研究赵继福名老中医治疗心病的经验及用药规律

目的:本文主要分析探究赵继福名中医在进行心脏病治疗时的中医治疗经验和用药规律。方法:收集在2014年到2017年期间,赵继福教授诊治的心脏病患者,检查患者各项生理指标,对赵继福教授重点关注的内容进行记录,并对得到的结果进行综合分析。结果:试验的100例患者中,已经有76人显效,有19人有效,5人无效。结论:中药治疗心病已经有多年的历史,中药材药性温和,安全性高,近年来在医疗领域中的应用范围不断扩大。赵继福教授的成功经验和用药规律,逐渐得到广泛的使用,治疗方案也具有良好的前景。

胸痹合剂治疗冠心病心绞痛的临床研究

目的:探讨胸痹合剂治疗冠心病心绞痛的临床疗效及其对血脂的影响。方法:入选病例为冠心病心绞痛,中医证属气阴两虚的患者。168例患者按1:1随机分为治疗组(胸痹合剂组)84例和对照组(生脉饮和复方丹参片组)84例,疗程30天。结果:治疗组心绞痛缓解情况、中医证候缓解情况、硝酸甘油停减情况及血脂变化情况均优于对照组,两组比较差异有显著性(P<0.01)。结论:胸痹合剂治疗冠心病心绞痛安全有效。

活血通络汤治疗冠心病52例

目的:观察活血通络汤治疗冠心病心绞痛的临床疗效。方法:将92例随机分为治疗组52例予活血通络汤加减,对照组40例予复方丹参注射液静滴等。结果:治疗组总有效率为90.37%,明显优于对照组63.7%。结论:活血通络汤治疗冠心病心绞痛疗效确切。

疏肝解郁法治疗冠心病心绞痛86例总结

目的:观察从肝论治冠心病心绞痛的疗效。方法:对148例冠心病心绞痛患者随机分为治疗组和对照组,分别采用口服柴胡疏肝散化裁和口服地奥心血康治疗。结果:心绞痛疗效分析,治疗组总有效率91.86%,显效率65.12%;对照组分别为62.87%、35.49%,两组总有效率及显效率比较,差异均有统计学意义(P<0.05)。心电图疗效分析,治疗组总有效率81.39%,显效率36.05%;对照组分别为62.87%,30.61%。两组心电图疗效总有效率差异有统计学意义(P<0.05)。结论:疏肝解郁法治疗冠心病心绞痛的疗效较好。

炙甘草汤治疗冠心病心律失常48例

目的:观察炙甘草汤加减治疗冠心病心律失常的疗效。方法:在辨证论治基础上,采用炙甘草汤加减治疗48例,总有效率91.6%。揭示:本方法可改善冠状动脉缺血,提高心肌的耐缺氧能力,具有明显抗心律失常作用。

以汤证辨证治疗心中难受感体会

心中难受感,指患者自觉心中出现异乎寻常的难受感觉。心中难受感表现多端,临床常见心中塌陷感,心中悬吊感,心中血液喷射感,心中麻辣感,心中悸闷感等。心中难受感多属杂病,杂病除脏腑辨证法外,还常用八纲辨证、经络辨证等法,而验之临床,按这些辨证法施治,疗效多不满意。笔者崇尚仲景学说,仲景临床悉用汤证辨证,因而在治疗各种心中难受感时,笔者尝试着采用汤证辨证法治疗,通过观察证明该法确不失为治疗这类疾病的有效手段。兹举数例,以资说明,介绍于下。

Therapeutic effect in patients with coronary heart disease based on information analysis from Traditional Chinese Medicine four diagnostic methods

OBJECTIVE:To study information gained by Traditional Chinese Medicine(TCM)four diagnostic methods and characteristics of syndrome development before and after treatment in patients with coronary heart disease,and to probe into assessment indexes of therapeutic effects with distinctive TCM features.METHODS:Information from the four diagnostic methods before and after treatment in 100 patients with coronary heart disease was collected using the TCM interrogation scale,a pulse condition instrument,a tongue-face diagnosis instrument,anda voice diagnosis information collection system.Changes in the four diagnostic method results from before and after treatment were analyzed with frequency analysis and t-test methods.RESULTS:Before treatment,deficiency syndrome complicated with hyperactivity of pathogenic factors was most common.After treatment,deficiency syndrome was most common.This change from complex syndromes to single syndromes indicates disease and syndrome alleviation.Frequencies of symptoms gained by interrogation after treatment for syndrome of deficiency of heart-Qi,syndrome of deficiency of heart-Yin,and turbid phlegm syndrome were all less severe than those before treatment.Parameters of face color,color on all sub-regions of tongue,color of tongue fur,septic and greasy fur,and lip color after treatment all had significant changes.After treatment,part of the voice diagnosis parameters in the deficiency of heart-Yin and turbid phlegm syndromes had significant changes,but no significant changes were found in the deficiency of heart-Qi syndrome.CONCLUSION:Use of the TCM four diagnostic methods can provide an effective basis forTCM syndrome diagnosis,observation of development of state of illness,and evaluation of clinical therapeutic effects.