《圣济总录》心悸证治规律探析

Study on the Rule of Syndrome and Treatment of Heart Palpitations in Shengji Zonglu

目的:分析《圣济总录》心悸方用药规律。方法:使用方剂配伍信息综合挖掘系统(V1.0)统计药物频次及药类频次,并使用病药关联规则及病证药关联规则分析心悸方证与药之间的相互联系。结果:根据用药规律分析得出,心悸的基本病机为本虚标实,以本虚为主,主要表现为心气虚,治疗以补气安神为原则,常用药物有人参、茯苓、远志、炙甘草、防风、天竺黄等,同时病证不同,选择的药物不同。高频药物配伍主要为茯苓-炙甘草,麦冬-炙甘草,人参-炙甘草等。结论:通过对《圣济总录》心悸方的系统分析研究,可了解治疗心悸病的基本思路,指导临床应用。

Objective：To analyze the palpitation prescription rule in Shengji Zonglu.Methods：The use of prescription information mining system（V1.0） statistical frequency of the drug and drug class frequency,and use medicine association rules and disease drug association rules analysis the relationship between syndrome and heart palpitations drugs.Results：According to the rule of drug analysis,the basic pathogenesis of palpitation is asthenia in origin and asthenia in superficiality,deficiency of heart Qi,treatment principle of replenishing Qi and calming the nerves,commonly used drugs are Ginseng,Poria,Radix Polygalae,Licorice,Radix Saposhnikoviae,Tabasheer,while different syndromes,choose different drugs.High frequency compatibility of medicines mainly is Poria-Licorice,Radix Ophiopogonis-Licorice,Ginseng-Licorice,etc.Conclusion：Systematic analysis on the palpitation prescription in Shengji Zonglu can understand the basic ideas for the treatment of palpitation disease,and guide the clinical application.