平乐正骨疗法治疗腰椎间盘突出症用药规律分析  

Clinical Medication Law of Lumbar Intervertebral Disc Protrusion Treated with Pingle Bonesetting

作　　者：张晓辉[1] 李洁[1] 张虹[1] 

机构地区：[1]河南省洛阳正骨医院,河南洛阳471002

出　　处：《山东中医杂志》2017年第4期291-293,共3页Shandong Journal of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项课题(编号:2014ZY02072)

摘　　要：目的:分析平乐正骨治疗腰椎间盘突出症的临床用药规律。方法:借助平乐正骨传统药物数据库平台,系统分析依据平乐正骨治疗腰椎间盘突出症的经验方、协定方所开具的325张门诊处方,将数据经审核、校对后逐一录入,分别从用药类别、用药频率、归经及功效等方面进行系统分析讨论。结果:通过相关数据统计分析,所统计325张处方共使用药物3 286味次,共有98味药物,使用频率较高的中药类别主要涉及补益药、活血化瘀药、利水消肿药、祛风除湿药、解表药、平肝熄风解痉药,使用频率分别为100%、100%、54.56%、43.71%、40.21%、39.07%,并筛选出黄芪、当归、茯苓等37味临床核心用药。结论:平乐正骨用药原则与规律体现了"扶正祛邪"的整体辨证观,及"以肝论治""肝肾同源"为切入点的标本兼治理念。Objective：To analyze the clinical medication law of lumbar intervertebral disc protrusion treated with Pingle bonesetting. Methods：There were 325 effective prescriptions since 2009 to 2014 for treatment of lumbar intervertebral disc protrusion,which were checked,proofread and input into the Pingle bonesetting traditional medicine data platform,and the herbal category,frequency,tropism and effect were analyzed. Re- suits：After analysis,there were 3 286 herb counts,and 325 prescriptions,including 98 herbs. The herbs with high frequency were herbs for tonifying,invigorating blood and resolving stasis,promoting urination and re- solving edema,dispelling wind and removing stasis,releasing exterior,calming the liver,extinguishing wind and relieving spasm,and the frequency was 100%,100%,54.56%,43.71%,40.21% and 39.07%,respectively. There were 37 key herbs,such as Huang qi,Dangshen and Fuling. Conclusion：The medical principles and laws of lumbar intervertebral disc protrusion treated by Pingle bonesetting embody the thoughts of ＂tonifying healthy qi to remove evil qi＂,the overall syndrome differentiation,as well as ＂treating from the liver＂ and ＂the liver and kidneys sharing the same origin＂.

关 键 词：平乐正骨 腰椎间盘突出症 临床用药 

分 类 号：R269.815.3[医药卫生—中西医结合]