黄衍寿治疗胸痹心痛辨证用药规律探讨  

Discussion on Medication Regularity for Chest-blockage-caused Cardiac Pain Treated by HUANG Yan-Shou Based on Syndrome Differentiation

作　　者：吴彤[1] 金政[1] 吴辉[2] 吴伟[2] 黄衍寿(指导)[2] WU Tong;JIN Zheng;WU Hui;WU Wei;HUANG Yan-Shou(Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2020年第4期742-746,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：应用"中医传承辅助平台"软件对黄衍寿教授在2018年1月至2019年2月于广州中医药大学第一附属医院门诊治疗胸痹心痛有效病例的处方进行数据整理与挖掘,以探讨黄衍寿教授治疗胸痹心痛的用药规律。结果共纳入病例212例,处方212首,药物共计130味。212例患者的高频证型为气虚血瘀、痰瘀内阻;130味中药中用药频次居前4位药物为川芎(186)、丹参(166)、茯苓(151)、陈皮(145)。经关联规则分析及聚类分析后得到8个核心药物组合,前2个组合为"降香,红花,酸枣仁,赤芍"及"法半夏,党参,瓜蒌",并且挖掘了"降香,红花,酸枣仁,赤芍,延胡索"等新处方4首。研究结果提示黄衍寿教授治疗胸痹心痛多用活血化瘀中药,随症加减益气、化痰、清热之品,体现其临证治疗胸痹心痛之"活血化瘀为要,佐以健脾益气、清热化痰之法"的学术思想。By using Traditional Chinese Medicine Inheritance Support Platform System,we analyzed the prescription information of formulae for the effective cases of cardiac pain caused by chest blockage treated by Professor HUANG Yan-Shou in the outpatient of the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2018 to February 2019,and mined the medication regularity for chest-blockage-caused cardiac pain treated by Professor HUANG Yan-Shou.The results showed that a total of 212 effective cases,212 prescriptions,and 130 herbs were included the analysis.For the 212 effective cases,the syndrome types were predominated by qi deficiency with blood stasis,and internal blockage of phlegm and blood stasis.Of the 130 herbs,the herbs of Rhizoma Chuanxiong,Radix Salviae Miltiorrhizae,Poria,and Pericarpium Citri Reticulatae had the leading medication frequency,and the frequency was 186,166,151,145,respectively.After association rule analysis and cluster analysis,8 core herbal combinations were obtained,and the leading 2 combinations were the combination of Lignum Dalbergiae Odoriferae,Flos Carthami,Semen Ziziphi Spinosae,and Radix Paeoniae Rubra,and the combination of Rhizoma Pinelliae Preparata,Radix Codonopsis,and Fructus Trichosanthis.The four new candidate recipes such as Lignum Dalbergiae Odoriferae,Flos Carthami,Semen Ziziphi Spinosae,Radix Paeoniae Rubra,and Rhizoma Corydalis were also mined out.The results indicated that in treating cardiac pain caused by chest blockage,Professor HUANG Yan-Shou usually adopts the herbs with the actions of activating blood to resolve stasis,and uses the herbs with the actions of strengthening qi,resolving phlegm,and clearing heat according the clinical symptoms,which embody his medical thoughts for the treatment of cardiac pain caused by chest blockage with the principles of activating blood to resolve stasis firstly,and then assisting with invigorating spleen and supplementing qi,and clearing heat and resolving phlegm.

关 键 词：胸痹心痛 活血化瘀 健脾益气 清热化痰 中医传承辅助平台 黄衍寿 

分 类 号：R256.22[医药卫生—中医内科学]