78味中药治疗脂肪肝用药规律探析  

Analysis on the treatment of fatty liver with 78 Chinese medicine

作　　者：许潜 钟周 李珍[1] 胡志希[3] XU Qian1 , ZHONG Zhou2 , LI Zhen1 , HU zhi-xi3(1. First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, 410007, China ;2. Third Social Welfare Institute in Changsha , 410011, China ; 3. Hunan University of Chinese Medicine, Changsha ,410208, China)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]长沙市第三社会福利医院,湖南长沙410011 [3]湖南中医药大学,湖南长沙410208

出　　处：《时珍国医国药》2018年第2期474-476,共3页Lishizhen Medicine and Materia Medica Research

基　　金：国家自然科学基金(81373550;81774208);中医诊断重点学科开放基金项目(2015ZYZD04)

摘　　要：目的探讨中药治疗脂肪肝用药规律。方法对2003年至2017年单味中药治疗脂肪肝动物实验研究文献进行检索,统计分析四气、五味、归经、功效的频数与频率。结果单味治疗脂肪肝中药78味,其中四气以寒凉为多,累计频率50%;五味以苦、甘、辛为主,累计频率86.40%;归经以肝、脾(胃)、肺、肾为主,累计频率71.43%;功效以清热、祛痰(湿)、活血、补阳、利水、补气为主,累计频率80.09%。结论脂肪肝的主要病机是肝脾失调致热滞痰瘀,治疗用药应标本兼治,通过清热化痰(湿)、行气活血,兼顾扶正(阳、气、阴虚)。Objective Study on the treatment of fatty liver by Chinese medicine.Methods A study of the experimental literature on the treatment of fatty liver animals from 2003 to 2017 was carried out,to analyze the frequency and frequency of four nature,five flavors,channel tropism,efficacy.Results 78 single Chinese medicine for fatty liver,cold counted for 50% in four nature,the five flavors are mainly bitter,sweet and pungent,with a cumulative frequency of 86.40%; channel tropism are mainly liver,spleen（stomach）,lung and kidney,with cumulative frequency of 71.43%; efficacy are mainly heat clearing herbs,expectorant（wet） drugs herbs,Huoxue Huayu herbs,tonifying Yang herbs,Li shui,replenishing Qi,with cumulative frequency 80.09%.Conclusion The main pathogenesis of fatty liver is hepatosplenic disorder.Treatment should be treated with both symptoms and root causes.Through the heat and phlegm（wet）,the activity of Qi and blood,balancing the positive（Yang,Qi,Yin deficiency）.

关 键 词：脂肪肝 中药 用药规律 

分 类 号：R285[医药卫生—中药学]