京津地区冠心病证候-治法-方药的现况调查

付长庚; 高铸烨; 陈静; 张京春; 史大卓

doi:10.13422/j.cnki.syfjx.2010.12.014

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京津地区冠心病证候-治法-方药的现况调查

临床 | 更新时间：2024-09-23

- 京津地区冠心病证候-治法-方药的现况调查
- Cross-sectional Investigation of Treatment and Syndrome of Coronary Artery Disease in Beijing and Tianjin
- 中国实验方剂学杂志 2010年16卷第12期页码：176-179
- 作者机构：
  
  1. 北京中医药大学
  2. 中国中医科学院西苑医院
- 作者简介：
- 基金信息：
  
  国家115课题（2006BAI04A01）;国家科技支撑计划课题（2007BAI10B02-15）;国家973课题（2006CB504803）;北京市科技计划重大项目（D08050703020801）
- DOI：10.13422/j.cnki.syfjx.2010.12.014
  中图分类号： R259
- 纸质出版日期：2010
- 稿件说明：
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[1]付长庚,高铸烨,陈静,张京春,史大卓.京津地区冠心病证候-治法-方药的现况调查[J].中国实验方剂学杂志,2010,16(12):176-179.

FU Chang-geng1, GAO Zhu-ye2, CHEN Jing2, et al. Cross-sectional Investigation of Treatment and Syndrome of Coronary Artery Disease in Beijing and Tianjin[J]. Chinese journal of experimental traditional medical formulae, 2010, 16(12): 176-179.
[1]付长庚,高铸烨,陈静,张京春,史大卓.京津地区冠心病证候-治法-方药的现况调查[J].中国实验方剂学杂志,2010,16(12):176-179. DOI： 10.13422/j.cnki.syfjx.2010.12.014.

FU Chang-geng1, GAO Zhu-ye2, CHEN Jing2, et al. Cross-sectional Investigation of Treatment and Syndrome of Coronary Artery Disease in Beijing and Tianjin[J]. Chinese journal of experimental traditional medical formulae, 2010, 16(12): 176-179. DOI： 10.13422/j.cnki.syfjx.2010.12.014.

摘要

目的:调查京津地区冠心病患者的证候分布、常用治法和方药使用情况。方法:病证结合

基于冠心病个体化诊疗信息平台

现况调查3 018例冠心病住院患者的临床证候、治法、方药信息。结果:常见证候依次是血瘀、气虚、痰浊、阴虚、阳虚、气滞、血虚。证候组合分布以2证组合、3证组合、单一证型、4证组合常见。常用治法是活血、补气、化浊、养阴、清热、理气、宣痹、通络、补脾、温阳、疏肝

治法组合以4种治法组合、3种治法组合、2种治法组合、5种治法组合、6种治法组合最常用。常用的中药依次是丹参、茯苓、川芎、赤芍、桃仁、红花、当归、甘草、半夏、枳壳、陈皮、瓜蒌、麦冬、地黄、柴胡、黄芪

常用中药的功效依次是化浊、止痛、清热、活血、利水、化瘀、解毒、补气、安神、补血、凉血、理气、补脾。结论:冠心病中医临床诊疗坚持了理法方药相一致原则

治疗冠心病的清热治法、解毒治法值得进一步研究。

Abstract

Objective: To survey the relationship between herbs

therapeutic methods and syndrome of coronary artery disease（CAD）.Method: Using cross-sectional survey

we collected hospitalized CAD patients of 3 018 cases through individualized information acquisition platform of CAD.The relationship between syndrome and treatment was analyized by means of complex networks based on theory of correspondence between prescription and syndrome.Result: The main syndromes of CAD were blood stasis

Qi deficiency

phlegm-turbid

Yin deficiency

Yang deficiency

Qi stagnant and blood deficiency.The distribution of syndrome combination lied mainly in two syndromes

three syndromes

single syndrome and four syndromes.Major clinical therapeutic methods were activating blood

tonifying Qi

resolving turbid and phlegm

nourishing Yin

clearing heat

detoxifying

diffusing impediment and freeing Yang

diffusing the lung

suppressing cough and calming panting.The most common therapy combination was four therapies combination

three therapies combination

two therapies combination

five therapies combination and six therapies combination.The first traditional Chinese medicine prescription afteradmission mainly contained Danshen

Fuling

Chuanxiong

Chishao

Taoren

Honghua

Danggui

Gancao

Banxia

Zhiqiao

Chenpi

Gualou

Maidong

Dihuang

Chaihu

Huangqi.The main function of above mentioned medicines was resolving turbid and phlegm

alleviating pain

clearing heat

activating blood

inducing diuresis

resolving stasis

detoxifying

tonifying Qi

tranquilizing

enriching blood

cooling blood

detoxifying

regularing Qi and tonifying spleen.Conclusion: The therapeutic methods for treating CAD are corresponded with the consistency existing in theory

method

formula and medicines.Clear heat and detoxicating method deserve further study.

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