纯中药治疗中风用药特点
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R255.2

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国家自然科学基金项目(81774010)


Medication Characteristics of Pure Chinese Herbal Medicine for Stroke
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    摘要:

    目的:研究先贤运用纯中药治疗中风的用药配伍特点及治则治法,并与现代中西医结合用药规律比较分析。方法:收集《中华医典5.0》中治疗中风的纯中药处方,通过Microsoft Office Excel 2013软件建立规范化数据库,并利用SPSS Statistics25和SPSS Modeler18.0软件对数据库中的处方进行频数分析、关联分析及聚类分析。结果:研究最终纳入条文429篇,方剂1 330首,中药528 味,药物总频次15 689 次。其中频次>20%的中药13 味;药类频次>1 000 次的中药类别为解表药、补虚药、祛风湿药、平肝熄风药、活血化瘀药、化痰止咳平喘药;在支持度20%、置信度50%条件下,可得强关联药对20对;聚类分析前20味高频药物可得4类聚类组。结论:先贤治疗中风以熄风化痰、温阳通络、祛风行血、益气健脾为基本方法组方用药,《中华医典5.0》相关的解表祛风药、温阳活血药、开窍醒神药的应用或为现代医家亟待重视。

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    Abstract: Objective: To study the characteristics of medication and compatibility as well as treatment principles and methods of the past scholars in treating stroke by pure Chinese herbal medicine,and to compare it with modern medication rule of integrated Chinese and western medicine and make an analysis. Methods:Ancient and modern prescriptions of pure Chinese herbal medicine for stroke in Classics of Traditional Chinese Medicine 5.0 were collected; the standardized database was established by Microsoft Office Excel 2013; the frequency analysis, correlation analysis and cluster analysis on prescriptions in the database were performed by SPSS Statistics25 and SPSS Modeler18.0. Results: In the study, 429 provisions, 1 330 prescriptions and 528 Chinese herbal medicines were included, with a total frequency of 15 689 times.There were 13 Chinese herbal medicines whose frequency is higher than 20% . The categories of Chinese herbal medicine whose frequency is more than 1 000 times include exterior- releasing medicinal, deficiency- nourishing medicinal, winddampness dispelling medicinal, liver- pacifying and wind- extinguishing medicinal, blood- activating and stasis- resolving medicinal as well as phlegm- resolving, cough- suppressing and panting- calming medicinal. Under the condition of 20% support and 50% confidence,20 strongly correlated medicine pairs were obtained. 4 cluster groups were obtained from top 20 high-frequency medicines in cluster analysis. Conclusion:The basic methods of prescription-composing and medication of the past scholars in treating stroke are extinguishing wind and resolving phlegm, warming yang to free the collateral vessels, dispelling wind and promoting blood circulation, as well as tonifying qi to fortify the spleen. The application of exterior- releasing and wind- dispelling medicinal, yang- warming and blood- activating medicinal and orifice- opening and resuscitation-inducing medicinal which are related to the Classics of Traditional Chinese Medicine 5.0 may be necessary for modern doctors to pay attention to.

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丁敏芮,邵婧怡,马小雅,周亚军,李一铭,金竹青.纯中药治疗中风用药特点[J].新中医,2020,52(10):18-22

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  • 在线发布日期: 2020-05-26
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