逍遥散汤剂和散剂治疗肝郁脾虚证临床疗效观察  

Clinical Observation on Decoction and Powder of Xiaoyao Powder Formula in the Treatment of Liver Stagnation and Spleen Deficiency

作　　者：邹本良[1] 张广德[1] 顾士萍[1] 王建农[1] 王燕秋[1] 邵鑫[1] 余欢欢[1] 余仁欢[1] 周彩云[1] 

机构地区：[1]中国中医科学院西苑医院,北京市海淀区西苑操场1号100091

出　　处：《中医杂志》2015年第3期216-218,共3页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(30873359)

摘　　要：目的比较逍遥散与同方汤剂治疗肝郁脾虚证的临床疗效。方法 42例肝郁脾虚证患者随机分为散剂组和汤剂组,其中散剂组20例,给予逍遥散,每次3 g,每日3次,口服;汤剂组22例,给予逍遥散同方汤剂,水煎服,每日1剂;两组疗程均为4周。分别于治疗前后记录两组患者中医症状评分,判定中医主要症状改善情况。结果治疗后两组患者中医症状积分均较本组治疗前明显降低,且散剂组优于汤剂组(P<0.01)。散剂组便溏不爽症状总有效率为80.00%,汤剂组总有效率为40.91%,散剂组明显高于汤剂组(P<0.05),其余症状的总有效率两组差异无统计学意义(P>0.05)。结论逍遥散及同方汤剂两种剂型均可改善肝郁脾虚证患者临床症状,但散剂疗效优于汤剂。Objective To compare the clinical efficacy of powder and decoction of Xiaoyao Powder Formula in the treatment of liver stagnation and spleen deficiency. Methods Totally 42 patients with liver stagnation and spleen deficiency syndrome were randomly assigned into the powder group of 20 cases and the decoction group of 22 cases. The powder group was given powder of Xiaoyao Powder Formula,3 g each time,3 times per day orally,while the decoction group was given decoction of the same formula,1 pack per day,all for 4 weeks. Symptom scores were recorded before and after treatments to determine improvements. Results TCM symptom total scores were significantly lower than that before treatment for both groups and the powder group had better results（ P〈0. 01）. The effective rate of the powder group for loose stool was 80. 00%,which was better than the 40. 91% of the decoction group（ P〈0. 05）. The effective rate of other symptoms showed no statistical significance（ P〉0. 05）. Conclusion Both powder and decoction could improve the clinical symptoms of liver stagnation and spleen deficiency,with powder had better results.

关 键 词：逍遥散 肝郁脾虚证 中药剂型 散剂 汤剂 

分 类 号：R259[医药卫生—中西医结合]