关于祛痰活血法治疗高脂血症的古今医案比较研究-方剂学专业论文.docxVIP

PAGE PAGE 3 摘 要 目的：将古代及现代报道对运用祛痰活血法治疗高脂血症的有效方剂进行总 结归纳，从治则、用药、辨证规律等方面进行对比，分析其治疗高脂血症组方、 治则、用药的相同与不同之处，为临床治疗高脂血症提供理论依据。 方法：研究十年来高脂血症病因病机、遣方用药的文献研究及高脂血症医案 的研究，总结其经验，分析其不足，创建祛痰活血法治疗高脂血症医案方剂数据 库，运用数据库整理三部《名医类案》，并查找近二十年万方数据库、中国知网 中普通期刊和核心期刊中运用祛痰活血法治疗高脂血症有效方剂的核心方剂、组 方、用药及配伍规律，并将两者进行对比分析。 结果：代表方剂：古代运用祛痰活血法疗高脂血症的代表方剂二陈汤，四物 汤，加味六君子汤；现代以自拟方为主偶见桃红四物汤；组方原则：古代主要是 以祛痰剂为基础方加味活血化瘀药物，以益气剂为基础方加味活血化瘀药物；现 代体现的是“痰瘀同治”，都是活血法与祛痰法同时运用，没有单纯的祛痰法， 但有单纯的活血法治疗病例。组方规律：古代有两方面的组方规律一个是祛痰剂 加活血化瘀药物；另一个益气剂加活血化瘀药物；现代一个是活血化瘀药为主加 祛痰泻浊利水渗湿的药物;另一个是化痰利水渗湿药加活血化瘀药。高频药物： 古代半夏、陈皮、当归、人参、川芎、柴胡、白芍、白术、天麻、大黄；现代山 楂、泽泻、丹参、半夏、大黄、陈皮、首乌、川芎、茯苓、水蛭；并建立祛痰活 血法治疗高脂血症数据库。 结论：，古代与现代对高脂血症病因病机认识相同，但在治疗组方用药时有 明显的不同，古人主要是以祛痰益气为主，而现代主要是活血化瘀祛痰为主。 关键词 ：高脂血症；古代医案；现代临床实验研究；组方用药规律 Comparative Study on Ancient and Modern Medical Cases of Hyperlipemia Therapy with Dispelling Phlegm Objective: ABSTRACT The Ancient time as well as contemporary literatures on the use of dispelling phlegm and promoting movement of blood treating hyperlipidemia are summarized in terms of the rules, drug uses, laws and other aspects with differentiation comparative analysis on the treatment of hyperlipidemia groups, the medication and differences, providing a theoretical basis for clinical treatment of hyperlipidemia. Methods: With a thorough study on the last ten-year literature regarding pathogenesis of hyperlipidemia, hyperlipidemia Herbal Prescription research and medical case study, the paper has summed up the experiences, analyzed its shortcomings, created hyperlipidemia blood prescription and expectorant treatment Medical Records Database, using the database during the Ancient time, finishing three renowned class cases, based on looking for and analyzing Articles database CNKI core journals on the use of expectorant in the treatment of blood effective drug for treatment of hyperlipidemia as well as medication and combination rules Results: Representative Prescription:The representative prescriptions for treatment of hyperlipidemia are Erchen Tang、Si