蔡华松治疗年龄相关性黄斑变性用药规律  

Medication Regularity by CAI Huasong in Treating Age-Related Macular Degeneration

作　　者：李梦霞 刘玲[1] LI Mengxia;LIU Ling(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2022年第10期1050-1054,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室项目(批文号:国中医药人教发[2016]42号)。

摘　　要：目的:探讨蔡华松教授治疗年龄相关性黄斑变性(AMD)的用药规律。方法:收集有完整诊疗记录的临床病案,利用中医传承辅助系统分析组方中药物的使用频次、四气、五味、归经、功效、固定组合及核心药物。结果:所用药物性味以甘、寒为主,归经主要为肝经、心经、脾经、肾经,功效分类以及用药频次显示最常用的是补虚药,其次为活血化瘀药,提取出固定组合7条,核心药物7味。结论:蔡教授在治疗AMD时注重扶正祛邪,补肝肾、调气血以扶正,化瘀消肿以祛邪。Objective:To investigate the prescription rule by Professor CAI Huasong in the treatment of age-related macular degeneration( AMD). Methods : Medical cases with complete diagnosis and treatment records were collected,and the Traditional Chinese Medicine Inheritance Support System was used to analyze the frequency,four properties,five flavors,channel tropism,functions,fixed combination and core medicinals of the prescriptions. Results:The medicinals used are sweet in taste and cold in properties,and enters liver,heart,spleen and kidney meridians. Frequency analysis showed that the most applied medicinals are the ones for tonifying,followed by medicinals for activating blood and resolving stasis. Seven fixed combinations and 7core medicinals were extracted. Conclusion:In the treatment of AMD,Professor CAI emphasizes tonifying healthy qi and and dispelling evil qi,tonifying liver and kidney,regulating qi and blood to reinforce healthy qi,and resolving stasis and alleviating swelling to dispel evil qi.

关 键 词：蔡华松 年龄相关性黄斑变性 治疗处方 用药规律 名医经验 

分 类 号：R276.7[医药卫生—中医五官科学]