古今名医临证金鉴中风卷用药规律的研究.docVIP

古今名医临证金鉴中风卷用药规律的研究 　　摘要：目的 分析《古今名医临证金鉴?中风卷》用药规律，为临床提供参考。方法 查阅《古今名医临证金鉴?中风卷》收录的历代名医治疗中风疗效确切的处方，采用Excel2003建立数据库，统计用药频次。采用SPSS17.0统计软件对常用药物进行聚类分析，以树状图展示结果。结果 共纳入36位名医治疗中风的处方112首，涉及药物204味，用药频次1169次，其中高频药物（10次）有白芍、牛膝、当归、法半夏、茯苓等。高频药物类别有补虚药（22.58%）、平肝息风药（12.31%）、活血化瘀药（11.89%）、清热药（11.46%）及化痰止咳平喘药（8.72%）等。聚类分析表明高频药物（10次）可聚为6类。结论 《古今名医临证金鉴?中风卷》以补虚药为主，配以平肝息风药、活血化瘀药、清热药及化痰止咳平喘药等治疗中风，可指导临床。 　　关键词：古今名医临证金鉴；中风；用药规律；聚类分析 　　DOI：10.3969/j.issn.1005-5304.2017.10. 019 　　中图分类号：R2-05；R255.2 文献标识码：A 文章编号：1005-5304（2017）10-0081-04 　　Study on Medication Rules of Treatment of Stroke in Gu Jin Ming Yi Lin Zheng Jin Jian Zhong Feng Juan PENG Zhi-yuan， CAO Wen， LIU Wang-hua， LI Hua， ZHONG Yin-ling， ZHOU Cui-ling， ZHANG Jie （Hunan University of Chinese Medicine， Changsha 410208， China） 　　Abstract： Objective To analyze the medication rules of the treatment of stroke in Gu Jin Ming Yi Lin Zheng Jin Jian Zhong Feng Juan； To provide references for the clinical treatment. Methods Prescriptions with confirmed efficacy of famous TCM doctors in the history in Gu Jin Ming Yi Lin Zheng Jin Jian Zhong Feng Juan was searched. Excel2003 was used to establish database to analyze medication frequency. SPSS17.0 statistical software was used to conduct cluster analysis， and tree view was used to show results. Results Totally 112 prescriptions for the treatment of stroke of 36 famous TCM doctors were included in the study， including 204 kinds of Chinese materia medica and 1169 times of medication frequency. The high-frequency medicines （10 times） were Paeoniae Radix Alba， Achyranthis Bidentatae Radix， Angelicae Sinensis Radix， Pinelliae Rhizoma Praeparatum， and Poria. The high-frequency medicine categories were tonifying deficiency medicine （22.58%）， pacifying liver and wind medicine （12.31%）， activating blood and dispelling stasis medicine （11.89%）， clearing heat medicine （11.46%） and dissipating phlegm， cough and asthma medicine （8.72%）. Cluster analysis showed that high-frequency medicine （10 times） co