摘要
目的 :通过统计辨证分型、药物使用频次总结常占杰治疗肝硬化门静脉高压性胃病的经验,分析用药规律。方法 :收集门诊、住院患者中药处方,并将中药处方录入Excel 2007数据表,统计药物使用频次、功效、药性,通过药物分布规律,总结治疗经验。结果:共收集232例,就诊798人次,中药处方786张,高频中药81味,共使用8 003次,分属于15类,以健脾、理气、活血、温阳药为主。临床分为湿热壅滞中焦、脾胃气阴不足、气滞血瘀、中焦虚寒4个证型,其中以气滞血瘀型为多见(42.90%)。结论:治疗肝硬化门静脉高压性胃病以健脾温阳、理气活血药为主,温通结合疗效好。
Objective:Through the statistics of syndrome types and the frequency of medicine,we summarized the experience of CHANG Zhanjie's treatment of portal hypertensive gastropathy and analyzed the medication rules.Methods:The Chinese prescriptions of the outpatient and inpatient were collected and recorded into Excel 2007 data table.Frequency,efficacy,properties were counted and experience was summarized by analyzing the medication rules.Results:Total of 232 patients were collected with 798 visits,786 prescriptions of traditional Chinese medicine and 81 high-frequency traditional Chinese drugs were used for 8 003 times and they were classified into 15 groups,mainly of invigorating spleen,regulating qi,activating blood circulation and warming Yang.The disease were divided into four types:damp-heat stagnating middle energizer,spleen and stomach yin deficiency,qi stagnation and blood stasis,deficient cold in middle energizer,a mong which qi stagnation and blood stasis type was most common(42.90%).Conclusion:The treatment of portal hypertensive gastropathy was mainly composed of invigorating spleen and warming yang,regulating qi and activating blood circulation,combined with warming and ventilating.
作者
刘永刚
宋春荣
常占杰
LIU Yonggang;SONG Chunrong;CHANG Zhanjie(Affiliated Hospital of Shanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《山东中医药大学学报》
2017年第6期536-539,共4页
Journal of Shandong University of Traditional Chinese Medicine
关键词
常占杰
门静脉高压性胃病
用药规律
经验
CHANG Zhanjie
portal hypertensive gastropathy
medication rule
experience