学慧.小议四物汤类方的配伍方法[J].陕西中医,2006,27(7):868-869.
    [13]徐宁,徐敬才.浅析达原饮的运用及其类方[J].山东中医药大学学报,2003, 27(5):341.
    [14]陈宁勇.《伤寒论》柴胡证刍议[J].江苏中医药,2007,39(12):18-19.
    [15]马贻超,姜建国,鲁晓明.柴胡汤类方证及和法若干问题的探讨[J].山东中医药大学学报,2003,27(1):21-23.
    [16]刘进国.《伤寒论》少阳病篇几个问题之我见[J].国医论坛,2007,22(6):3-4.
    [17]日·汤本求真.皇汉医学[M].北京:中国中医药出版社,2007,2.
    [18]冯世纶,张长恩.解读张仲景医学-经方六经类方证·第二版[M].北京:人民军医出版社,2011:46.
    [19]王博,牛阳.“半表半里”浅议[J].河南中医,2009,29(6):523-524
    [20]赵国平,钱三旗,陆婷婷.小柴胡汤方证辨析[J].上海中医药杂志,2007,41(10):44-46.
    [21]高飞,刘渡舟,方积乾.运用多元分析方法对柴胡类方证的研究[J].中国医药学报,1992,7(2):25-26.
    [22]梁华龙.再谈少阳病-气郁与水郁是少阳病的主要病变[J].河南中医,2005,25(8):3-5.
    [23]张保伟.《伤寒论》少阳病柴胡类方架构浅析[J].河南中医,2005,25(2):7-9.
    [24]刘英锋,刘敏.试从三焦理论认识柴胡类证的证治规律[J].中国医药学报,2002,17(12):715-718.
    [25]王宪龄,张影.《伤寒论》柴胡剂中常用药对配伍作用探讨[J].河南中医,1996,16(4):203-204.
    [26]李冀,张雪.浅析类方的衍化[J].辽宁中医杂志,2007,34(8):1045.
    [1]高海,刘茂祥.半夏泻心汤合小柴胡汤治疗胆汁反流性胃炎50例[J].中国民间疗法,2009,17(7):34.
    [2]何炳福,周建康,沈华江.小柴胡片联合干扰素治疗慢性乙型肝炎肝纤维化的临床研究[J].中国中西医结合消化杂志,2008,16(6):384-387.
    [3]杨勤龙.小柴胡汤加减治疗乙型肝炎转氨酶升高76例[J].河南中医,2009,29(5):443.
    [4]李正秋.小柴胡汤联合拉米夫定治疗慢性乙型病毒性肝炎的临床观察[J].河北中医,2009,31(5):709-710.
    [5]李秀娟,张素,张天嵩.小柴胡降逆汤治疗胃食管反流病临床研究[J].福建中医药,2008,39(6):3-4.
    [6]黄伯贤.小柴胡汤加减治疗消化性溃疡80例[J].福建中医药,2009,40(1):35.
    [7]王宏峰,张金颖.小柴胡汤治疗慢性胃炎70例[J].新疆中医药,2007,25(5):33-34.
    [8]王东旭.小柴胡汤加减临证举隅体会[J].现代中西医结合杂志,2007,16(34):5149.
    [9]周杰.小柴胡汤治疗顽固性呃逆一则[J].吉林中医药,2008,28(11):850.
    [10]钟红卫,高海燕,敖素华等.小柴胡汤加减治疗急性支气管炎咳嗽109例[J].陕西中医,2008,29(12):1575-1576.
    [11]赵克明,徐艳玲.小柴胡汤加味合西药治疗支气管哮喘43例[J].辽宁中医杂志,2009,36(4):580-581.
    [12]贾春霞,张开凤,俞亮等.小柴胡汤加减为主治疗脑卒中后抑郁35例疗效观察[J].浙江中医杂志,2009,44(2):105-106.
    [13]刘励.小柴胡汤临床应用体会[J].实用中医杂志,2009,25(5):329.
    [14]陶洁.小柴胡汤加减辨治耳鼻喉科疾病临证心得[J].中医研究,2009, 22(4):47-49.
