不同半夏炮制品治疗失眠的临床用药规律探析  

Analysis on Drug Laws about Different Prepared Products of Banxia in Clinic

作　　者：葛乐品[1] 袁拯忠[2] 徐晓峰[2] 

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]温州医学院附属第一医院,浙江温州325000

出　　处：《中华中医药学刊》2013年第8期1727-1729,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药管理局优秀青年基金资助项目(2011ZQ014)

摘　　要：目的:对现代半夏治疗失眠的处方用药规律进行统计分析,为临床使用半夏治疗失眠提供较为客观的参考。方法:通过数据库查阅近30年有关半夏治疗失眠的中医文献资料,遵循循证医学的原则,把符合选择标准的文献102篇录入到Excel,使用SPSS 12.0进行数据分析,统计半夏不同炮制品出现的频次、频率,剂量大小以及适用证型。结果:临床治疗失眠经常用到6种半夏炮制品,分别是生半夏、清半夏、姜半夏、法半夏、竹沥半夏和半夏曲,分别占了1.94%、21.36%、16.50%、57.28%、0.97%、1.94%。临床治疗失眠生半夏多用1～19 g;清半夏多用1～19 g,最大可用到60 g;姜半夏多用1～19 g;法半夏多用10～19 g,最大可用到60 g;竹沥半夏多用10～19 g;半夏曲多用10～19 g。半夏治疗失眠主要集中在肝火扰心(33次)、痰热扰心(62次)、心脾两虚(27次)、心肾不交(27次)、心胆气虚(26次)、痰湿内阻(8次)和其它(9次)这七大证型上,治疗多用法半夏。结论:辨证后选用安全有效剂量的不同半夏炮制品治疗失眠。Objective：To calculate and analyse the drug laws by using Banxia to treat insomnia, providing objective ref- erences for clinical treatment. Methods：The literature on treating insomnia by Banxia in the past 30 years was collected. The principle of evidence - based medicine was used to establish the databank of Excel, 102 pieces of literature meeting the enrolled criteria were recorded and checked. SPSS 12 software was adopted to analyse and calculate the frequencies, doses of different prepared Banxia and syndrome types. Results ： Six different kinds of prepared Banxia were frequently ap- plied to treat syndrome of insomnia ： Sheng Banxia, Qing Banxia, Jiang Banxia, Fa Banxia, Zhuli Banxia, Banxia Qu, which partly make up 1.94% ,21.36%, 16.50% ,57.28% ,0.97%, 1.94%. The doses of Banxia used in clinical treatment for insomnia：Sheng Banxia 1 - 19g, Qing Banxia 1 - 19g,Jiang Banxia 1 N 19g, Fa Banxia 10- 19g,whose maximum is 60g,Zhuli Banxia 10 - 19g, Banxia Qu 10 - 19g. Main syndromes concentrated on liver fire harassing heart（33 times）, phlegm - heat interfering heart （ 62 times）, heart - spleen deficiency （ 27 times）, heart - kidney imbalance （ 27 times ）, heart and gallbladder qi deficiency（26 times） ,phlegm -dampness internal obstruction（8 times） ,others（9 times）. Conclusion：Safe and efficient doses of different prepared Banxia should be chosen to treat insomnia according to syndrome.

关 键 词：半夏 炮制品 失眠 用药规律 

分 类 号：R256.23[医药卫生—中医内科学]