基于古籍文献挖掘的中医塌渍技术整理研究

Research on traditional Chinese medicine sloughing stain technology based on ancient literature mining

关键词:  塌渍  中医外治法  古籍  数据挖掘  文献研究

Key words:  sloughing stains  traditional Chinese medicine external treatment method  ancient books  data mining  literature research

摘要:

[目的] 基于数据挖掘梳理中医古籍中塌渍相关文献，为塌渍技术古籍文献研究提供依据，并为临床提供参考。[方法] 检索《中华医典》《中国基本古籍库》和《瀚堂典藏》数据库，整理总结古籍中塌渍技术的操作方法、主治病证及所用方药。[结果] 本研究最终纳入199条文献，涉及古籍39部。塌渍古代操作包括热塌、冷渍和热渍，其主治病证分布于内、外、妇、儿、骨伤、五官诸科，其中内科肢体经络病证和外科疮疡及皮肤病、蛇虫咬伤等频次较高。塌渍所用方药共54个单方、32个复方，药性以辛苦发散、清热解毒为主。[结论] 塌渍在古代已形成较为成熟的技术体系，以塌渍形式给药具有发汗祛邪，疏通经络的作用，其所用方药对于现代临床有一定的参考价值。

Abstract:

[Objective] Based on data mining,this study aims to sort out the literature related to sloughing stains in ancient Chinese medicine literature,provides a basis for the study of sloughing stains technology in ancient Chinese literature,and provides reference for clinical practice. [Methods] The databases of Chinese Medical Code,Chinese Basic Ancient Books Library and Hantang Collection were retrieved to sort out and summarize the operating methods,indications,and prescriptions of the sloughing stain technique in ancient books. [Results] This study ultimately included 199 articles,involving 39 ancient books. The ancient operations of sloughing stains included hot sloughing,cold stains,and hot stains,and their main symptoms and signs were distributed in various departments such as internal medicine,external medicine,gynecology,pediatrics,bone injuries,and five sense organs. Among them,the frequency of internal medicine limb meridian disease patterns,surgical sores and skin diseases,snake and insect bites,etc. was higher. There are 54 single formulas and 32 compound formulas in total which were used in the treatment of sloughing stains,with the main properties of spicy and bitter dispersing,heat clearing and detoxification. [Conclusion] Sloughing stains have formed a relatively mature technical system in ancient times. Medication in the form of sloughing stains has the effects of sweating,dispelling evil,and unblocking meridians. The prescriptions used have certain reference value for modern clinical practice.