国医大师治疗心律失常用药规律研究  

Study on Medication Regularity of Traditional Chinese Medicine Master in Treating Arrhythmia

作　　者：谭志洪 张美英 张继红[1] 邓小英[3] TAN Zhihong;ZHANG Meiying;ZHANG Jihong;DENG Xiaoying(The Second People’s Hospital of China Three Gorges University,Yichang 443000,China;Rehabilition Branch of The First People’s Hospital of Yichang,Yichang 443000,China;College of Basic Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]三峡大学第二人民医院,湖北宜昌443000 [2]宜昌市第一人民医院康复分院,湖北宜昌443000 [3]广州中医药大学基础医学院,广东广州510006

出　　处：《山东中医杂志》2020年第6期575-579,608,共6页Shandong Journal of Traditional Chinese Medicine

摘　　要：目的:探讨国医大师治疗心律失常的用药规律,为临床治疗心律失常遣方用药提供思路。方法:以34部与国医大师辨治疾病相关的专著和中国知网、万方数据库、维普中文期刊数据库中收录的1982年1月1日至2015年3月1日发表的国医大师治疗心律失常相关文献为数据源,从中提取国医大师治疗心律失常的用药信息,将中药信息输入Excel 2003建立数据库,利用数据库分析国医大师治疗心律失常所用中药的使用频数、性味归经、功效类别、炮制方法等,总结相关规律。结果:共纳入符合标准的文献159篇,包含处方355首、中药267味。根据60味高频中药(使用频数≥30)的性味归经统计结果,温性药物和甘味药物使用最多,二者频数分别为2299、3576;归经前4位为心经、脾经、肝经、肺经。中药功效类别分析显示,使用频数最高的前5类中药为补益类、清热类、祛瘀类、理气类、安神类,总频率为58.44%;不同地区国医大师治疗心律失常的用药类别存在差异。药物炮制方面,最常见的炮制方法为炒黄(频数:420)。结论:国医大师治疗心律失常多立足于心、脾两脏;治法以健脾养心为主;用药注重益气、滋阴、养血,并佐以清热、理气、祛瘀、安神之品;配伍讲究因地制宜,并根据临床需要合理选择药物炮制方法以减毒增效。Objective:To explore the medication regularity of traditional Chinese medicine(TCM)masters in treating arrhythmia and provide ideas for clinical prescription and medication for treatment of arrhythmia.Methods:With 34 monographs related to differentiation and treatments of diseases by TCM masters and literatures related to treatments of arrhythmia by TCM masters published during January 1,1982 to March 1,2015 in CNKI,Wanfang database and VIP Chinese journal database as the data sources,the information of Chinese medicinals used by TCM masters to treat arrhythmia was extracted and put into excel 2003 to establish a database.The frequency,property,flavor,meridian-tropism,function and pro cessing of the Chinese medicinals used by TCM masters in the treatment of arrhythmia were analyzed by means of the database,and the medication regularity of TCM master in treating arrhythmia was summarized.Results:A total of 159 literatures meeting the criteria were included,with 355 prescriptions and 267 Chinese medicinals.According to the statistical results of property,flavor and meridian-tropism of the 60 most frequently used Chinese medicinals(absolute frequency≥30),medicinals of warm property(absolute frequency:2299)and sweet flavor(absolute frequency:3576)were used most frequently and the first four meridian-tropism were heart meridian,spleen meridian,liver meridian and lung meridian.According to the results of effect analysis,the top 5 effects of the Chinese medicinals were tonifying,clearing heat,removing blood stasis,regulating qi and calming mind,with a total relative frequency of 58.44%.There were differences in the effect of Chinese medicinals used by TCM masters in different regions.In terms of the processing of Chinese medicinals,the most common processing method was stir-baking to yellow(absolute frequency:420).Conclusions:The treatments of arrhythmia by Chinese medical masters are mainly based on the heart and the spleen.The main treatment method is strengthening the spleen and nourishing the heart.In medication,t

关 键 词：国医大师 心律失常 用药规律 性味归经 功效 炮制 补益 祛瘀 

分 类 号：R259[医药卫生—中西医结合]