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古代医家治疗胸痹心痛300例病案用药规律研究 被引量:6

Study on the Laws of Medicine Application of 300 Chest Pain Patients Treated by Ancient Physicians
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摘要 目的:探讨古代胸痹心痛的用药规律。方法:收集古代医案,建立胸痹心痛中药数据库,从用药进行频数和频率分析。结果:1.总体用药规律:用药类别由高到低依次为:理气药、补虚药、化痰药、活血化瘀药、解表药。2.常用中药:半夏、薤白、甘草、茯苓、桂枝、白芍、陈皮、瓜蒌、桃仁、杏仁、丹参、当归、香附、橘红、生姜、干姜、郁金、白术、枳壳、附子、人参、枳实、桔梗、吴茱萸、肉桂、益智仁是古代医家治疗胸痹心痛的主要药物和有效药物。结论:古代医家治疗胸痹心痛用药种类以理气药、补虚药、化痰药、活血化瘀药、解表药为主,药性以温热性质为多,五味以辛苦甘三味居多,归经多入脾、肺、心、胃经。 Objective: To explore the laws of medicine application of ancient chest pain patients.Methods: By collecting the ancient medical records and establishing the database of the chest pain patients,times and frequency of medical application were analyzed.Results: A.General laws of the medical application from high to low of categories were that the medicine for regulating flow of qi,restoring qi,reducing phlegm,promoting blood circulation,and dispelling pathogenic factors from exterior.B.Commonly used and effective Chinese medicine were Pinellia,Alli macrostemonis,Glycyrrhizae,Poria,Ginnamomi,Paeoniae alba,Licorice,Citri reticulatae,Trichosanthis,Semen persicae,Semen pruni ameniacae,Salviae miltiorrhizae,Angelicae,Rhizoma cyperi,Ginger,Zingiberis,Curcumae,Atractlodis macrocephalae,Fructus aurantii,Aconiti lateralis preparata,Ginseng,Fructus gardeniae,Platycodonis,Fructus evodiae,Cortex cinnamomi and Fructus alpiniae oxyphyllae.Conclusion: The medicine for chest pain treatment used by the ancient physicians was mainly to regulate flow of qi,restore qi,reduce phlegm,promote blood circulation,and dispel pathogenic factors from exterior,and among five tastes,three tastes are mainly pungent,bitter and sweet,entering the spleen,lung,heart and stomach meridian.
出处 《云南中医中药杂志》 2013年第5期18-21,89,共4页 Yunnan Journal of Traditional Chinese Medicine and Materia Medica
基金 国家中医管理局中医心病学重点学科建设项目(N0:国中医药发2009-30号)
关键词 胸痹心痛 频数统计 用药规律 chest pain,frequency statistics,application law
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参考文献2

  • 1周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:297
  • 2高学敏.中药学[M].北京:中国中医药出版社,2007:1,21,23,24,26,28.

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