摘要
目的总结与分析陈可冀老师临床诊疗冠心病的用药特点。方法将91例诊断为冠心病并经陈可冀老师治疗的患者初诊数据录入数据库,对其证候、立法、处方、用药等进行统计分析。结果91例患者出现证候多为痰瘀互结、气虚血瘀、气阴两虚等证。处方多以瓜蒌薤白半夏汤、生脉散、冠心号方、血府逐瘀汤等化裁。用药次数最多的依次是瓜蒌、半夏、薤白、川芎、赤芍、延胡索、红花、丹参等。结论数据分析结果客观反映了陈可冀老师治疗冠心病侧重化痰活血、益气养阴以及心胃同治的辨治特点。
Objective To summarize Dr. CHEN Ke-ji＇s academic thoughts and analyze his clinical treatment laws for coronary heart disease cases. Methods A total of 91 medical records of coronary heart disease cases treated by Dr. CHEN Ke-ji were inputted into a database. The symptoms of cases, Chinese medical diagnoses, therapeutic principles, prescriptions of herbal medicines were analyzed by SQL Server tools. Results The syndromes of 91 coronary heart disease cases were mostly phlegm with blood stasis, qi-deficiency with blood stasis, qi and yin deficiency. The prescriptions were frequently modified from Gualou Xiebai Banxia Decoction （Trichosanthes Allium Pinellia Decoction）, Shengmai Powder （PUlse Engendering Powder）, Coronary Heart Prescription Ⅱ （Prescription for coronary heart disease）, and Xuefu Zhuyu Decoction （Blood Stasis Expelling Decoction）, etc. The Chinese herbs frequently used were Gua Lou （Fructus Trichosanthis）, Ban Xia （Rhizoma Pinelliae）, Xie Bai （Bulbus Allii Macrostemi）, Chuan Xiong （Rhizoma Chuanxiong）, Chi Shao （Radix Paeoniae Rubra）, Yah Hu Suo （Rhizorna Corydalis）, Hong Hua （Flos Carthami）, and Dan Shen （Radix et Rhizoma Salviae Miltiorrhizae）, etc. Conclusion The result of analysis reveals that Academician CHEN＇s academic thoughts and experience in the treatment of coronary heart disease are dissolving phlegm, activating blood circulation, invigorating qi, replenishing yin, and simultaneous treatment for the heart and stomach.
出处
《中医杂志》
CSCD
北大核心
2008年第10期901-902,913,共3页
Journal of Traditional Chinese Medicine
基金
国家"十五"科技攻关计划资助项目(2004BA721A01Z23)
关键词
冠心病
医案
陈可冀
频数分析
Coronary heart disease
Medical cases
CHEN Ke-ji
Frequency analysis
