崩漏临证处方常用止血药方剂计量学分析  

Metrology analysis of common astringent prescription in metrorrhagia and metrostaxis clinical treatment

作　　者：袁海燕 李智文[2] 苏珊[3] 周铭心[3] 

机构地区：[1]新疆乌鲁木齐石化职工医院综合科,乌鲁木齐830019 [2]北京中医药大学,北京100029 [3]新疆医科大学,乌鲁木齐830054

出　　处：《中华中医药杂志》2013年第2期486-488,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金(No.30660219)~~

摘　　要：为了研究在崩漏临证处方时各医家对止血药的使用规律,采用方剂计量学方法,分析82篇有关崩漏辨证论治论文中的方药,获得止血药的使用频次、净频次、构成比、比率、医家习用指数(yi)和多证通用指数(zi)等指标数据。通过对这些数据分析,提示崩漏临证处方中,使用止血药者占83.05%;每剂处方一般使用1-5味止血药,最多用9味,平均2.38味/方,使用止血药的平均比率为23.52%;生地黄、阿胶、旱莲草、茜草、乌贼骨、三七、地榆、蒲黄、仙鹤草等9味药为医家治疗崩漏习用止血药;补血止血药为临证处方中最常使用的止血药类。止血药中zi值高者,适用性更强,即可适用更多证型。聚类结果提示,茜草和乌贼骨、三七和蒲黄等配伍关系,是医家继承古人辨证论治理论和经验的结晶。In order to study the doctors＇ regular pattern in clinical prescription of using bemostatics in treating metrorrhagia and metrostaxis, we adopted prescription metrology method to analyze 82 articles about the differential treatment of metrorrhagia and metrostaxis, and got Haemostatic drug using frequency, frequency, proportion, ratio, doctors habitually using index y and multi-syndrome general index z,, etc. By analyzing these data, indicated that hemostasis drug utilization rate was 83.05%; each agent prescription general using 1-5 herbs, up to 9, average 2.38, average utilization rate of hemostasis drug was 23.52%; Shengdi, Ejiao, Hanliancao, Qiancao, and so on, were the habitually hemostasis drugs for treating metrorrhagia and metrostaxis; enriching the blood and bemostasis drugs were the most frequently used hemostasis drugs. The higher of the hemostatic z values, the better of the applicability. Clustering results indicated that the compatibility of madder and cuttlefish bone, Sanqi and pollen typhae, was the crystallization of doctors inherited from the ancient theory on syndrome differentiation and experience.

关 键 词：崩漏 止血药 方剂计量学 医家习用指数 多证通用指数 

分 类 号：R271.12[医药卫生—中医妇科学]