    [15]杨晓英,饶和平.小柴胡汤临床应用体会[J].实用中医杂志,2009,25(3):177.
    [16]李晓丽.小柴胡汤临证治验3则[J].河北中医,2007,29(11):999.
    [17]刁玉明.小柴胡汤治验二则[J].四川中医,2009,27(3):120-121.
    [18]张宗寿.加味小柴胡汤治疗慢性顽固性荨麻疹36例[J].四川中医,2007,25(11):90-91.
    [19]丁茂文.小柴胡汤应用举隅[J].中国医药导报,2007,4(24):57-58.
    [20]白璐.小柴胡汤治疗糖尿病气郁证1例[J].江西中医药,2009,40(2):39.
    [21]路毅.小柴胡汤加减治疗复发性口腔溃疡36例[J].河南中医,2007,27(11):14.
    [22]白洁.中药配方颗粒小柴胡汤加减治疗伤寒、副伤寒30例[J].浙江中医杂志,2009,44(3):197.
    [23]李军艳,李富玉.小柴胡汤临证应用发微[J].中国中医急症,2009,18(2):236-237,243.
    [24]崔琦珍,陶双友,王晓燕.小柴胡汤加减治疗感冒后久咳60例[J].新中医,2007,39(10):69-70.
    [25]张丽平,鲜于开璞.小柴胡汤加味治疗失眠体会[J].实用中医杂志,2009,25(8):561.
    [26]韩淑生,夏尚红.小柴胡汤验案举隅[J].甘肃中医,2009,22(3):44-45.
    [27]郭丰存.小柴胡汤新用[J].河南中医,2009,29(4):333.
    [28]韩淑生,夏尚红.小柴胡汤验案举隅[J].甘肃中医,2009,22(3):44-45.
    [29]杨国荣,罗瑞雪.小柴胡汤治疗内科杂病验案举隅[J].实用中医杂志,2009,25(6):413.
    [30]张帆.小柴胡汤加减治疗妊娠感冒68例[J].浙江中医药大学学报,2009,
    33(1):80.
    [31]沙剑轲,孔凡芬.小柴胡汤治疗小儿厌食的经验[J].中国民族民间医药,2009,18(1):111.
    [32]郭强中,李云英.从“和解”到“破解”-谈小柴胡汤在治疗急性咽喉疾病中的运用[J].浙江中医杂志,2008,43(12):730-731.
    [33]郭强中,李云英.小柴胡汤加桂枝治疗咽喉疾病3则[J].新中医,2009,41(3):98-99.
    [34]彭磊.大柴胡汤治疗消化外科急腹症3例[J].河南预防医学杂志,2007,18(5):396.
    [35]鲍学杰.大柴胡汤加味治疗胆石症72例[J].实用中医杂志,2009,25(4):229.
    [36]何方敏,梁山华.大柴胡汤加减治疗肝内胆管结石36例[J].四川中医,2008,26(12):77-78.
    [37]朱亨炯.大柴胡三金汤治疗胆石症50例疗效观察[J].河北中医,2007,29(10):897.
    [38]李锦培,梁桂生,蔡颖娴等.大柴胡汤辅助治疗急性胰腺炎26例[J].浙江中医杂志,2007,42(11):641-642.
    [39]伍敬柱,朱臣昆,王德秀等.大柴胡汤对急性胰腺炎腹内压治疗疗效[J].贵阳医学院学报,2009,34(3):325-326.
    [40]张艳梅,张玉玺.大柴胡合茵陈蒿汤治疗慢性胆囊炎疗效观察[J].黑龙江医药,2009,22(4):539-540.
    [41]刘彦玲.大柴胡汤加减治疗老年性胆囊炎60例临床观察[J].河北中医,2007,29(10):908.
    [42]刘丰晓.大柴胡汤加减治疗肝胃不和型消化性溃疡70例[J].光明中医,2009,24(5):853-854.
    [43]郑建华.大柴胡汤加味治疗高脂血症62例疗效分析[J].新疆医科大学学报,2008,31(10):1375.
