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段兴林,王剑钊,段富津.国医大师段富津治疗胸痹心痛气虚血瘀证用药规律挖掘[J].湖南中医药大学学报,2018,38(10):1161-1164[点击复制] |
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| 国医大师段富津治疗胸痹心痛气虚血瘀证用药规律挖掘 |
| 段兴林,王剑钊,段富津 |
| (黑龙江中医药大学, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 目的 分析国医大师段富津治疗胸痹心痛气虚血瘀证的临床用药规律。方法 采集段教授治疗胸痹心痛气虚血瘀证处方160份，采用SQL SERVER数据库和WEKA开源数据挖掘软件来发现药物的相关性，进而分析药物组方规律。结果 炙甘草、人参、黄芪、当归、川芎、郁金、柏子仁、茯苓为高频使用药物；人参、黄芪、炙甘草与当归、丹参分别为补气、活血最常用药组合。结论 段富津教授治疗胸痹心痛气虚血瘀证药物关联分析结果，与其临床经验方三参丹（人参、黄芪、川芎、丹参、三七、血竭、当归）基本吻合，揭示了益气活血、养心行气的用药规律与思路。 |
| 关键词: 胸痹心痛 气虚血瘀 用药规律 段富津 |
| DOI：10.3969/j.issn.1674-070X.2018.10.016 |
| 投稿时间：2018-05-02 |
| 基金项目:黑龙江省中医药科研项目资助（ZHY16-008）；国家中医药管理局第二届国医大师段富津传承工作室建设项目资助。 |
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| Medication Rule of Chinese Medicine Master Duan Fujin in Treating Chest Stuffiness and Pains with Qi Deficiency and Blood Stasis Syndrome |
| DUAN Xinglin,WANG Jianzhao,DUAN Fujin |
| (Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| Objective To analyze the clinical medication rule of Chinese medicine master Duan Fujin in treating chest stuffiness and pains with Qi deficiency and blood stasis syndrome. Methods A total of 160 prescriptions from Professor Duan for the treatment of chest stuffiness and pains with Qi deficiency and blood stasis syndrome. The SQL SERVER database and WEKA open source data mining software were used to discover the association between drugs, and then analyze the rule of prescription. Results Radix Glycyrrhizae Preparata, Panax ginseng, Astragalus membranaceus, Angelica sinensis, Rhizoma Ligustici Chuanxiong, Curcuma aromatica, platycladi seed, and Poria cocos were used as high-frequency drugs; Panax ginseng, Astragalus membranaceus, Radix Glycyrrhizae Preparata and Angelica sinensis, Salvia miltiorrhiza, and Panax ginseng were the most commonly used medication combination for tonifying Qi and activating blood circulation. Conclusion The association analysis result of drugs prescribed by Professor Duan Fujin for the treatment of the syndrome of chest stuffiness and pains and Qi deficiency with blood stasis is basically consistent with that of his clinical experienced prescription Sanshen Dan (Panax ginseng, Astragalus membranaceus, Rhizoma Ligustici Chuanxiong, Salvia miltiorrhiza, Panax notoginseng, dragon's blood, and Angelica sinensis), revealing the medication rule and idea of tonifying Qi, activating blood circulation, nourishing the heart and moving Qi. |
| Key words: chest stuffiness and pains Qi deficiency and blood stasis medication rule Duan Fujin |
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