主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (3): 235-242.doi: 10.3969/j.issn.1006-2157.2019.03.009

• 临床研究 • 上一篇    下一篇

新安王氏内科王仲奇与王任之论治胃脘痛用药特色分析

高兵1, 王键1#, 张佩文1, 程悦1, 郭锦晨1, 黄辉1, 齐卓操2   

  1. 1 安徽中医药大学中医学院 安徽 230038;
    2 南京中医药大学
  • 收稿日期:2018-09-12 出版日期:2019-03-30 发布日期:2019-04-02
  • 通讯作者: # 王键,男,教授,博士生导师,主要研究方向:中医药防治心脑血管疾病、新安医学研究,E-mail:wangjian6301@163.com
  • 作者简介:高兵,男,在读本科生
  • 基金资助:
    “十二五”国家科技支撑计划资助项目(No.2012BAI26B00),国家中医药管理局建设资助项目(No.2012228),安徽中医药大学2018年大学生创新创业重点资助项目(No.201801)

Medication characteristics of Wang Zhongqi and Wang Renzhi (physicians in Xin’an Wang’s internal medicine) in treatment of stomach duct pain*

Gao Bing1, Wang Jian1#, Zhang Peiwen1, Cheng Yue1, Guo Jinchen1, Huang Hui1, Qi Zhuocao2   

  1. 1 School of Traditional Chinese Medicine, Anhui University of Traditional Chinese Medicine, Anhui 230038, China;
    2 Nanjing University of Chinese Medicine, Nanjing 210023, China
  • Received:2018-09-12 Online:2019-03-30 Published:2019-04-02
  • Contact: Prof. Wang Jian, Doctoral supervisor. School of Trational Chinese Medicine, Anhui Universty of Chinese Medicine. E-mail: wangjian6301@163.com
  • Supported by:
    National Twelfth Five-Year Science and Technology Support Program (No. 2012BAI26B00), State Administration of Traditional Chinese Medicine Foundation (No. 2012228)

摘要: 目的 对新安王氏内科医家王仲奇及王任之论治胃脘痛用药特色进行分析。方法 从《王仲奇医案》《王任之医案》中选取治疗胃脘痛处方74例、160例,提取方药,将符合纳入标准的处方录入Excel中,采用频数分析,计算高频药物,通过SPSS 22.0对高频药物进行相关分析,应用IBM SPSS Modeler 14.1进行Apriori算法,最大频繁关联模式等分析。结果 《王仲奇医案》共出现中药888次,频次排名前3位中药为半夏、茯苓、旋覆花;《王任之医案》出现中药2 146次,排名前3的中药为瓜蒌、半夏、枳壳。关联分析得出王仲奇论治胃脘痛主要为瓜蒌→薤白,半夏→薤白,佩兰→陈皮等组合关联;王任之主要为瓜蒌→薤白,半夏→枳壳,半夏→薤白等组合关联。结论 2位王氏医家诊治胃脘痛以通为大法,务在祛除阻塞胃气疏降之因,或疏通气机,或健运脾胃,或活血化瘀,或消食化滞,或温中行气,胃脘痛常兼气滞,以辛开苦降法,用辛香理气之品,和胃止痛。顺应胃腑和降之性,畅通人身元气,促进疾病痊愈。王仲奇与王任之的治疗胃脘痛思路一脉相承,具体用药却各有特色。王任之在王仲奇扶正健脾、通邪止痛基础上,更加重视胃脘痛日久,瘀血、痰邪留滞,常施以通阳泄浊、化瘀通络之法。

关键词: 新安王氏内科, 王仲奇, 王任之, 数据挖掘, 胃脘痛

Abstract: Objective To analyze the medication characteristics of Wang Zhongqi and Wang Renzhi (physicians of Xin’an Wang’s internal medicine) in treatment of stomach duct pain. Methods The formulas for treating stomach duct pain were chosen from Wang Chongqi’s Medical Cases (74 cases) and Wang Renzhi’ s Medical Cases (160 cases) and medicinals were selected. The eligible formulas to internalized standard were input into Office 2010 and high-frequency medicinals were calculated by using frequency analysis. SPSS 22.0 software was used to given a correlation analysis on the high-frequency medicinals, and IBM SPSS Modeler 14.1 software was used in the analyses of Apriori algorithm and maximum frequent association pattern. Results There were totally 888 Chinese medicinals appeared in Wang Chongqi’s Medical Cases, and top 3 medicinals were Banxia (Pinellia Tuber, Rhizoma Pinelliae), Fuling (Indian Bread, Poria) and Xuanfuhua (Inula Flower, Flos Inulae). There were totally 2146 Chinese medicinals appeared in Wang Renzhi’ s Medical Cases, and top 3 medicinals were Gualou (Trichosanthes fruit, Fructus Trichosanthis), Banxia (Pinellia Tuber, Rhizoma Pinelliae) and Zhiqiao (Bitter Orange, Fructus Aurantii). The results of association analysis showed that couplet medicinals for stomach duct pain used by Wang Chongqi were mainly Gualou-Xiebai (Macrostem Onion, Bulbus Allii Macrostemi), Banxia-Xiebai and Peilan (Eupatorium, Herba Eupatorii)-Chenpi (Tangerine Peel, Pericarpium Citri Reticulatae), and couplet medicinals for stomach duct pain used by Wang Renzhi were mainly Gualou-Xiebai, Banxia-Zhiqiao, Zhiqiao-Banxia and Banxia-Xiebai. Conclusion These 2 physicians of Xin’an Wang’s internal medicine take unblocking as major therapy in treatment of stomach duct pain to remove the causes of gastric qi obstruction, including dredging qi movement, or improve transportation of spleen and stomach, or activating blood and resolving stasis, or promote digestion and remove food stagnation or warming the middle and move qi. Stomach duct pain is commonly accompanied by qi stagnation, which is treated often with therapies of pungent for opening and bitter for descending by using medicinals with effects of regulating qi with pungent and aroma medicinals for harmonizing stomach and relieving pain. The downward features of stomach should be complied with to free body’s original qi and improve recovery of disease. Wang Zhongqi and Wang Renzhi have the same thinking on treatment of stomach duct pain, but they have their own medication characteristics. Wang Renzhi puts more emphasis on long-term stomach duct pain with blood stasis and phlegm retention, and often uses therapies of unblocking yang, discharging turbidity, resolving stasis and freeing collaterals.

Key words: Xin’an Wang’s internal medicine, Wang Zhongqi, Wang Renzhi, data mining, stomach duct pain

中图分类号: 

  • R249.2