颈项肩背痛古方与神经根型颈椎病今方常用药物的比较分析  

Comparative Analysis of Common Drugs between Ancient Formulae for Pain Syndromes in Head Neck Shoulder and Arm and Modern Formulae for Cervicalspondylotic Radiculopathy

作　　者：刘向前[1] 陈民[1] 黄广平[1] 高彦平[1] 李腾辉[1] 李嘉[1] 陈建勋[1] 

机构地区：[1]广东省人民医院,广东广州510160

出　　处：《中华中医药学刊》2012年第10期2278-2280,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助项目(2009111)

摘　　要：目的:比较分析颈项肩背痛古方与神经根型颈椎病今方的用药特点。方法:检索以颈项肩臂痛、神经根型颈椎病为主治的古今内治方剂,比较古今方剂功效类别药物构成比和常用药物使用率的差异,分析它们的用药特点异同。结果:祛风湿药、活血化瘀药、补虚药在今方中使用构成比均大于20%,三者之和大于80%,在古方的使用构成比分别30.24%、17.70%、10.21%,化痰药、化湿利水药、温里药、行气药、清热药在古方中的使用构成比为5.86%～6.90%。祛风湿药今方常用葛根、桂枝、威灵仙、木瓜、桑枝,古方多用独活、麻黄、防风。补血药古今方均常用当归和白芍;益气药古方喜用白术,今方常用黄芪;古今方剂均较少使用补益肝肾药物。川芎是古今方剂最常用的活血化瘀药。化痰药以半夏、天南星较为常用,古方的使用率高于今方。全蝎等为今方所多用。古方喜用肉桂、附子等温里药。结论:今方的用药更趋集中于祛风湿药、补虚药、活血化瘀药等类别,而古方的选择上更为分散;古今方剂在常用药物的选择上各有特点。Objective ：To compare and analyze the ancient and modern formulae for pain syndromes. Methods： Ancient and modem formulae for internal treatment of pain syndromes in head, neck and shoulder and cerviealspondylotie radiculopathy were searched and compared. Results： Wind damp expelling drugs, blood activating and stasis resol ving drugs and deficiency supplementing drugs accounted for more than 20% in modem formulae, the total was more than 80%. For the ancient formulae,the three kinds of drugs accounted for 30.24% , 17.70% , 10.21% respectively; phlegm resolving drugs, dampness eliminating and urine promoting drugs, interior warming drugs and heat clear ing drugs accounted for 5.86% ～ 6.90%. Gegen, Guizhi, Weilingxian, Mugua and Sangzhi are commonly used in modemformulae while Duhuo, Mahuang and Fangfeng commonly used in ancient formulae. For blood nourishing durgs, Danggui and Baishao are both commonly used in ancient and modern formulae. For Qi supplmenting drugs, Baizhu is commonly used in ancient formulae while Huagnqi in modern formulae. Both ancient and modern formulae have few kidney liver supplementing drugs. Chuanxiong is the most common drug for blood activating and stasis resolving. Banxia and Tian nanxing are common for resolving phlegm. Quanxie is commonly used in modern formulae. In ancient formulae, Rougui and Fuzi which can warm the interior are commonly used. Conclusion ： In modern formulae, wind damp expelling drugs, blood activating and stasis resolving drugs and deficiency supplementing drugs are commonly used ; but there is no clear drug laws for ancient formulae. Both the modern and ancient formulae have their own characteristics.

关 键 词：颈项肩臂痛/神经根型颈椎病 方剂 文献研究 

分 类 号：R681.55[医药卫生—骨科学]