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    題名: 逍遙散之典籍文獻分析研究;Analysis research of Traditional Chinese Medical Literature on Xiao Yao San
    作者: 陳俊銘;Chun-ming Chen
    貢獻者: 中國醫藥大學:中國藥學研究所碩士班
    關鍵詞: 逍遙散;肝鬱脾虛;乳腺囊腫;XIAO-YAO SAN;Liver depression and spleen deficiency;mammary gland cyst
    日期: 2007-07-05
    上傳時間: 2009-08-11 10:25:19 (UTC+8)
    摘要: 目的:希望從浩瀚的古代中醫典籍中,找出逍遙散的傳承沿流、組方變化、治療『病』『症』的種類與使用關鍵,再與現代臨床研究及台灣中醫健保使用狀況做交叉比對,探討此方目前兩岸的使用趨勢及研究進展,是否超越古代醫家的範疇。
    方法:利用中醫藥典籍分析研究程式系統,搜尋古今中醫典籍期刊電子資料庫,再以描述性統計呈現本方古今兩岸治療疾病的分類及各分類百分比。
    結果:本方在古今兩岸治療疾病的分類趨勢,基本相似,都是偏重於女性生殖系統疾病。但仍有幾點差異:1.感染病及寄生蟲疾病方面的使用,古代明顯高於現代;2.內分泌、營養及新陳代謝疾病與免疫性疾患方面的使用則是現代兩岸皆高於古代;3.現代用於精神疾病高於古代;4.循環及呼吸系統疾病的應用台灣高於古代及對岸;5.泌尿生殖系統疾病的使用台灣只有古代及對岸的一半;6.古代用於妊娠、生產及產褥期之併發症的情況遠高於現代;7.而台灣在骨骼肌肉系統及結締組織疾病方面的使用則是大陸及古代的5倍。
    討論:這些差異性基本上是因為古今醫療水準不同,例如現代抗生素的使用,使逍遙散在感染病方面無用武之地。婦產科技術的精進使本方在泌尿生殖系統疾病與妊娠、生產及產褥期之併發症方面使用也大大減少。另一方面台灣健保制度的方便性也促使本方在呼吸系統疾病及痠痛方面使用量大於古代及對岸。

    Introduction:In order to find the best evidence from the voluminous historical Chinese medicine database, we use the relevant keywords to link and retrieve articles focus on the study of XIAO-YAO SAN (逍遙散) as a remedy for women disease. Further more, the development of variable combination of XIAO-YAO SAN from ancient time to the present urge me to explore the influence factors and compare the differences between Taiwan and Mainland China .

    Method:We use a self-created computer program to retrieve and analyze the articles from the electronic Chinese medicine databases that have been searched. The descriptive analysis is used to categorize the illness treated by XIAO-YAO SAN, and each proportion will be displayed as percentages.

    Results:The evidences from the literature show that the original XIAO-YAO SAN is a well accepted remedy from the past to the present. The similarity between Taiwan and Mainland China is that XIAO-YAO SAN can be widely applied to the treatment of the gynecological disorders. However, there were seven differences from the comparison between Taiwan and Mainland China, as well as the past and the present. The following lists below represent such the differences: 1. The XIAO-YAO SAN had been applied for the infectious diseases as well as parasitic diseases in ancient times. 2. The XIAO-YAO SAN are prescribed for endocrine, nutritional, metabolic and immunological disorder more frequently in modern time. 3. The XIAO-YAO SAN is aimed at treating psychological disorder more frequently in Mainland China and Taiwan. 4. The XIAO-YAO SAN also has been applied for circulatory and respiratory system illness more frequently in Taiwan than ancient time and Mainland China. 5. The application rate of XIAO-YAO SAN for genito-urinary disorder in Taiwan is only half of the prescribing rates of the Mainland China and ancient time. 6. In the past, the application rate of pregnancy, childbirth & the puerperium complication were much higher than nowadays. 7. Meanwhile, the application of Xiao-Yao San for skeletal, muscle and connective tissue system disease in Taiwan is 5 times higher than Mainland China and ancient time.

    Discussion:As mentioned above, such findings may be due to the differences of the disease management standard between the ancient time and modern time. For example, antibiotics are widely used for the infectious disease cause that XIAO-YAO SAN are prescribed much less frequently. Furthermore, the great improvement of gynecological skill makes the application rate of XIAO-YAO SAN for the treatment of genito-urinary disorder reduced tremendously. On the other hand, the application of XIAO-YAO SAN in the respiratory system and muscle pain is much higher than the past and Mainland China due to the convenience of the Nation Health Insurance in Taiwan.
    顯示於類別:[中國藥學研究所(已停用)] 博碩士論文

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