基于中医传承辅助系统的子宫肌瘤用药规律及证型分析  

Analysis on Medication Regularity and Syndrome Types of Uterine Myoma Based by Using Traditional Chinese Medicine Inheritance System

作　　者：吕静[1] 钟伟兰[1] 马兰[1] 唐幸林子 孟金成[1] LYU Jing;ZHONG Weilan;MA Lan;TANG Xinglinzi;MENG Jincheng(Department of Obstetrics and Gynecology,Zhongshan Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangdong Province,Zhongsha 528400,China)

机构地区：[1]广州中医药大学附属中山医院妇产科

出　　处：《中国中医药现代远程教育》2019年第16期36-40,共5页Chinese Medicine Modern Distance Education of China

基　　金：广东省中山市卫生局医学科研立项课题【No.2018A020140】

摘　　要：目的基于中医传承辅助系统平台,挖掘出中医内服治疗子宫肌瘤的用药、证型规律。方法收集、整理、筛选出中国期刊全文数据库收载的关于中医药治疗子宫肌瘤的临床研究,将所载方剂逐一录入平台,利用软件进行数据分析。结果对筛选出的71首治疗子宫肌瘤的中药方剂进行分析,统计各药物使用频次、归经、五味,以及方剂治疗证型,最终演化出3~5味草药的核心组合36个,得到6个新的处方。结论中国传统中医治疗子宫肌瘤常用活血化瘀法,其中赤芍、桃仁使用最多,使用药物多归肝、脾二经,多为苦、辛之品。常见的证型可归纳为气滞血瘀、痰瘀互结、气血两虚、气虚血瘀、寒湿痰凝、阴虚火旺六型。Objective To excavate the regularity of medication and syndrome types for uterine leiomyoma treated by oral administration of traditional Chinese medicine based by using the platform of traditional Chinese Medicine Inheritance assistant system.Methods Collecting,sorting out and screening out the clinical research on the treatment of uterine leiomyoma with traditional Chinese medicine contained in the full-text database of Chinese journals,and the prescriptions into the platform one by one was input,and software was used to analyze the data.Results Seventy-one Chinese medicine prescriptions for uterine leiomyoma were screened out and analyzed.The frequency of drug use,meridian tropism,five flavors and syndrome types of prescriptions were counted.Finally,36 core combinations of 3-5 drugs were evolved,and 6 new prescriptions were obtained.Conclusion Activating blood circulation and removing blood stasis are commonly used in the treatment of uterine leiomyoma in traditional Chinese medicine.Red peony and peach kernel are the most commonly used drugs.Most of them belong to the liver and spleen meridians,and most of them are bitter and spicy products.Common syndromes can be summarized as six types:qi stagnation and blood stasis,phlegm and blood stasis,qi and blood deficiency,qi deficiency and blood stasis,cold dampness and phlegm coagulation,yin deficiency and fire prosperity.

关 键 词：子宫肌瘤 用药规律 证型 中医传承辅助平台 文献研究 癥瘕 

分 类 号：R73[医药卫生—肿瘤]