基于28则医案数据探析劳疟的治疗

目的:探析劳疟的治疗规律,为临床中治疗疟疾提供治疗思路,以取得好的临床疗效。方法:以《医案类聚》所辑书目中的疟疾类医案建立数据库,对录入的医案从症状,用药等方面进行标引,运用统计学的频次计数法进行统计分析。结果:劳疟临床表现以发热、头痛、汗出为主的疟证与以形瘦、神疲、脉细弱为主的虚证并见。治疗中使用频次最高的药物是人参、当归与陈皮。大量使用补益药物,然而截疟药用之较少。28则医案中,有5则明确提出运用补中益气汤治疗劳疟。结论:治疗劳疟应以益气养血为主,祛邪截疟为辅。补中益气汤在治疗劳疟有着重要意义。

Discussion on the Treatment of Labor Malaria Based on Medical Data of 28 Cases

To explore the law of treatment of labor malaria and provide treatment ideas for malaria in clinical practice, so as to obtain good clinical curative effects. Methods:The data of malaria cases in the bibliography of Collection of Medical Cases was used to establish the database. The recorded medical records were indexed from the aspects of symptoms and medication, and the statistical frequency counting method was used for statistical analysis. Results:Clinical manifestations of malaria were both seen with malaria symptoms of fever, headache, sweating and deficiency symptoms of thin, fatigue, weak pulse. The most frequently used medications were Radix Ginseng, Radix Angelicae Sinensis and Pericarpium Cirri Reticulatae. A large number of tonic drugs were used, while tranquilizers were less used. In 28 medical records, 5 cases clearly pointed out that the use of Buzhong Yiqi Decoction was used to treat malaria. Conclusion:The treatment of malaria should be based on boosting qi and nourishing blood, accompanying with dispelling evil and cutting malaria. Buzhong Yiqi Decoction has an important significance in the treatment of malaria labor.