对应分析在高血压病药证研究中的应用

The Application of Corresponding Analysis in the Study of Symptoms and Drugs' Relationship in Hypertension

目的探讨高血压病临床药证对应的相互关系。方法采用对应分析对1 493份高血压病病例的处方进行药证对应分析。结果高血压病临床药证对应:阴虚阳亢证对应的中药主要有桑寄生、山茱萸、泽泻、杜仲、山药等;瘀血阻络证对应的中药主要有葛根、红花、川芎、桃仁、丹参、赤芍药、甘草等;痰湿夹瘀证对应的中药主要有竹茹、半夏、陈皮、石菖蒲、白术、茯苓等;气血亏虚证对应的中药主要有当归、黄芪、党参、白芍药等;肝火亢盛证对应的中药主要有地黄、龙胆草、夏枯草、栀子、黄芩、菊花等。结论该研究运用对应分析对高血压病药证对应关系进行研究,为高血压病的中医临床辨证用药提供了依据。

OBJECTIVE To investigate the relationship between clinical symptoms and the corresponding drugs of hyperten- sion. METHODS The relationships of symptoms and drugs in 1493 hypertension cases were analyzed correspondingly. RE- SULTS The relationships of symptoms and drugs in hypertension cases were as follows, the corresponding drugs treating syn- drome of hyperactivity of yang due to yin deficiency mainly were： Herba Taxilli, Fructus Corni, Rhizoma Alismatis, Cortex Eucommiae, Rhizoma Dioscoreae; the corresponding drugs treating syndrome of static blood blocking collaterals mainly were Radix Puerariae Lobatae, Flos Cartham,Rhizoma Chuanxiong, Semen Persicae, Radix et Rhizoma Salviae Miltiorrhizae, Radix Paeoniae Rubr, Radix et Rhizorna Glycyrrhizae ; the corresponding drugs treating phlegm dampness and blood stasis mainly were Caulis Bambusae in Taenia, Rhizoma Pinelliae, Pericarpium Citri Reticulatae, Rhizoma Acori Tatarinowii, Rhizoma Atractylodis Macrocephalae, Poria ; the corresponding drugs treating qi and blood deficiency syndrome mainly were Radix Angelicae Sinensis ,Radix Astragali, Radix Codonopsis, Radix Paeoniae A[ba ; the corresponding drugs treating hy- peractivity of liver fire syndrome mainly were Radix Rehmanniae, Radix et Rhizoma Gentianae , Spica Prunellae , Fructus Gardeniae,Radix Scutellariae, Flos Chrysanthemi. CONCLUTION This study analyzed the relationship of symptoms and drugs in hypertension correspondingly and offered clinical bases for hypertension＇s Chinese medicine differentiation.