刘建秋教授治疗哮喘慢性持续期临证经验总结

发布时间：2019-04-02 19:01

【摘要】：目的：本文通过分析刘建秋教授治疗哮喘慢性持续期患者的用药规律,初步总结其治疗哮喘慢性持续期的临证经验,为进一步继承和研究刘教授学术脉络提供参考。方法：收集2014年1月1日-2016年1月1日经刘教授门诊诊治哮喘慢性持续期患者的病案,将病案信息录入Excel,建立病案数据库,对处方中药物的性味归经类别作频数统计,使用SPSS19.0软件对核心药物聚类分析,总结刘教授的用药规律,概括其中具有可推广性的学术思想及临证经验。结果：共收集86则处方,共使用中药82味。其中频数≥5次的药物有47种,总计1070药次。常用药物性味归经统计：药性以温、平、微温为主,频率分别为36.64%、19.63%、16.45%；药味以甘、辛、苦为主,分别占48.32%、42.71%、35.33%；药物归经前五位为肺、脾、胃、肝、肾经。药效归类统计：化痰止咳平喘药比例最高,占30.09%,补虚药占28.79%,两类药合计占58.88%,使用频率超半,其余依次为解表药、平肝息风药、收涩药、清热药、活血化瘀药、消食药、安神药、理气药、利水渗湿药。核心药物统计：使用频率30%的中药共19种,依次为炙麻黄、半夏、苦杏仁、五味子、枇杷叶、太子参、补骨脂、白术、炙甘草、黄芪、地龙、淫羊藿、莱菔子、苏子、北沙参、白前、知母、蝉蜕、瓜蒌。结论：1.刘建秋教授治疗哮喘慢性持续期用药的用药规律：温、平、微温,甘、辛、苦；肺、脾、胃、肝、肾经是主要性味归经；炙麻黄、清半夏、苦杏仁、五味子、枇杷叶、太子参、补骨脂、白术、炙甘草、黄芪、地龙、淫羊藿、莱菔子、苏子、北沙参、白前、知母、蝉蜕、瓜蒌是核心药物；宣降并用、化痰平喘、补益脾肾、息风通络是核心用药法则。2.刘建秋教授辨治哮喘慢性持续期的以肺脾肾阳虚,宿痰伏肺为病机；外风、饮食触发为诱因；痰瘀胶着为复杂要素。3.刘建秋教授治疗哮喘慢性持续期的基本原则：温阳益气,化痰平喘。注重温补肺脾肾之阳以益气固表,治痰之法包括温化痰饮、温清并用、行气消痰、化瘀祛痰。
[Abstract]:Aim: to summarize the clinical experience of professor Liu Jianqiu in the treatment of chronic duration of asthma by analyzing the rule of medication used by professor Liu Jianqiu in the treatment of chronic duration of asthma, so as to provide a reference for further inheriting and studying professor Liu's academic context. Methods: from January 1, 2014 to January 1, 2016, the medical records of patients with chronic asthma during the period from January 1, 2014 to January 1, 2016 were collected. The information of the medical records was entered into Excel, to establish a database of medical records, and the frequency of the classification of the sexual taste of drugs in the prescription was counted. The cluster analysis of core drugs with SPSS19.0 software was used to summarize Professor Liu's drug use rules, including the generalization of academic ideas and clinical experience. Results: 86 prescriptions were collected and 82 herbs were used. There were 47 kinds of drugs with frequency 鈮，

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