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目的基于文献分析近40年应用升阳散火汤治疗临床疾病的中医证素分布及其组合规律,以期对规范化使用升阳散火汤治疗相关疾病提供可靠依据。方法采用计算机检索和人工检索相结合的方法,对1975—2015年应用升阳散火汤治疗疾病的相关文献进行收集整理,采用SPSS 11.5统计软件对该方治疗疾病的中医证素分布及组合进行频次统计、分析、归纳。结果筛选并整理合格文献77篇、合格病案128个,提取23个病性证素、17个病位证素。升阳散火汤临床应用的病位证素依次为脾>肝>表>胃;病性证素依次为阴虚>热=气虚=湿>阳虚>气滞>血虚;常见证素组合中阴虚有热、气阴两虚、气虚伴阳虚、气虚有湿、阴虚有湿、气血两虚频次占前6位。结论通过证素分析说明阴火的形成与脾虚致阴火不降是有密切关系的,与升阳散火汤是方证相符的。
OBJECTIVE: To analyze the distribution of TCM syndromes and their combination rules in the application of Shengyang Sanhuo Decoction in the treatment of clinical diseases in recent 40 years based on the literature, in order to provide a reliable basis for the standardized use of Shengyang Sanhuo Decoction in the treatment of related diseases. Methods The methods of computerized retrieval and manual retrieval were used to collect and sort out the literatures about the application of Shengyang Powder in the treatment of diseases from 1975 to 2015. SPSS11.5 statistical software was used to analyze the distribution and combination of TCM syndromes Frequency statistics, analysis, induction. Results A total of 77 qualified articles were screened out and sorted out, and 128 qualified medical records were obtained. 23 disease-based syndromes and 17 disease-based syndromes were extracted. Sunsan Sanpi clinical application of disease-bitch syndrome followed by spleen> liver> Table> stomach; disease followed by the symptoms of Yin deficiency> heat = qi deficiency = wet> yang> qi stagnation> blood deficiency; common syndrome combinations Yin in the heat, Qi and Yin Deficiency, Qi and Yang, Qi is wet, Yin has wet, qi and blood deficiency accounted for the first 6. Conclusion Through the analysis of forensic elements shows that the formation of overcast fire and spleen caused by overcast is not related to a fire is closely related to the soup with Shengyang is square card match.