白洋，冯志博，孔维莲，杨巧宁，臧明洁，李立志

引用本文： 白洋，冯志博，孔维莲，杨巧宁，臧明洁，李立志.西苑医院膏方治疗冠心病（胸痹）组方特点分析[J].中西医结合心脑血管病杂志,2019,17(12):1761-1765

摘要： 目的分析西苑医院膏方治疗冠心病（胸痹）基本情况及组方特点。方法通过医院信息系统（HIS）提取2013年—2017年西苑医院治疗冠心病（胸痹）的膏方处方，共计692份，统计分析病人基本信息及处方。结果病人数量年均增长率为40%；用药人群男∶女为1∶1.16；＞60岁病人占83.38%，多合并高血压、糖尿病、血脂异常。常见证候气阴两虚、痰瘀互结、气虚血瘀；处方药味数为（53.19±26.07）味，单张处方药物总剂量（7483±2717）g；中药饮片使用频率居前3位为丹参（88.87%）、阿胶（80.78%）、川芎（79.05%）；varclus聚类将41种使用频率＞50%中药分为10类。结论西苑医院膏方运用增长明显，膏方治疗冠心病攻补兼施，重视脾胃，形神兼顾，注重口感的特点。

关键词： 冠心病；胸痹；西苑医院；膏方；用药规律；varclus聚类分析

作者简介： 1.中国中医科学院西苑医院（北京 100091）；2.中国中医科学院（北京 100700）；3.大庆油田总医院；4.北京交通大学 臧明洁，E-mail：9838980@qq.com

BAI Yang,FENG Zhibo,KONG Weilian,YANG Qiaoning,ZANG Mingjie,LI Lizhi

Abstract ObjectiveTo study the development and clinical characteristics of herbal ointment in the treatment of coronary heart disease(chest pain) in Xiyuan Hospital.MethodsSix hundred and ninety-two prescriptions of herbal ointment for treating coronary heart disease(chest pain) were analyzed,which were extracted from the hospital information system(HIS)in 2013—2017.ResultsThe annual growth rate of the patients were 40%,the ratio between male and female was 1∶1.16,83.38%of them were over 60 years old,most of them were complicated with hypertension,diabetes mellitus,and dyslipidemia.The common syndromes were qi and yin deficiency,interaction of phlegm and stasis,qi deficiency and blood stagnation.There was (53.19±26.07) ingredients in each prescription,total dose of which added up to (7 483±2 717)g.The top three of the herbs based on use of frequency were salvia miltiorrhiza(Danshen,88.87%),colla corii asini(Ejiao,80.78%),ligusticum wallichii(Chuanxiong,79.05%).Forty-one herbs which application frequency were over 50% were divided into 10 categories.ConclusionThe use of herbal ointment increased greatly.The characteristics of Xiyuan Hospital in treating coronary heart disease were combined tonification and purgation therapy,regulating the spleen and stomach,heat nourishing and mind calming,pay attention to taste.

Keywords coronary heart disease;chest pain;Xiyuan Hospital;herbal ointment;medication law;varclus cluster analysis

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