基于现代医案的中风用药规律分析

目的 :探讨现代医案中中风的用药规律和病机特点。方法 :对近现代出版的医案集、临床类著作进行收录,将药物进行标准化处理,建立数据库,应用SPSS 17.0软件对数据进行频数、因子分析。结果:频数分析发现临床常用药有石菖蒲、当归、甘草、钩藤、川芎等;常用的药物种类有补虚药、平肝熄风药、活血化瘀药、化痰药等。因子分析结果提示:气血阴阳虚衰、肝气盛、痰邪、瘀血各因子既可单独致病又常常相兼致病,形成虚实夹杂的病机特点。结论:临床治疗中风既要注意培补气血以扶正,同时也要注意肝气盛、痰瘀在中风发展过程的重要影响,需辨证准确,分清标本虚实,选药精当,方可取得更好的疗效。

Analysis on Medication Rules of Stroke Based on Modern Medical Records

Objective:To investigate the medication rules and pathogenesis features of stroke based on modern medical records.Methods:We collected the cases of stroke from the modern published and clinical works,and standardized the medicine to establish a database,analyzed by SPSS 17.0 software,including frequency analysis and factor analysis.Results:The results of frequency analysis suggested that the medicine commonly used in clinical medicine including :Acori tatarinowii rhizoma( Shichangpu),Angelicae sinensis radix(Danggui),Glycyrrhizae radix et rhizoma(Gancao),Oncariae ramulus cum uncis(Gouteng),Chuanx iong rhizoma(Chuanxiong).The mostly widely used types of medicine including:tonic medicine,drugs for calming liver to stop endogenous wind,stasis-dissolving drugs and expectorant drugs.The results of factor analysis indi cated:factors of yin,yang,qi and blood deficiency,excess of liver-qi,phlegm pathogen and blood stasis can cause disease alone,and they are often combined to cause disease with formation of intermingled deficiency and excess pathogenesis.Conclusion:The clinical treatment of stroke should be tonifying qi and blood to strengthen the body resistance and pay attention to the effects of excess of liver-qi,phlegm pathogen and blood stasis on stroke.Only accurate syndrome differentiation and accurate medicine selec-tion,can we achieve better curative effects.