从“阳微”论治冠心病心绞痛的临床探究.pdfVIP

提 要 目的：探讨从“阳微”论治冠心病心绞痛（胸痹）的合理性和可行性，及其具体 临床应用。方法：收集近年来公开报道并附有确实疗效依据的方剂，整理其药物组成 及其治疗原则。按冠心病心绞痛（胸痹）诊断标准收集临床病例，汇总其临床资料和 首诊方剂组成，进行描述性统计分析，并对高频药物进行聚类分析。结果：报道方剂 大体分为益气、益气养阴、益气养血、温阳等类型，其中益气活血类方剂最多。临床 观察所用药物多平和，性温者居多；药味集中于甘、辛、苦等，尤甘味最多；归经广 泛，包括心、脾、胃、肝、肺、肾经等；将高频药物 27 种聚为 7 类，前四类药物组 成为扶正合以祛邪，后三类皆为功效显著的单味药。结论：冠心病心绞痛（胸痹）从 “阳微”治疗是合理的、可行的、有效的，且在理论、临床上具有广泛的指导意义。 关键词 阳微；胸痹；冠心病心绞痛 The Clinical Research on Deficiency Condition in Angina Pectoris of Coronary Heart Disease Speciality：Internal Medicine of Traditional Chinese Medicine Author ：Niu Yingshuo Tutor：Professor Guo Weixing Abstract Objective: To investigate the rationality and the feasibility of the cognition on deficiency condition in angina pectoris of coronary heart disease and the specific treatment accordingly. Methods: Collect the publicized prescriptions which are proven effective and arrange the herbs and the therapeutic methods. Collect the cases according to diagnostic criteria in TCM and modern medicine，and make the descriptive statistic analysis and the cluster analysis. Results: The publicized prescriptions are to nourish qi, nourish qi and yin, nourish qi and blood, nourish yang, etc. The herbs’property of collected cases is always neutral, with warm the most. The tastes are always sweet, pungent, bitter, etc, with sweet the most. The meridians are various, such as heart, spleen, stomach, liver, lung, kidney, etc. The cluster analysis shows that the 27 kinds of the most commonly used herbs could be divided into 7 groups, with 4 groups being the combination of nourishment and dispersion. Conclusions: It is rational and feasible to treat deficiency condition of angina pectoris of coronary h