摘要
目的观察名老中医龙家骏的经验方龙氏加味温胆汤治疗心血管神经症的临床疗效。方法将符合纳入标准的60例病例随机分为2组,治疗组予龙氏加味温胆汤治疗,药物组成:竹茹10 g,法半夏10 g,枳实6 g,陈皮6 g,茯苓10 g,远志6 g,党参10 g,酸枣仁12 g,合欢皮12 g,丹参30 g,炙甘草3 g。随症加减:形寒畏冷,舌淡苔薄白,脉细,阳虚者,加熟附子10 g,肉桂(后下)3 g;心烦易怒,舌红苔少,脉弦数,心肝火旺者,加牡丹皮10 g,黄连3 g,栀子10 g。1剂/d,7 d为1疗程,连用3个疗程。对照组予常规西药谷维素(20 mg,3次/d)和艾司唑仑(1 mg,每晚口服)治疗。结果治疗组临床疗效、症状改善均优于对照组。治疗21 d后,总有效率为93.33%。结论龙氏加味温胆汤可理气化痰、宁心安神,治疗心血管神经症可以取得较为满意的临床疗效。
Objectives To observe the clinical efficacy in treating cardiovascular neurosis with Long＇s Wendan Decoction of the old Chinese medicine experience of Long Jiajun. Methods 60 cases of patients included in the standard were randomly divided into two groups. Treatment group was given the treatment of Long＇s Wendan Decoction. The basic formula： bamboo shavings 10 g,pinellia 10 g,acid-insoluble ash 6 g, tangerine peel 6 g,Poria cocos 10 g,main polygala 6 g,dangshen 10 g, jujube benevolence 12 g, cortex albiziae 12 g, salvia mihiorrhiza 30 g, main licorice 3 g. Modification are made according to symptoms：with the symptoms of cold fear, the thin white tongue light moss, fine pulse and Yang deficiency, we should add lateral mot 10 g, cinnamon 3 g; With symptoms of irritability, red tongue and hyperactivity of heart-tire and liver-tire, we should add mot bark of tree paeony 10 g,rhizoma coptidis 3 g,pittosporm mot 10 g （one dose a day,7 days as a course of treatment,for 3 courses of treatment） ;The control group received conventional medicine oryzanol and estazolam treatment. Results The clinical efficacy of the treatment group and symptom improvement was better than that of the control group. After 21 days, the total effective rate of treatment was 93.33 %. Conclusion Long＇s Wendan Decoction in treating cardio- vascular neurosis based on syndrome differentiation can achieve satisfactory clinical efficacy.
出处
《吉林中医药》
2014年第2期145-147,共3页
Jilin Journal of Chinese Medicine
