摘要
目的 :探讨现代医案中中风的用药规律和病机特点。方法 :对近现代出版的医案集、临床类著作进行收录,将药物进行标准化处理,建立数据库,应用SPSS 17.0软件对数据进行频数、因子分析。结果:频数分析发现临床常用药有石菖蒲、当归、甘草、钩藤、川芎等;常用的药物种类有补虚药、平肝熄风药、活血化瘀药、化痰药等。因子分析结果提示:气血阴阳虚衰、肝气盛、痰邪、瘀血各因子既可单独致病又常常相兼致病,形成虚实夹杂的病机特点。结论:临床治疗中风既要注意培补气血以扶正,同时也要注意肝气盛、痰瘀在中风发展过程的重要影响,需辨证准确,分清标本虚实,选药精当,方可取得更好的疗效。
Objective：To investigate the medication rules and pathogenesis features of stroke based on modern medical records.Methods：We collected the cases of stroke from the modern published and clinical works,and standardized the medicine to establish a database,analyzed by SPSS 17.0 software,including frequency analysis and factor analysis.Results：The results of frequency analysis suggested that the medicine commonly used in clinical medicine including ：Acori tatarinowii rhizoma（ Shichangpu）,Angelicae sinensis radix（Danggui）,Glycyrrhizae radix et rhizoma（Gancao）,Oncariae ramulus cum uncis（Gouteng）,Chuanx iong rhizoma（Chuanxiong）.The mostly widely used types of medicine including：tonic medicine,drugs for calming liver to stop endogenous wind,stasis-dissolving drugs and expectorant drugs.The results of factor analysis indi cated：factors of yin,yang,qi and blood deficiency,excess of liver-qi,phlegm pathogen and blood stasis can cause disease alone,and they are often combined to cause disease with formation of intermingled deficiency and excess pathogenesis.Conclusion：The clinical treatment of stroke should be tonifying qi and blood to strengthen the body resistance and pay attention to the effects of excess of liver-qi,phlegm pathogen and blood stasis on stroke.Only accurate syndrome differentiation and accurate medicine selec-tion,can we achieve better curative effects.
作者
冯雪妍
吴建林
FENG Xueyan;WU Jianlin(Master Degree Candidate of Grade 2015,Shandong University of Traditional Chinese Medieine,Jinan 250355, China;Shandong University of Traditional Chinese Medicine,Jinan 250355, China)
出处
《山东中医药大学学报》
2017年第6期500-503,共4页
Journal of Shandong University of Traditional Chinese Medicine
基金
山东省科技发展计划(编号:zyy012)
山东省高等学校科技计划(编号:J12LK12)