    [44]张旭剑,贾艳萍.大柴胡汤加味治疗脂肪肝52例观察[J].实用中医杂志,2009,25(4):221.
    [45]马云孝.大柴胡汤治疗胆汁反流性胃炎体会[J].中国民族民间医药,2008,9:58.
    [46]郑长才.大柴胡汤加减治疗胆囊切除术后综合征疗效观察[J].中医药临床杂志,2009,21(4):302-303.
    [47]陈冬梅,郭胜.加味大柴胡汤治疗妇科术后腹胀30例[J].新中医,2009,41(3):64.
    [48]孔祥芹.大柴胡汤肝病治验举隅[J].长春中医药大学学报,2007,23(5):74.
    [49]陈云山.大柴胡汤治疗外感发热12例临床体会[J].中外医疗,2009,2:105.
    [50]张银萍.柴胡桂枝汤加减治疗感冒后低热不解60例的临床研究[J].四川中医,2004,22(10):48.
    [51]张颖,施红.柴胡桂枝汤临床新用[J].中国民间疗法,2000,8(12):36-37.
    [52]李广浩,秦福荣.柴胡桂枝汤新用[J].山东中医杂志,2002,21(7):438.
    [53]穆齐金.柴胡桂枝汤治疗神经内科疾病验案3则[J].2007,14(10):72.
    [54]苏宝银.柴胡桂枝汤的临床新用[J].医学理论与实践,2002,15(3):289.
    [55]吴锡惠.柴胡桂枝汤临床运用举隅[J].中医药临床杂志,2006,18(6):605-606.
    [56]刘福信,王泽鉴.柴胡桂枝汤新用[J].山东中医杂志,2001.20(11):694-695.
    [57]徐其龙.柴胡桂枝汤在消化系统疾病中的应用[J].内蒙古中医药,2008,12:37.
    [58]吴玉泓.柴胡桂枝汤加味治疗腹泻型肠易激综合征体会[J].中国中医药信息杂志,2008,15(12):86-87.
    [59]孟杰,王志方.柴胡桂枝汤治疗植物神经功能紊乱53例[J].河南中医,2009,29(1):13-14.
    [60]郭杰,王玉平,朱瑞娥.柴胡桂枝汤治疗耳后神经痛36例[J].中国中医急症,2002,11(6):498.
    [61]杭东跃,张锡元.柴胡桂枝汤治疗三叉神经痛临床观察[J].口腔医学,2000,20(2):107-108.
    [62]林家坤.柴胡桂枝汤治疗脑部疾患[J].江西中医药,2000,31(5):3.
    [63]尤家平.柴胡桂枝汤用治急腹症举隅[J].中国中医急症,2001,10(2):115.
    [64]李艳锋,董晶洁.柴胡桂枝汤临床应用[J].陕西中医,1999,20(3):132-133.
    [65]逯建存,王忠良,汤明双.柴胡桂枝汤临证五则[J].甘肃中医学院学报,2003,20(3):45-46.
    [66]郭金颖.柴胡桂枝汤治疗神经根型颈椎病68例[J].浙江中医杂志,2007,42(5):252.
    [67]金自强.变通柴胡桂枝汤治疗妇女更年期综合征84例[J].河南中医,2005,25(6):41.
    [68]杨贤斌.小柴胡汤临床应用举隅[J].浙江中医杂志,2009,44(5):325.
    [69]沈晓峰.柴胡桂枝汤的运用心得[J].内蒙古中医药,2008,11:66-67.
    [70]苏孟华.柴胡桂枝汤治疗肝郁气滞性肢体疼痛38例[J].国医论坛,2005,20(6):8-9.
    [71]李亚红,吴定怀.柴胡桂枝汤合玉屏风散治疗反复感冒90例[J].陕西中医,2005,26(3):206-207.
    [72]宁显明,朱洪民.柴胡桂枝汤治疗经期感冒68例[J].国医论坛,2000,15(6):9.
