现代中医临床
現代中醫臨床
현대중의림상
Journal of Beijing University of Traditional Chinese Medicine (Clinical Medicine)
2015年
4期
29-31
,共3页
李聪%夏梦幻%刘建华%钟利群
李聰%夏夢幻%劉建華%鐘利群
리총%하몽환%류건화%종리군
头晕%泽泻汤%半夏白术天麻汤%脑血管病%颈椎病
頭暈%澤瀉湯%半夏白術天痳湯%腦血管病%頸椎病
두훈%택사탕%반하백술천마탕%뇌혈관병%경추병
dizziness%Zexie decoction%Banxia Baizhu Tianma decoction%cerebrovascular disease%cer-vical spondylosis
目的：分析门诊头晕患者方药使用的证治规律及不同疾病间的应用差异。方法回顾性分析我院脑病科、耳鼻喉科2010年1月至2014年10月11868例门诊头晕患者的病历资料，总结不同疾病间的常用方药使用情况。结果11868例头晕患者中使用泽泻汤（16．6％）、半夏白术天麻汤（15．9％）较为多见；而温胆汤（1．1％）、黄连阿胶鸡子黄汤（1．1％）较少见。11868例头晕患者42．2％使用白术且用量5～50 g 不等，其中60．3％使用剂量为10 g；35．5％使用泽泻且4～40 g 不等，其中61．0％使用剂量为10 g。涉及诊断24项，较为多见的是脑血管病（治疗多用泽泻汤、半夏白术天麻汤）、高血压（治疗多用泽泻汤、天麻钩藤饮）、颈椎病（治疗多用泽泻汤、半夏白术天麻汤）。结论泽泻汤和半夏白术天麻汤在头晕治疗中应用较多，痰饮、痰浊交互致眩较多见。泽泻和白术是治疗头晕常用药物，但临床应用剂量差异较大。
目的：分析門診頭暈患者方藥使用的證治規律及不同疾病間的應用差異。方法迴顧性分析我院腦病科、耳鼻喉科2010年1月至2014年10月11868例門診頭暈患者的病歷資料，總結不同疾病間的常用方藥使用情況。結果11868例頭暈患者中使用澤瀉湯（16．6％）、半夏白術天痳湯（15．9％）較為多見；而溫膽湯（1．1％）、黃連阿膠鷄子黃湯（1．1％）較少見。11868例頭暈患者42．2％使用白術且用量5～50 g 不等，其中60．3％使用劑量為10 g；35．5％使用澤瀉且4～40 g 不等，其中61．0％使用劑量為10 g。涉及診斷24項，較為多見的是腦血管病（治療多用澤瀉湯、半夏白術天痳湯）、高血壓（治療多用澤瀉湯、天痳鉤籐飲）、頸椎病（治療多用澤瀉湯、半夏白術天痳湯）。結論澤瀉湯和半夏白術天痳湯在頭暈治療中應用較多，痰飲、痰濁交互緻眩較多見。澤瀉和白術是治療頭暈常用藥物，但臨床應用劑量差異較大。
목적：분석문진두훈환자방약사용적증치규률급불동질병간적응용차이。방법회고성분석아원뇌병과、이비후과2010년1월지2014년10월11868례문진두훈환자적병력자료，총결불동질병간적상용방약사용정황。결과11868례두훈환자중사용택사탕（16．6％）、반하백술천마탕（15．9％）교위다견；이온담탕（1．1％）、황련아효계자황탕（1．1％）교소견。11868례두훈환자42．2％사용백술차용량5～50 g 불등，기중60．3％사용제량위10 g；35．5％사용택사차4～40 g 불등，기중61．0％사용제량위10 g。섭급진단24항，교위다견적시뇌혈관병（치료다용택사탕、반하백술천마탕）、고혈압（치료다용택사탕、천마구등음）、경추병（치료다용택사탕、반하백술천마탕）。결론택사탕화반하백술천마탕재두훈치료중응용교다，담음、담탁교호치현교다견。택사화백술시치료두훈상용약물，단림상응용제량차이교대。
Objective To analyze the rule of prescriptions for dizziness so as to provide guidance for the treatment of dizziness in clinic.Methods 11 868 consecutive outpatients suffering dizziness from Janu-ary 2010 to October 2010 in Dongzhimen Hospital were involved in this study,the prescriptions used in different diseases were concluded from encephalopathy department and ear-nose-throat (ENT)depart-ment.Results In 11 868 outpatients with dizziness ,there were 16.6% patients who were given Zexie decoction and 15.9% patients given Banxia Baizhu Tianma decoction,and the two prescriptions were used more than others.On the other hand,Wendan decoction (1.1%)and Huanglian Ejiao Jizihuang decoction (1.1%)were used less.Dose of Baizhu used was 5 ~50 g in 42.2% dizziness patients,inclu-ding 10 g (60.3%);4 ~40 g (35.5%).The diagnosis were 24 items,and the common diagnosis were cerebrovascular disease (Zexie decoction and Banxia Baizhu Tianma decoction were used more than oth-ers),hypertention (Zexie decoction and Tianma Gouteng yin were used more),cervical spondylosis (Zexie decoction and Banxia Baizhu Tianma decoction were used more than others).Conclusions Zexie decoction and Banxia Baizhu Tianma decoction were more often used in clinic which indicates interaction of phlegm and retained fluid,as well as turbid phlegm are the main cause of dizziness.Zexie and Baizhu are two common herbs which are used in the treatment of dizziness,and different dozes are shown in the study.
