| 艾娟娟 曹克刚 陈福勤 董兴鲁 高颖△.基于专家问卷反馈的头痛活血化瘀药物功效强度及用药情况初探[J].,2016,16(18):3456-3459 |
| 基于专家问卷反馈的头痛活血化瘀药物功效强度及用药情况初探 |
| AStudyofHeadache Based on Experts' Questionnaire feedback about theEffect andIntensityofDrugPromotingBloodCirculationandRemoveBloodStasis |
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| DOI： |
| 中文关键词: 专家咨询 头痛 活血化瘀 功效强度 用药规律 |
| 英文关键词: Expert consultation Headache Activating blood circulation and dissipating blood stasis Efficacy of the drug Medication rules |
| 基金项目:国家自然科学基金项目（81273688）；国家重大新药创制专项（2009ZX09052-028）；
北京中医药大学创新团队发展计划(2011－CXTD－22) |
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| 中文摘要: |
| 目的：以专家临床经验为积淀，对治疗头痛活血化瘀药物功效强度的量化及用药规律进行初步的探讨。方法：基于专家咨询
及中医传承辅助平台软件，将筛选出的活血化瘀中药的专家意见集中程度、协调程度、药物功效强度及常用度，采用Kmeans聚类
分析法进行统计分析。结果：对于治疗头痛中活血化瘀功效较强的药物，专家意见在川芎、红花、莪术等，川芎、赤芍、桃仁等协调
程度较高，川芎、当归、赤芍等活血化瘀功效较强且临床治疗血瘀头痛中较常使用。结论：对于活血化瘀药物在治疗头痛中的应
用，应以辨证论治为先，活血化瘀药物可选择川芎、当归、赤芍等，结合疼痛不同部位选用引经药。此外，虫类药物在治疗血瘀头痛
中起不可替代的作用。 |
| 英文摘要: |
| Objective:To quantify the effect and potency of the drug can promoting blood circulation and remove blood stasis to
treat headache and discuss the rule of medication based on the accumulation of experts' clinical experiences.Methods:On the strength of
auxiliary platform software of expert consultation and TCM inheritance, the promote-blood-circulation and remove-blood-stasis herbs
were screened out and then K-MEANS Cluster Analysis was adopt to analyze the concentration and coordination degree of experts'
opinion upon the drugs and drug effect, potency and frequency.Results:As with effective medicines in activating blood circulation and
dissipating blood stasis, rhizomaligusticiwallichii, safflower and rhizoma zedoariae were recommended by specialists. Rhizoma
ligusticiwallichii, angelica and radix paeoniae rubra were at high level of coordination, while rhizoma ligusticiwallichii, angelica and
radix paeoniae rubra were comparatively effective in activating blood circulation and dissipating blood stasis and were relatively common
in clinical treatment of blood stasis headache.Conclusion:For the application of drugs activating blood circulation and dissipating blood
stasis in the treatment of headache, treatment based on syndrome differentiation should be put in the first place. For activating blood
circulation and dissipating blood stasis, rhizoma ligusticiwallichii, angelica and radix paeoniae rubra could be prescribed, along with
different guiding drugs in accordance with location of the pain. Besides, insect drugs played a non-substitutable role in clinical treatment
of blood stasis headache. Medical specialists were well coordinated in clinical experience, and medication rules were visible, thus
providing preliminary reference to drugs used in clinical treatment of headache. |
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