    [73]李富旺.柴胡桂枝汤治疗发热疗效探析[J].中医研究,2005,18(11):13.
    [74]吕勇.柴胡桂枝汤临床应用举隅[J].甘肃中医,2000,4:7.
    [75]彭有祥.柴胡桂枝汤治疗杂病临床举隅与体会[J].中国民间疗法,2006,14(9):41-43.
    [76]杨卓.王长洪教授运用柴胡桂枝汤的经验述要[J].中医药学刊,2005,23(5):795-796.
    [77]徐行.大柴胡汤合柴胡桂枝干姜汤治疗支气管哮喘48例[J].河北中医,2002,24(2):131.
    [78]武志平,闫桂玲.炙甘草汤合柴胡桂枝干姜汤治疗心律失常32例[J].新中医,2002,34(8):56.
    [79]王小奇,叶蔚.柴胡桂枝干姜汤对腹泻型肠易激综合征胃肠激素的影响[J].福建中医药,2006,37(1):10-11.
    [80]朱子奇,郑立生.柴胡桂枝干姜汤加味治疗胆热脾寒型慢性胆囊炎疗效观察[J].中国中西医结合消化杂志,2007,15(5):334-335.
    [81]刘晓琳,赵连皓,王润国.柴胡桂枝干姜汤治疗亚健康病30例[J].陕西中,2002,23(9):814-815.
    [82]田传智.柴胡桂枝干姜汤治疗乳腺增生32例[J].中国社区医师,2004,20(21):39.
    [83]张林军,张军爱,郑博.柴胡桂枝干姜汤治疗慢性乙型肝炎49例临床观察[J].河北医科大学学报,1999,20(5):310.
    [84]胡星星,肖剑.柴胡桂枝干姜汤治疗鼻窦炎性头痛临床体会[J].中国中医急症,2009,18(5):681.
    [85]日·岩崎勋.柴胡桂枝干姜汤对口炎的疗效[J].汉方医学,2003,27(3):22-24.
    [86]禹云梅.柴胡桂枝干姜汤临床新用5则[J].实用中医内科杂志,2006,20(2):172-173.
    [87]鲁会杰.柴胡桂枝干姜汤加减治疗失眠验案1则[J].河北中医,2009,31(5):712.
    [88]周刚,王子谟.柴胡桂枝干姜汤临床应用[J].湖北中医杂志,2001,23(3):40-41.
    [89]高世全,袁红霞.柴胡桂枝干姜汤病机浅析及临床应用[J].新中医,2008,40(12):85-87.
    [90]张国安,杨经建.柴胡加龙骨牡蛎汤治疗消化性溃疡39例[J].湖南中医杂志,2000,16(4):27-28.
    [91]黄宁.柴胡加龙骨牡蛎汤治疗中风后抑郁症38例[J].实用中医内科杂志,2007,21(9):62-63.
    [92]唐洪文.柴胡加龙骨牡蛎汤治疗偏头痛22例[J].中国中医急症,2006,15(3):314-315.
    [93]王名扬,陈超存.柴胡加龙骨牡蛎汤妙治高血压病验案二则[J].实用医技杂志,2006,13(4):639.
    [94]谢泳泳.柴胡加龙骨牡蛎汤治疗更年期综合征临床研究[J].中国中医药信息杂志,2003,10(10):59-60.
    [95]彭光超,唐光风,周海军.柴胡加龙骨牡蛎汤治疗慢性盆腔炎323例[J].河南中医,1999,19(1):18-19.
    [96]王晓燕,吕富荣.柴胡加龙骨牡蛎汤治疗儿童多发性抽动症32例[J].陕西中医,2007,28(7):773-774.
    [97]李素明.柴胡加龙骨牡蛎汤治疗精神神经疾病[J].河南中医药学刊,2001,16(1):34-35.
    [98]毛晓红,刘波.柴胡加龙骨牡蛎汤治疗纤维肌痛综合征40例疗效观察[J].黑龙江中医药,2009,2:19-20.
    [99]张旭剑.柴胡加龙骨牡蛎汤治疗慢性疲劳综合征69例[J].新中医,2009,41(2):83.
