京津地区冠心病证候-治法-方药的现况调查  

Cross-sectional Investigation of Treatment and Syndrome of Coronary Artery Disease in Beijing and Tianjin

作　　者：付长庚[1] 高铸烨[2] 陈静[2] 张京春[2] 史大卓[2] 

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院西苑医院,北京100091

出　　处：《中国实验方剂学杂志》2010年第12期176-179,共4页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家115课题(2006BAI04A01);国家科技支撑计划课题(2007BAI10B02-15);国家973课题(2006CB504803);北京市科技计划重大项目(D08050703020801)

摘　　要：目的:调查京津地区冠心病患者的证候分布、常用治法和方药使用情况。方法:病证结合,基于冠心病个体化诊疗信息平台,现况调查3 018例冠心病住院患者的临床证候、治法、方药信息。结果:常见证候依次是血瘀、气虚、痰浊、阴虚、阳虚、气滞、血虚。证候组合分布以2证组合、3证组合、单一证型、4证组合常见。常用治法是活血、补气、化浊、养阴、清热、理气、宣痹、通络、补脾、温阳、疏肝,治法组合以4种治法组合、3种治法组合、2种治法组合、5种治法组合、6种治法组合最常用。常用的中药依次是丹参、茯苓、川芎、赤芍、桃仁、红花、当归、甘草、半夏、枳壳、陈皮、瓜蒌、麦冬、地黄、柴胡、黄芪,常用中药的功效依次是化浊、止痛、清热、活血、利水、化瘀、解毒、补气、安神、补血、凉血、理气、补脾。结论:冠心病中医临床诊疗坚持了理法方药相一致原则,治疗冠心病的清热治法、解毒治法值得进一步研究。Objective： To survey the relationship between herbs,therapeutic methods and syndrome of coronary artery disease（CAD）.Method： Using cross-sectional survey,we collected hospitalized CAD patients of 3 018 cases through individualized information acquisition platform of CAD.The relationship between syndrome and treatment was analyized by means of complex networks based on theory of correspondence between prescription and syndrome.Result： The main syndromes of CAD were blood stasis,Qi deficiency,phlegm-turbid,Yin deficiency,Yang deficiency,Qi stagnant and blood deficiency.The distribution of syndrome combination lied mainly in two syndromes,three syndromes,single syndrome and four syndromes.Major clinical therapeutic methods were activating blood,tonifying Qi,resolving turbid and phlegm,nourishing Yin,clearing heat,detoxifying,diffusing impediment and freeing Yang,diffusing the lung,suppressing cough and calming panting.The most common therapy combination was four therapies combination,three therapies combination,two therapies combination,five therapies combination and six therapies combination.The first traditional Chinese medicine prescription afteradmission mainly contained Danshen,Fuling,Chuanxiong,Chishao,Taoren,Honghua,Danggui,Gancao,Banxia,Zhiqiao,Chenpi,Gualou,Maidong,Dihuang,Chaihu,Huangqi.The main function of above mentioned medicines was resolving turbid and phlegm,alleviating pain,clearing heat,activating blood,inducing diuresis,resolving stasis,detoxifying,tonifying Qi,tranquilizing,enriching blood,cooling blood,detoxifying,regularing Qi and tonifying spleen.Conclusion： The therapeutic methods for treating CAD are corresponded with the consistency existing in theory,method,formula and medicines.Clear heat and detoxicating method deserve further study.

关 键 词：证候特征 理法方药相应 个体化诊疗 

分 类 号：R285.6[医药卫生—中药学]