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1、提要目的:探讨从“阳微”论治冠心病心绞痛(胸痹)的合理性和可行性,及其具体临床应用。方法:收集近年来公开报道并附有确实疗效依据的方剂,整理其药物组成及其治疗原则。按冠心病心绞痛(胸痹)诊断标准收集临床病例,汇总其临床资料和首诊方剂组成,进行描述性统计分析,并对高频药物进行聚类分析。结果:报道方剂大体分为益气、益气养阴、益气养血、温阳等类型,其中益气活血类方剂最多。临床观察所用药物多平和,性温者居多;药味集中于甘、辛、苦等,尤甘味最多;归经广泛,包括心、脾、胃、肝、肺、肾经等;将高频药物27种聚为7类,前四类药物组成为扶正合
2、以祛邪,后三类皆为功效显著的单味药。结论:冠心病心绞痛(胸痹)从“阳微”治疗是合理的、可行的、有效的,且在理论、临床上具有广泛的指导意义。关键词阳微;胸痹;冠心病心绞痛TheClinicalResearchonDeficiencyConditioninAnginaPectorisofCoronaryHeartDiseaseSpeciality:InternalMedicineofTraditionalChineseMedicineAuthor:NiuYingshuoTutor:ProfessorGuoWeixingAbst
3、ractObjective:Toinvestigatetherationalityandthefeasibilityofthecognitionondeficiencyconditioninanginapectorisofcoronaryheartdiseaseandthespecifictreatmentaccordingly.Methods:Collectthepublicizedprescriptionswhichareproveneffectiveandarrangetheherbsandthetherapeuti
4、cmethods.CollectthecasesaccordingtodiagnosticcriteriainTCMandmodernmedicine,andmakethedescriptivestatisticanalysisandtheclusteranalysis.Results:Thepublicizedprescriptionsaretonourishqi,nourishqiandyin,nourishqiandblood,nourishyang,etc.Theherbs’propertyofcollectedc
5、asesisalwaysneutral,withwarmthemost.Thetastesarealwayssweet,pungent,bitter,etc,withsweetthemost.Themeridiansarevarious,suchasheart,spleen,stomach,liver,lung,kidney,etc.Theclusteranalysisshowsthatthe27kindsofthemostcommonlyusedherbscouldbedividedinto7groups,with4gr
6、oupsbeingthecombinationofnourishmentanddispersion.Conclusions:Itisrationalandfeasibletotreatdeficiencyconditionofanginapectorisofcoronaryheartdisease,anditisinstructiveintheoryandinclinic.KeywordsDeficiencycondition;Chestdiscomfort;Anginapectorisofcoronaryheartdis
7、ease目录引言...............................................................................................................................1第一部分“阳微”的理论研究..............................................................................................21《金匮要略》的相关论述........
8、.........................................................................................21.1出处.........................................................