    [100]冯世纶,张长恩.解读张仲景医学-经方六经类方证·第二版[M].北京:人民军医出版社,2011:181.
    [101]王绪红,周秀荣,马月玲.经方治疗重症乙型肝炎验案3则[J].新中医,2002,34(11):64-65.
    [1]冯石强,谢鸣.“类方”之内涵探析[J].北京中医药大学学报,2011,34(12):800-803.
    [2]张清芩.桂枝汤类方剂临床应用的统计分析(一)[J].北京中医药大学学报,1994,17(4):13-16.
    [3]沈琴峰,邢斌,李威等.补中益气汤类方用药规律探析[J].上海中医药大学学报,2008,22(5):29-32.
    [4]王改敏.《伤寒论》麻杏类方研究概况[J].四川中医,2007,25(9):37-40.
    [5]王春丽,王炎焱,韩伟等.常用矿物药及其类方药理作用研究概况[J].时珍国医国药,2007,18(6):1343-1345.
    [6]樊来应.甘温类方治疑难病举隅[J].辽宁中医杂志,2005,32(8):837-838.
    [7]周英信.论<伤寒论>脾胃病类方及其药对应用[J].广西中医学院学报,2008,11(2):2-3.
    [8]刘学文.心悸失眠类方纵横(二)[J].中医药学刊,1986,3:795-796.
    [9]张鑫,肖鲁伟,童培建.补肾类方药防治绝经后骨质疏松症的研究现状[J].中医正骨,2007,19(7):70-71.
    [10]黄仕文,樊巧玲.止呕类方配伍规律探析[J].江苏中医药,2007,39(12):53-55.
    [11]陶方泽.小柴胡汤类方证治规律研究[D].南京:南京中医药大学,2009.
    [12]高飞,刘渡舟,方积乾.运用多元分析方法对柴胡类方证的研究[J].中国医药学报,1992,7(2):25-26.
    [13]戴水平.中医活血化瘀方数据库及其数据挖掘[D].北京:北京中医药大学,2007.
    [14]刘芳.乌梅丸及其加减类方的方证规律研究[D].北京:北京中医药大学,2011.
    [15]谢鸣.“方证相关”逻辑命题及其意义[J].北京中医药大学学报,2003,26(2):11-12.
    [16]张保伟.《伤寒论》少阳病柴胡类方架构浅析[J].河南中医,2005,25(2):7-9.
    [17]林士毅,吴修符.小柴胡汤在柴胡类方中的作用机理探讨[J].福建中医药,2007,38(4):3-5.
    [18]宋鹭冰.中医病因病机学[M].北京:人民卫生出版社,1987.
    [19]姚乃礼.中医证候鉴别诊断学[M].2版.北京:人民卫生出版社,2002.
    [20]国家中医药管理局《中华本草》编委会.中华本草[M].上海:上海科技出版社,1999.
    [21]谢鸣.方剂学[M].北京:人民卫生出版社,2002,525-526.
    [22]陶汉华.经方药量换算与考证[J].山东中医药大学学报,1997,21(4):307-308.
    [23]姚乃礼.中医症状鉴别诊断学[M].2版.北京:人民卫生出版社,2000.
    [24]国家技术监督局.中华人民共和国国家标准·中医临床诊疗术语[S].北京:中国 标准出版社,1997.
    [25]中医药学名词审定委员会.中医药学名词[S].北京:科学出版社,2004.
    [26]武明钦,赵登科.桂枝茯苓鳖甲汤治疗肝硬化腹水50例[J].国医论坛,1990,4:35.
    [27]陈四清.大黄牛角汤治疗肺癌(瘀热型)大咯血探讨[J].中国中医药信息杂志,2003,10(3):6,16.
    [28]唐伟华,孙世发.景岳方剂用药规律研究[J].中医药学报,2010,38(4):53-54.
    [29]林士毅,吴修符.小柴胡汤在柴胡类方中的作用机理探讨[J].福建中医药,2007,38(4):3-5.

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