Analysis of Pathogenesis and Medication Regularity in Prescriptions for Consciousness Disease from

SONG Ting; ZHANG Cheng-bo; CHEN Wei-da

doi:10.13422/j.cnki.syfjx.20181062

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Analysis of Pathogenesis and Medication Regularity in Prescriptions for Consciousness Disease from

更新时间：2024-01-04

- Analysis of Pathogenesis and Medication Regularity in Prescriptions for Consciousness Disease from
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 24, Issue 13, Pages: 202-208(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20181062
  CLC： R22
- Published：2018
- 稿件说明：
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SONG Ting, ZHANG Cheng-bo, CHEN Wei-da. Analysis of Pathogenesis and Medication Regularity in Prescriptions for Consciousness Disease from [J]. Chinese journal of experimental traditional medical formulae, 2018, 24(13): 202-208.
DOI：

SONG Ting, ZHANG Cheng-bo, CHEN Wei-da. Analysis of Pathogenesis and Medication Regularity in Prescriptions for Consciousness Disease from [J]. Chinese journal of experimental traditional medical formulae, 2018, 24(13): 202-208. DOI： 10.13422/j.cnki.syfjx.20181062.

摘要

目的：探析《圣济总录·诸风门》神志病病机及用药规律。方法：以诸风门记载医论为理论基础，分析神志病的病因病机；借助中医传承辅助系统软件（V2.5）中的方剂分析模块，总结神志病用药规律。结果：药物分类使用频次排在前3位的为补虚药、安神药、解表药，高频药物排名前11位的有人参、炙甘草、茯苓、防风、远志、朱砂、桂枝、牛黄、茯神、麝香、冰片，关联规则分析得到常用配伍有人参配伍茯神、茯苓、远志、炙甘草，朱砂配伍麝香、冰片、牛黄。结论：“五脏虚损，风邪乘之”是诸风门神志病证的核心病机。安精神，定魂魄，首选人参；补五脏，安神益智，人参配炙甘草、远志、茯苓；补肝气，助升发，桂枝配干姜；散风邪，疏肝气，佐以防风；窍闭神昏，开窍醒神，朱砂配麝香、冰片、牛黄。

Abstract

Objective: To analysis the pathogenesis and the medication regularity of consciousness diseases in prescription book Sheng Ji Zong Lu·Zhufengmen. Method: With Sheng Ji Zong Lu·Zhufengmen as the theoretical foundation

the pathogenic factors and pathogenesis of consciousness diseases were analyzed; the medication regularity in prescriptions for consciousness diseases was summarized through the software of traditional Chinese medicine (TCM) inheritance assistant system. Result: The top three drug categories by use frequency are deficiency-nourishing drugs

spirit-quieting drugs and drugs for relieving exterior syndrome. Top 11 high-frequency drugs were Ginseng Radix et Rhizoma

Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle

Poria

Saposhnikoviae Radix

Polygalae Radix

Cinnabaris

Cinnamomi Ramulus

Bovis Calculus

Fushen

Moschus

Borneolum Syntheticum. Commonly combined herbs included Ginseng Radix et Rhizoma combined with Fushen

Poria

Polygalae Radix

Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle; Cinnabaris combined with Moschus

Borneolum Syntheticum

Bovis Calculus. Conclusion: Deficiency of five internal organs and exogenous pathogenic wind are the core of consciousness disease pathogenesis. Ginseng Radix et Rhizoma could be used as the preferred drug for the treatment of tranquilizing and sedating the mind. Ginseng Radix et Rhizoma combined with Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle

Poria

Polygalae Radix can tonify the five organs

tranquilize the mind and promote the intelligence. Cinnamomi Ramulus combined with Zingiberis can tonify and smooth liver Qi. Saposhnikoviae Radix can dispel wind pathogens and smooth liver Qi. Cinnabaris combined with Moschus

Borneolum Syntheticum and Bovis Calculus can induce resuscitation and stay awake.

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