北京地区近10年高血压病中医用药规律分析  

Analysis on clinical trealment in hypertension by traditional Chinese medicine for 10 years in Beijing

作　　者：邹志东[1] 刘宁[1] 郭鹏[1] 郭丽娅[1] 孙悦[1] 石珺[1] 王玲[1] 

机构地区：[1]首都医科大学中医药学院,北京100069

出　　处：《中国中药杂志》2007年第15期1569-1572,共4页China Journal of Chinese Materia Medica

基　　金：北京市中医药科技发展基金研究项目(JJ2005-9;2005-2007)

摘　　要：通过对近10年来北京地区中医药治疗高血压病临床研究方面文献资料的回顾性总结,从中医药治疗高血压病总体用药规律、组方用药规律和辨证用药规律等3个方面加以分析。结果显示:①总体用药规律:用药类别由高到低依次为补虚药、平肝息风药、清热药、活血祛瘀药、利水渗湿药;常用中药依次为钩藤、牛膝、天麻、茯苓、白药、泽泻、川芎等。②组方用药规律:用药类别前6位同总体用药;常用中药依次为钩藤、牛膝、茯苓、天麻、川芎、白芍、泽泻等。③常见中医证型和药物依次是:肝阳上亢证为钩藤、牛膝、白芍、天麻、川芎、菊花等,肝肾阴虚证为枸杞子、牛膝、山茱萸、熟地黄、茯苓、牡丹皮等,肝火炽盛证为黄芩、夏枯草、钩藤、栀子、龙胆草、菊花等,痰浊上扰证为茯苓、半夏、橘皮、白术、天麻、甘草等,肝风内动证为天麻、钩藤、白芍、石决明、半夏等,瘀阻脑络证为川芎、赤芍、红花、桃仁、丹参、三七等,阴阳两虚证为山茱萸、熟地黄、茯苓、肉桂、附子、牛膝等。To make a retrospective study of clinical treatment in hypertension by traditional Chinese medicine for 10 years in Beijing, and to mainly analyze in three facets： the study on total regularity of using Chinese herbal medicine, the study on regularity of application, and the study on differentiation of symptoms and signs. Result ： ①Total regularity of using Chinese herbal medicine： They are tonic herbs, expelling phlegm and stopping winding herbs, heat-clearing herbs, blood-activating and stasis-resolving herbs, dampclearing herbs in turn. The frequently used herbs were Gouteng, Niuxi, Tianma, Fuling, Baishao, Zexie, Chuanxiong, and so on. ② The study on regularity of application ： The 6 kinds of herbs above were abide by the total regularity and the frequently used herbs were Gouteng, Niuxi, Fuling, Tianma, Chuanxiong, Baishao, Zexie, and so on. ③It was showed that the common syndromes of hypertension and herbs were： The herbs such as Gouteng, Niuxi, Baishao, Tianma, Chuanxiong, Juhua were frequently used in liver yang ascending syndrome. Herbs such as Gouqizi, Niuxi, Shanyao, Shudihuang, Fuling, Mudanpi, were frequently used in symptoms of yin deficiency of liver and kidney. Herbs such as Huangqin, Xiakucao, Gouteng, Zhizi, Longdancao, Juhua were frequently used in syndrome of flarming liver-fire. Herbs such as Fuling, Banxia, Jupi, Baizhu, Tianma, Gancao were frequently used in the stagnation of phlegm. Herbs such as Tianma, Gouteng, Baishao, Shijiuming, Banxia were frequently used in up-stirring of liver. Herbs such as Chuanxiong, Chishao, Honghua, Danshen, Sanqi were frequently used in syndrome of blood stasis in the collateral of the brain. Herbs such as Shanzhuyu, Shudi, Fuling, Rougui, Fuzi, Niuxi were frequently used in both-yini-and-yang-deficiency.

关 键 词：高血压病 中医药疗法 用药规律 北京地区 

分 类 号：R259[医药卫生—中西医结合]