基于中风医案的脏腑用药规律研究  

Study on Zang-Fu Medication Rules Based on Stroke Cases Data

作　　者：于少泓[1,2] 李万斌[2] 刘昭纯[3] YU Shaohong;LI Wanbin;LIU Zhaochun(Rehabilitation College,Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Rehabilitation Center,The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,Shandong,China;College of Basic Medical Medicine Sciences,Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China)

机构地区：[1]山东中医药大学康复医学院,山东济南250355 [2]山东中医药大学第二附属医院康复中心,山东济南250001 [3]山东中医药大学基础医学院,山东济南250355

出　　处：《实用中医内科杂志》2021年第9期126-130,共5页Journal of Practical Traditional Chinese Internal Medicine

基　　金：山东省医药卫生科技发展计划(2018WS201);山东省高等学校科技计划(J16LK09);山东省高等学校优秀青年骨干教师国内访问学者项目经费资助。

摘　　要：目的探讨中风医案中的脏腑用药规律,为临床治疗中风疾病提供借鉴。方法通过对古今288例中风医案的方药进行统计,寻找药物的性味、归经等,筛选药物出现频率≥3的中药,对结果进行整理分析。结果药物归经前三位的是肝、脾、心经;药性温性为主,药味甘、苦、辛为主。结论古今医家治疗中风用药常以平肝疏肝、健脾化痰、养心益髓为原则,形成肝-脾-脑(心)轴。Objective To explore the rule of Zang-Fu medication rules in stroke medical case and provide reference for clinical treatment of stroke.Methods A total of 288 prescriptions of ancient and modern apoplectic medical cases were counted, and the natures, tastes and channel tropism of the drugs were searched, and the traditional Chinese medicine with drug occurrence frequency≥3 was screened. The results were sorted and analyzed.Results Liver, spleen and heart meridians were the first three meridians of the channel tropism of the drugs. The main tastes of the drugs were sweet, bitter and pungent.Conclusion In the treatment of stroke, ancient and modern physicians usually take the principles of calming andrelievingliver, strengthening spleenand eliminating phlegm, nourishing heartand nourishing the marrowand forming the liver-spleen-brain(heart) axis.

关 键 词：中风 肝 脾 心 脑髓 

分 类 号：R255.2[医药卫生—中医内科学]