治疗心悸方27首的计算机辅助分析.pdfVIP

提 要 目的：本课题的研究目的是为运用现代科学方法从客观角度诠释古今不同医家在 治疗心悸病时遣方用药的共同习惯与规律，并掌握各个时期或各医家用药的特点，用 此统计结果增加现代临床对症用药的针对性、提高临床疗效。方法：本课题借助方剂 分析系统，应用频率分析、Varclus 聚类分析、Logistic 回归分析等SAS统计学方法 对治疗心悸的 267 首方剂进行统计分析。结果：（1）治疗心悸的中药，频数最多为 炙甘草，最少为棕边炭等；（2）Varclus 聚类分析中高频用药共分 13 类；（3）辨 证频次分析，9种证型中频次最高为心气不足型，最少为水饮凌心型，兼证最多为心 气不足型、心血不足型及心阴不足型；（4）心虚胆怯型常用酸枣仁、茯神、朱砂 与煅牡蛎；水饮凌心型常用防己、五加皮、猪苓；瘀阻心脉型常用半夏、红花、 酸枣仁；心气不足型常用炙黄芪、党参、远志、酸枣仁、大枣和苦参；心血不 足型酸枣仁、白芍、柏子仁和大枣；心阴不足型常用麦冬、柏子仁、太子参和 党参；心阳不足型常用附子、桂枝、麦冬、红参和淫羊藿；心脾两虚常用远志、 龙眼肉、何首乌、香附；心肾不交常用肉桂、生姜。结论：古今医家治疗心悸病 多以补气、补血、安神药为主，针对不同证型再予活血、温阳、滋阴等药物；治疗心 悸时应多加注意心气不足、心血不足与心阴不足型的兼证。 关键词 心悸；方剂分析；频率分析；Varclus聚类分析；Logistic回归分析 Computer Analysis Of 267 Prescription Of Palpitation Speciality: Treatment Of Palpitation,Combine Traditional Chinese and Western Medicine Author:Menghe Zhangi Tutor:Shouqiang Chen Abstract Objective: The purpose of this subject is to explain the habits and patterns of the different treatment of palpitation medication, understand its features by useing the modern scientific methods,to enhance the clinical use of targeted, improve the clinical efficacy with this result. Material and Method ：With the help of prescription analysis system, this project use the frequency analysis, Varclus cluster analysis,logistic regression analysis and SAS statistical methods to analyzed 267 prescription treating palpitation. Result:(1) In the traditional chinese drugs treating alpitations,Zhigancao is the most one and zongbiantan is the least one;(2) The high frequency traditional chinese drugs are divided into 13 categories by Varclus cluster analysis;(3) Discriminate frequency analysis:in the 9 types,xinqi-buzu is the most one,shuiyin-lingxin is the least one;xinqi-buzu,xinxue-buzu and xinyin-buzu have