基于现代文献研究中药治疗小儿遗尿的用药规律  

Medication Regularity of Chinese Medicine in Treating Enuresis in Children Based on Modern Literature

作　　者：王豪[1] 王素梅[2] 万梦婷[1] 郝宏文[2] 

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《中国实验方剂学杂志》2016年第6期200-203,共4页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家中医药管理局全国老中医药专家传承工作室建设项目(2014)

摘　　要：目的:通过分析现代文献以探讨中医药治疗小儿遗尿的用药规律。方法:检索1990年至2014年中国期刊全文数据库收录的中医或中西医结合治疗小儿遗尿的临床研究文献,建立中药治疗小儿遗尿的文献研究数据库,对所用药物的使用频次、类别、性味、归经进行统计分析。结果:共纳入文献112篇,涉及药物95味,使用频次1 050次,以收涩药、补阳药、补气药为主,累积频率62.2%;药性以温、平、微温为主,累积频率90.7%,温热类药物累积频率为55.9%;药味以甘、辛、酸涩为主,累积频率79.4%;归经以肾、脾为主,累积频率45.8%。结论:中医药治疗小儿遗尿当从虚寒论治,治疗大法以温肾健脾、固涩止遗为主,以温热类、甘辛酸涩类药物为主,选用归经以肾、脾为主的药物。Objective： To explore the medication regularity of Chinese medicine in treating enuresis in children based on modern literature. Method： We searched the clinical research literature from China National Knowledge Internet（ CNKI,1990—2014） about enuresis in children treated by Chinese medicine or integrated Chinese and western medicine,and built a literature database about the Chinese medicine for treating enuresis in children. Then a statistical analysis was carried out to study the Chinese herbs about their usage frequency,classification of effect,nature,flavor and channel tropism. Result： The 112 articles in total were included in this study,involving 95 kinds of Chinese herbs,1 050 times for usage frequency. The used Chinese herbs mainly included astringent drug,Yang tonifying drug and Qi tonifying drug,with cumulative usage frequency of 62. 2%.The main nature of these herbs was warm,calm and lukewarm,with cumulative frequency of 90. 7%,and the cumulative frequency of warm and hot herbs was 55. 9% totally. The main flavors of the herbs were sweet,pungent,sour and astringent,with cumulative frequency of 79. 4%. The main channel tropism of the herbs included kidney and spleen,with cumulative frequency of 45. 8%. Conclusion： This study indicates that children with enuresis should be treated from the aspect of deficiency-cold syndrome by Chinese medicine; the specific therapeutic methods mainly contain warming kidney,strengthening spleen,and inducing astringency to arrest urination. For medicine,we should mainly choose the warm or hot herbs in nature,of which the flavor is sweet,pungent,sour or astringent and the channel tropism includes kidney or spleen.

关 键 词：遗尿 儿童 中药 用药规律 文献研究 

分 类 号：R287[医药卫生—中药学]