1. 北京中医药大学
2. 北京中医药大学东方医院
3. 河南中医药大学第一附属医院
4. 河北邢台市人民医院
纸质出版:2018
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[1]高维,郭蓉娟,王建伟,王嘉麟,朱晓晨,李阳,刘向哲,王建华.丹溪学派中风病诊治规律文献研究[J].中医杂志,2018,59(06):523-526+529.
GAO Wei, GUO Rongjuan, WANG Jianwei, et al. Literature Research on Diagnosis-treatment Rule for Stroke of Danxi School[J]. Journal of Traditional Chinese Medicine2018, 59(6): 523-526.
[1]高维,郭蓉娟,王建伟,王嘉麟,朱晓晨,李阳,刘向哲,王建华.丹溪学派中风病诊治规律文献研究[J].中医杂志,2018,59(06):523-526+529. DOI: 10.13288/j.11-2166/r.2018.06.018.
GAO Wei, GUO Rongjuan, WANG Jianwei, et al. Literature Research on Diagnosis-treatment Rule for Stroke of Danxi School[J]. Journal of Traditional Chinese Medicine2018, 59(6): 523-526. DOI: 10.13288/j.11-2166/r.2018.06.018.
目的挖掘丹溪学派治疗中风病的学术思想及诊治规律。方法以《中华医典》为文献来源
纳入朱丹溪及其嫡传弟子、私淑弟子等著作中内服方剂治疗中风病的医案
建立中医症状及方药信息条文数据库
分别统计中医症状、药物及药物种类频数
并对药物与药物及症状与药物进行关联规则分析。结果共纳入医家7位
著作11部
有效记录101条。涉及中医症状共计57种
总频数363
出现频数前3位的症状分别为半身不遂(40)、口舌喎斜(35)、痰涎(29);中药171味
用药总频数1235
使用频数前3位的药物分别为甘草(66)、当归(49)、茯苓(46);使用药物共22种
使用频数前3位的药物种类分别为解表药(231)、补气药(188)、清热药(127)。关联规则分析结果显示
白芍-当归、白芍-甘草、陈皮-甘草为常用药对
情志不畅-白术、发热-茯苓、肥胖-陈皮为常见症-药关系。结论气血亏虚、痰热郁滞是丹溪学派对中风病的基本认识
其中气虚、痰热占有重要的地位
临证治疗以脾胃为基础
同时注重情志致病。
Objective To explore the academic thought and diagnosis-treatment rule of Danxi School in treating stroke. Methods Taking Chinese Medical Classics( 中华医典) as the source of literature
medical records of internal prescriptions in treating stroke in works by Zhu Danxi
his disciples of by direct line and disciples who had not taken lessons directly were included. Chinese medicine symptom and prescription-herb information provision database was established. The frequency of Chinese medicine symptoms
herbs and herb types was calculated. Association rule analysis was made on herb-herb and symptom-herb. Results Totally
11 works by 7 physicians were included
with 101 valid records. Fifty-seven Chinese medicine symptoms were included
with the total frequency 363. Top 3 symptoms with high frequency were hemiplegia( 40)
Tongue obliquity( 35) and sputum( 29). One hundred and seventy-one herbs were included
with the total using herb frequency 1235. Top 3 herbs with high use frequency were Gancao [Radix Glycyrrhizae
甘草]( 66)
Danggui [Radix Angelicae Sinensis
当归]( 49) and Fuling [Poria
茯苓]( 46). Herbs used were 22 types. Top 3 types with high use frequency were relieving superficies herbs( 231)
invigorating Qi herbs( 188) and clearing heat herbs( 127). Results of association rule analysis showed that Baishao[Radix Paeoniae Alba 白芍]-Danggui
Baishao-Gancao and Chenpi [Pericarpium Citri Reticulatae 陈皮]-Gancao were frequently-used herb pair. Gloomy mood-Baizhu [Rhizoma Atractylodis Macrocephalae
白术]
fever-Fuling and obesity-Chenpi were common symptom-herb relations. Conclusion Qi-blood deficiency and phlegm-heat stagnation is the basic understanding of stroke in Danxi School. Qi deficiency and phlegm-heat take important parts. In clinic
spleen-stomach is the basis in treatment. Meanwhile
emotion pathopoiesis should be emphasized.
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