胆囊炎的中医证型和方药规律分析  

Analysis on the Traditional Chinese Medicine Syndrome and Prescription Distribution of Cholecystitis

作　　者：韩璐[1,2] 赵国强[2] 张楠[2] 苑军正[2] 

机构地区：[1]河南中医药大学,郑州450046 [2]河南中医药大学第一附属医院普外二区,郑州450046

出　　处：《中国中医药现代远程教育》2017年第8期45-47,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨胆囊炎的中医证候和方药规律。方法检索近30年中国期刊全文数据库(CNKI)收录的中医和中西医结合诊治胆囊炎的相关资料,建立数据库,规范输入文献中的证型及所用方剂和药物,并对其进行分析。结果总纳入文献137篇。共涉及胆囊炎中医证型26种,其中肝胆湿热、肝郁气滞、肝郁脾虚、肝阴不足、脾胃气虚、气滞血瘀、气滞、肝胆郁滞、胆火郁结、湿热内蕴为主要证型;包含气滞、湿热、阴虚、气虚、郁热、瘀血、阳虚、火热、痰湿9个病机要素和肝、胆、脾、胃、肾5个脏腑病位。共得方剂98首,其中成方32首,以和解剂、理气剂、补益剂、清热剂、祛湿剂为主。共包含中药168味19大类,以补虚药、理气药、清热药、利水渗湿药、活血化瘀药、解表药、化痰止咳平喘药为主;结论胆囊炎证候以实证为主,多采用理气补益的方法治疗。Objective To study the TCM syndrome and prescription distribution of eholeeystitis. Methods The literature on clinical researeh and personal experienee for treating eholeeystitis with traditional Chinese medicine and the integrative medieine in 30 years were searched in China National Knowledge Infrastructure （CNKI） . The frequeney analysis methods were used to analyze the syn- drome, preseriptions and Chinese medicine. Results Totally 137 articles were included. There were 26 syndromes of eholeeystitis, and the main were dampness-heat of liver and gallbladder, accumulation disease with syndrome of liver depression and qi stagnation, syndrome of stagnation of liver qi and spleen defieieney, yin defieieney of liver, qi defieieney of spleen and stomach, stagnation of qi and blood stasis, qi stagnation, qi depression of liver and gallbladder, gallbladder fire stagnation pattern, syndrome of accumulation and binding of damp-heat. 9 pathogenesis factors such as qi stagnation, damp-heat, yin defieieney, qi deficiency, stagnated heat, blood stasis, yang deficiency, fire-heat, damp obstruction and 5 organs such as liver, gallbladder, spleen, stomach and kidney were involved. 98 prescriptions were attained, and 32 were set formulas. The commonly used formulas were reconciling formula, earminative formula, supplementing formula, heat-clearing formula. There were 168 medicines included, which could be classified into 19 categories, a- mong which, supplementing medicine, qi-regulating medicine, heat-clearing medieine, damp-clearing medicine, medicine for invigo- rating blood eireulation and eliminating stasis, exterior-evil relieving medieine, medicine for the treatment of eholecystitis and asthma medicine were most used. Conclusion The main syndrome of eholeeystitis is sthenia syndrome, and qi-regulating and supplementing medicines were commonly used.

关 键 词：胆囊炎 证候分布 方药规律 胁痛 

分 类 号：R259[医药卫生—中西医结合]