间歇期及慢性期痛风中医方药的文献研究  

Literature Research of Traditional Chinese Medical Prescriptions of Gout in Intermission and Chronic Phase

作　　者：李海昌[1] 温成平[1] 谢志军[1] 韩春雯[1] 汪梅姣[1] 

机构地区：[1]浙江中医药大学基础医学院,浙江杭州310053

出　　处：《中华中医药学刊》2013年第2期252-255,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家"十一五"科技支撑计划资助项目(2007BAI20B06);浙江省自然科学基金资助项目(Y2110685)

摘　　要：目的:探求痛风间歇期及慢性期的方药特点,为中医临床治疗奠定基础。方法:采用计算机检索和人工检索相结合的方法,对1997年1月—2011年6月国内期刊中相关文献进行回顾性总结。结果:检索出符合要求的文献85[1-82]篇,共涉及痛风间歇期、慢性期及慢性关节炎期患者累计4791例,主要中药(前15味)使用频率结果分别是:牛膝(36.11%)、桑寄生(31.48%)、薏苡仁(30.56%)、土茯苓(26.85%)、苍术(25.93%)、白术(25.93%)、白芥子(25.00%)、当归(24.07%)、黄柏(23.15%)、黄芪(22.22%)、防己(22.22%)、萆薢(20.37%)、威灵仙(20.37%)、赤芍(18.52%)、秦艽(16.67%)。结论:牛膝、桑寄生、苍白术、薏苡仁及黄芪健脾益肾,泄浊祛湿治病之本;当归、牛膝、苍白术、赤芍、黄柏、白芥子及威灵仙活血化瘀通络,燥湿化痰通痹治病之标。Objective ： To provide a basis for clinical treatment of traditional Chinese medicine （ TCM ） by seeking the TCM prescriptions of gout in intermission and chronic phase. Methods ： Domestic relevant literatures were summarized retrospectively based on the interaction by computer search and artificial retrieval from January 1997 to June 2011. Results ： Totally 85 literatures were retrieved to meet the requirements, including 4791 cases of intermission, chronic phase and chronic gouty arthritis. The distributions of major TCM prescriptions （the top 15 ）were achyranthes root（36.11% ）, mistletoe（ 31. 48% ）, coix seed （ 30. 56% ）, smilax Glabra （ 26. 85% ）, atractylodes （ 25.93% ）, rhizoma atractylodis （ 25.93 % ）, white mustard seed （25.00%）, angelica sinensis （ 24.07 % ）, cortex phellodendri （ 23.15 % ）, radix astragali （22.22%）, tetrandra root（22.22% ）, yam rhizome（ 20.37% ）, clematis root（20.37% ）, red peony root（ 18.52% ）, gen- tiana macrophylla （16.67%）. Conclusions ：It is the fundamental treatment of gout by invigorating spleen and nourishing kidney therapy for reducing pathogenic dampness and removing turbid phlegm by achyranthes root, mistletoe, atractylodes, coix seed, radix astragali;and promoting blood circulation by removing blood stasis and reducing phlegm to treat disease of the external performance by angelica sinensis, achyranthes root, rhizoma atractylodis, red peony root, cortex phellodendri, white mustard seed and clematis root.

关 键 词：痛风 间歇期 慢性期 中药治疗 文献研究 

分 类 号：R971.1[医药卫生—药品]