基于《中医方剂大辞典》中风治疗的组方规律分析

Analysis of the formulation rules of stroke treatment based on the Dictionary of Chinese Medicine Prescription

关键词:  中风  方剂  组方规律  中医方剂大辞典  中医传承辅助系统

Key words:  stroke  prescription  prescription regularity  Dictionary of Chinese Medicine Prescription  Traditional Chinese Medicine Inheritance Support System

摘要:

[目的] 基于中医传承辅助系统（V2.5），对《中医方剂大辞典》中收载的所有治疗中风的方剂进行常用药物、药对及配伍规律等方面的用药规律分析，以期为中风的治疗提供思路和方法。[方法] 收集并筛选《中医方剂大辞典》中主治病症索引目录收载的主治病症为"中风""中风闭证""中风脱证"的方剂，录入中医传承辅助系统，总结高频药物、高频药对等，以探讨治疗中风的药物配伍规律。[结果] 《中医方剂大辞典》中治疗中风的方剂共1 143首，筛选出符合纳入标准的方剂1 126首，共包含中药579味，对纳入的方剂进行药物频次分析，结果显示在治疗中风时最常用的药物为"风药"，按功效对药物进行分类，使用频次由高到低分别是解表药、补虚药、平肝息风药等；常用的配伍分类为祛风活血、温阳解表、温阳活血等。[结论] 在治疗中风时，医家比较重视"风药"的使用，并辅以活血、温阳、化痰、补益、开窍、通络之法，可以为临床治疗中风提供参考。

Abstract:

[Objective] Based on the Traditional Chinese Medicine Inheritance Support System (TCMISS V2.5) software,we analyzed the medication rules of all commonly used herbs,herbal compatibility rules in the treatment of strokes in the Dictionary of Chinese Medicine Prescription to provide methods for treating stroke.[Methods] Collect and screen the prescriptions in the index of attending diseases in the Dictionary of Chinese Medicine Prescription for "stroke","stroke excess" and "stroke prostration",and input them into TCMISS V2.5 software,and summarize the high-frequency herbs,high-frequency herbal combinations,etc.,in order to explore the compatibility rules of herbs in the treatment of stroke in the ancient prescription.[Results] There were 1 143 prescriptions for the treatment of stroke in the Dictionary of Chinese Medicine Prescription. According to the inclusion and exclusion criteria of the prescriptions,the 1 126 prescriptions meeting the inclusion criteria were selected,including 579 Chinese medicines. The prescription of the medicine was analyzed frequently,the results showed that the most commonly used medicine for treating stroke in ancient times were "wind-expelling" herbs. The medicine were classified according to their efficacy,the frequency of usage was listed from high to low,which are diaphoretic herbs,tonify deficiency herbs,liver wind calm herbs,respectively;commonly used compatibility rules are expelling wind and activating blood circulation,warming yang and relieving exterior syndrome,warming yang and activating blood,etc.[Conclusion] In the treatment of stroke,doctors paid more attention to the usage of "wind-expelling herbs" and supplemented with the methods of promoting blood circulation,warming yang,dissipating phlegm,tonifying,inducing resuscitation,dredging collaterals methods which could provides reference for clinical treatment of stroke.