某院219例下肢静脉曲张患者中药饮片处方用药分析  

Analysis on 219 Prescriptions of Chinese Medicine Decoction Pieces for Patient with Varicose Veins of Lower Limb in the Hospital

作　　者：尹沁怡 潘辰慧 周美悦 梅家宁 王嵩 郤庆 YIN Qinyi;PAN Chenhui;ZHOU Meiyue;MEI Jianing;WANG Song;XI Qing(School of Shuguang Clinical Medicine,Shanghai University of TCM,Shanghai,China 201203;Shanghai TCM-Integrated Hospital,Shanghai University of TCM,Shanghai,China 200082)

机构地区：[1]上海中医药大学曙光临床医学院,上海201203 [2]上海中医药大学附属上海市中西医结合医院,上海200082

出　　处：《中国药业》2020年第18期43-46,共4页China Pharmaceuticals

基　　金：全国中药特色技术传承人才培训项目[国中医药人教函〔2019〕43号];上海市“医苑新星”青年医学人才培养资助计划[沪卫计人事〔2019〕72号];上海中医药大学大学生创新活动计划项目[2019SHUTCM210];上海中医药大学课程建设项目[2019SHUTCM154]。

摘　　要：目的为临床使用中药饮片治疗脉管病提供数据支撑及基础,促进中药饮片在临床的合理使用。方法收集医院2019年219例下肢静脉曲张患者的中药饮片处方,分析患者的基本信息、辨证分型,处方中的用药味数、频次及药材功效等。结果女性患者多于男性,年龄以61~70岁居多;辨证分型以气虚湿阻证最多,其次为湿热下注、痰湿阻络、湿热瘀阻等证;单张处方用药5~26味,以11~15味居多;处方中使用的中药饮片功效以利水渗湿、清热、补益、活血化瘀多见,使用频率最高的为黄芪,其次为生白术、茯苓皮、牡丹皮等。结论该中药饮片处方用药分析为医院中药饮片的合理使用提供了参考。Objective To provide data support and basis for the clinical use of Chinese medicine decoction pieces for vascular diseases,and to promote its rational clinical application.Methods The prescriptions of Chinese medicine decoction pieces from 219 patients with varicose veins of lower limb in the hospital in 2019 were collected,and the basic information of the patients,the syndrome differentiation and typing,the number of flavors,frequency,and the efficacy of medicines in the prescriptions were analyzed.Results There were more female patients than males,and patients mostly aged 61 to 70 years old;the syndrome differentiation was most in the syndrome of qi deficiency and dampness,followed by damp-heat betting,phlegm and dampness blocking the collaterals,and collateral discordant syndromes;there were 5 to 26 flavors of Chinese medicine in a single prescription,most of which were 11 to 15 flavors.The most common effects of Chinese medicines used in the prescription were diuresis and diffusing dampness,clearing heat,nourishing blood,promoting blood circulation and removing blood stasis.The most frequently used Chinese medicine was Astragalus membranaceus,followed by Atractylodes macrocephala,Poria cocos bark,and peony bark,etc.Conclusion This prescription analysis provides a reference for the rational use of Chinese medicine decoction pieces in hospitals.

关 键 词：下肢静脉曲张 脉管病 中药饮片 处方分析 合理用药 

分 类 号：R288[医药卫生—中药学]