摘要
目的:分析黄力教授治疗高血压的医案,总结用药经验.方法:收集黄力教授门诊治疗高血压医案,采用SPSS 20.0统计软件中频数法对患者的一般情况及处方中单味药物和常用方剂的频次、频率进行分析.结果:112例高血压病例中 50 岁及以上占比 79.46%.小于 50 岁病例中男性 18 例,占男性总数 31.58%;女性 5 例,占女性总数 9.09%;主要症状有头晕、头痛、头胀、失眠、心悸等;单味药使用频率排名前6 位为川芎、葛根、龙骨、牡蛎、天麻、钩藤;所用方剂中使用频率最高的是天麻钩藤饮.结论:50 岁及以上患者居多,小于 50 岁患者中男性多于女性;头部症状及失眠、心悸是主要的临床表现;黄力教授治疗高血压注重平肝潜阳,兼顾安神、健脾化湿、活血化瘀类药物的应用.天麻钩藤饮应用最为广泛,灵活加减运用是保证疗效的关键.
Abstract
Objective:To analyze Professor HUANG Li's medical case prescriptions of treating hypertension and to summarize the experience of medication.Methods:The medical cases of hypertension treated by Professor HUANG Li's were collected,and the frequency method of SPSS 20.0 was used to analyze the frequency of the patient's general situation,the single herb and common prescriptions.Results:Among the 112 hypertension cases age 50 and above accounted for 79.46%,under 50 years old,18 were males,accounting for 31.58%of the total males,and 5 were females,accounting for 9.09%of the total females;the main symptoms were dizziness,headache,distension,insomnia,palpitation,etc;the top 6 use frequency of single herbs were Chuanxiong,Gegen,Longgu,Muli,Tianma,Gouteng;the highest frequently used prescription was Tianma Gouteng Decoction.Conclusion:The majority of patients are 50 years old and above,and there are more males than females in patients younger than 50 years old.Head symptoms and insomnia,palpitations are the main clinical manifestations;Professor HUANG Li's treatment of hypertension focuses on calming the liver and suppressing yang,taking into account the application of drugs for tranquilizing the mind,invigorating the spleen and removing dampness,and promoting blood circulation and removing blood stasis.Tianma Gouteng Decoction is the most widely used,and flexible addition and subtraction is the key to ensure the curative effect.
基金项目
北京市朝阳区中医药薪火传承学术经验暨特色技术继承工程项目(朝卫通字[2018]235号)
NETL
NSTL
万方数据