基于医案研究的国医大师冠心病辨治规律与用药探索  

Exploration on the rule of syndrome differentiation and treatment and medication of coronary heart disease based on medical record study about Chinese medical master

作　　者：余帆 韩爱庆 周雪忠[3] 李平 王浩霖 YU Fan;HAN Aiqing;ZHOU Xuezhong;LI Ping;WANG Haolin(Department of Cardiology,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing100029,China;School of Management,Beijing University of Chinese Medicine,Beijing100029,China;School of Computer and Information Technology,Beijing Jiaotong University,Beijing100044,China)

机构地区：[1]北京中医药大学第三附属医院心内科,北京100029 [2]北京中医药大学管理学院,北京100029 [3]北京交通大学计算机与信息技术学院,北京100044

出　　处：《中国医药导报》2022年第13期115-118,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(U0970182)。

摘　　要：目的 探讨国医大师冠心病辨证论治的规律与用药策略。方法 采用文献研究方法从已发表的文献与专著中收集国医大师医案。文献与专著的检索源为中国学术期刊全文数据库、万方数据知识服务平台、重庆维普中文期刊数据库、中国国家图书馆·中国国家数字图书馆、全国图书馆参考咨询联盟,检索时间从建库至2021年1月。对收集的医案信息进行统计分析和数据挖掘。结果 共纳入研究文献190篇、专著38部,共收集医案278则。共获得高频四诊信息17个、高频证候信息13个、高频治法8个、高频药物21个、高频药对15个。结论 国医大师医案提示冠心病病位在心,与肝、脾、肾密切相关。血瘀与痰为核心证候,多种证候并存。治疗以活血为核心配合多种治法。用药有明显的集中趋势,药物配伍多源自经典方剂。Objective To discuss the rule of syndrome differentiation and treatment and medication strategy of coronary heart disease by Chinese medical master. Methods The medical records of Chinese medical masters were collected from published literatures and monographs by literature research method. The retrieval sources of documents and monographs were China national knowledge internet, Wanfang data knowledge service platform, Chongqing VIP Chinese periodical database, National Library of China·China National Digital Library and National Library Reference Alliance. The retrieval time was from the establishment of the database to January 2021. The collected medical record information was used for statistical analysis and data mining. Results A total of 190 research articles and 38 monographs were included, and278 medical records were collected. A total of 17 high-frequency four diagnosis information, 13 high-frequency syndrome information, 8 high-frequency treatment methods, 21 high-frequency drugs and 15 high-frequency drug pairs were obtained.Conclusion Medical records of Chinese medical masters suggest that the location of coronary heart disease is in the heart, which is closely related to liver, spleen, and kidney. Blood stasis and phlegm are the core syndrome, and a variety of syndromes coexist. The treatment takes promoting blood circulation as the core, combined with a variety of treatment methods. Drug use has an obvious concentration trend, and drug compatibility mostly comes from classical prescriptions.

关 键 词：医案 国医大师 冠心病 辨治规律 用药策略 

分 类 号：R256.2[医药卫生—中医内科学]