基于证候要素理论胸痹心痛服药护理的古籍研究  

Study on Ancient Books of Medication Nursing for Pectoral Stuffiness Pain Based on the Theory of Syndrome Factors

作　　者：张春花 于春光[1] 丁慧鑫 李佩瑶 王玲 赵文文 崔凯月 Zhang Chunhua;Yu Chunguang;Ding Huixin;Li Peiyao;Wang Ling;Zhao Wenwen;Cui Kaiyue(Nursing College,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学护理学院,102488

出　　处：《中国实用护理杂志》2020年第16期1240-1244,共5页Chinese Journal of Practical Nursing

基　　金：北京中医药大学中央高校基本科研业务费项目(2019-JYB-XS-122)。

摘　　要：目的:通过对胸痹心痛病古籍文献的整理分析,挖掘疾病的相关中药方剂、方剂所对应的主要证候要素以及服药护理内容。方法:以《中华医典》数据库(第5版)为数据源,检索相关古籍条文,建立数据库,提取相关中药方剂、证候要素及服药护理的相关内容,并对其进行统计分析及探讨。结果:所纳入的102首方剂中共提取出主要证候要素4个,分别为寒凝、气滞、血瘀、痰浊;所对应的服药护理措施具体包括服药温度、时间、频次、送服溶液及食忌等5个方面的内容。其中服药温度主要为温服、热服;服药时间主要为食前、食后、空腹、空心、日午、临卧、不计时候服等;服药频次主要为日二服、日三服、日三夜一服等;中药送服溶液以酒、粥/米饮、姜汤、橘皮汤、陈皮汤、醋汤等为主;服药食忌主要是忌生葱、猪肉、生冷、菘菜、羊肉等。结论:通过对基于证候要素理论胸痹心痛服药护理的研究有利于促进疾病的理论和临床研究,可促进服药护理的规范化,提高护理人员的辨证施护能力,为中医临床的服药护理提供参考。Objective Through the analysis of the ancient books for pectoral stuffiness pain,to explore the relevant Chinese herbal medicine prescriptions,the main syndrome factors corresponding to the prescriptions and the content of medication nursing.Methods We used the database of Chinese Medical Code(5th Edition)as the data source,and established a database,extracted relevant contents.In the end we carried out statistical analysis and discussion.Results Four main syndrome factors were extracted from the 102 kinds of prescriptions,which were cold coagulation,qi stagnation,blood stasis and turbid phlegm.The corresponding medication nursing measures mainly contained five aspects,including the temperature,time,frequency,solution of taking medicine and medication taboo.Among them,the temperature of taking medicine was mainly warm and hot;the time of taking medicine was mainly before eating,after eating,empty stomach,before breakfast,at noon,Before sleep and regardless of the time;the frequency of taking medicine was mainly two times a day,three times a day,three times a day and once a night;the solution of taking medicine was mainly wine,porridge,ginger decoction,orange peel decoction,Chen-pi decoction,vinegar decoction and so on;the medication taboo was mainly onions,pork,cold,cabbage,mutton and so on.Conclusion The study of medication nursing for pectoral stuffiness pain based on the theory of syndrome factors is beneficial to promote the theoretical and clinical research for the disease.It can promote the standardization of medication nursing,improve the nursing staff's ability of syndrome differentiation nursing,and provide a reference for clinical medication nursing of Traditional Chinese Medicine.

关 键 词：胸痹心痛 证候要素 服药护理 中华医典 

分 类 号：R248[医药卫生—中医临床基础]