|
|
Analysis of the rule of traditional Chinese medicine decoction in the treatment of carotid atherosclerosis |
ZHANG Wenjiang1,2 YI Jian3 LIU Baiyan1 |
1.Hu'nan University of Chinese Medicine, Hu′nan Province, Changsha 410208, China;
2.Pathology Teaching and Research Section, Yiyang Medical College, Hu′nan Province, Yiyang 413000, China;
3.Central Laboratory, the First Hospital of Hu′nan University of Chinese Medicine, Hu′nan Province, Changsha 410007, China |
|
|
Abstract Objective To explore the medication rules of traditional Chinese medicine in the treatment of carotid atherosclerosis. Methods The articles about carotid atherosclerosis were collected by using Wanfang, VIP and CNKI from January 2005 to December 2017. A total of 109 articles were up to the requirements at last. Then the articles were selected and put into software excel to establish a database. The TCM medication rule was analyzed by SPSS statistical software, including the frequency of the drugs being used, rate, four nature of drugs, five flavours, channel tropism, drug category, as well as the therapeutic principle and method. Results Total 147 Chinese herbal medicines were used in the literatures, the total frequency was 1007 times. The most frequently used TCM medications were Radix Salviae Miltiorrhizae, Rhizoma Ligustici Chuanxiong, Radix Astragali seu Hedysari. The main drug properties were warm, calm and cold, the cumulative frequency was 92.3%. The main characters of the five flavors were sweet, bitter, pungent, the cumulative frequency was 90.4%. The main channel tropisms of the drugs were liver, spleen and heart, the cumulative frequency was 86.4%. The main types of drugs were blood-activating and stasis-removing drugs, qi-tonifying drugs, blood-tonifying drugs and warmly resolving cold-phlegm drugs, the cumulative frequency was 45.1%. Conclusion The treatment of carotid atherosclerosis with Chinese medicine decoction is mainly based on activating blood circulation to dissipate blood stasis.
|
|
|
|
|
[1] Townsend N,Nichols M,Scarborough P,et al. Cardiovascular disease in Europe 2015:epidemiological update [J]. Eur Heart J,2015,36(40):2673-2674.
[2] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[3] 田琳,贾莉,牟秀霞,等.补肾活血方治疗颈动脉粥样硬化斑块临床研究[J].中国中医药信息杂志,2017,24(12):17-19.
[4] 柴毅,吴颢昕,陈刚,等.补阳还五汤加味预防动脉粥样硬化形成机制[J].中国实验方剂学杂志,2017,23(7):114-120.
[5] 夏薛梅.彩色多普勒超声对颈动脉斑块的诊断价值[J].影像研究与医学应用,2018,2(22):171-172.
[6] 郑硕,张允岭,孙静宜.颈动脉粥样硬化与缺血性卒中的关系及中医证候要素演变分析[J].世界中医药,2017,12(3):655-656.
[7] Tsantilas P,Kuehnl A,Brenner E,et al. Anatomic criteria determining high-risk carotid surgery patients [J]. J Cardiovasc Surg(Torino),2017,58(2):152-160.
[8] Wu MY,Li CJ,Hou MF,et al. New insights into the role of inflammation in the Pathogenesis of atherosclerosis [J]. Int J Mol Sci,2017,18(10):2034.
[9] 李琪.临床阿托伐他汀的不良反应和合理应用[J].中国处方药,2018,16(2):54-55.
[10] 魏建民.阿托伐他汀钙致不良反应的相关因素分析及探讨[J].中西医结合心血管病电子杂志,2018,6(28):192-193.
[11] 高学敏.中药学[M].北京:中国中医药出版社,2007:15.
[12] 韩景辉.动脉粥样硬化疾病的中医新认识[J].中医研究,2010,23(5):11-13.
[13] 潘泉汐,张建平,石婷婷.张建平分经论治颈动脉斑块经验[J].湖南中医杂志,2018,34(4):16-17.
[14] 商志鸿,贺晓鸣,杨育林,等.活血化瘀中药组方对血瘀型颈动脉粥样硬化病人血脂和血清sICAM-1、sVCAM-1表达的影响[J].中西医结合心脑血管病杂志,2018,16(14):1965-1967.
[15] 马海涛,王辉.黄芪甲苷对过氧化氢诱导损伤的人脐静脉内皮细胞的保护作用[J].郑州大学学报:医学版,2016, 51(2):248-251.
[16] 肖云峰,刘爽,李文妍,等.黄芪甲苷对CVB3所致病毒性心肌炎模型小鼠TIMP-1和MMP-1的影响[J].中医药导报,2016,22(23):22-24.
[17] 尉希清,刘帅,牛珩,等.黄芪甲苷对大鼠平滑肌细胞及颈动脉内膜增生的影响及机制研究[J].中草药,2016, 47(19):3432-3440.
[18] 李小平,曾召绵,王彬.黄芪、血竭对血栓和烧烫伤的协同作用研究[J].保健医学研究与实践,2014,11(1):6-8.
[19] 乐文卿,万强.从“浊邪”探析冠状动脉粥样硬化性心脏病病机[J].中医药信息,2018(6):29-31.
[20] 杜雅薇,吴圣贤.从“痰核”论治动脉粥样硬化稳定斑块[J].中国中医基础医学杂志,2018,24(8):1153-1155.
[21] 刘金,姚淮芳,张叶祥,等.姚淮芳教授补肾活血法治疗动脉粥样硬化经验[J].中西医结合心脑血管病杂志,2018, 16(18):2751-2752.
[22] 范海媚,刘一炫,王超.四参养心汤合苦味药对室性早搏患者左心室功能及超声心动图表现的影响[J].四川中医,2017,35(12):60-62.
[23] 张淼,霍海如,王朋倩,等.辛味药性理论溯源与现代研究评述[J].中草药,2018,49(3):505-511.
[24] 梁健,张欢,张颖,于睿.从肝论治动脉粥样硬化相关讨论[J].辽宁中医药大学学报,2018,20(9):153-156. |
|
|
|