中药外敷治疗亚急性甲状腺炎的方药规律分析  

Analysis of prescription and drug rule of external application of traditional Chinese medicine in the treatment of subacute thyroiditis

作　　者：张丹[1] 陈新[1] 王岗[1] 刘洁[1] 朱琦[1] ZHANG Dan;CHEN Xin;WANG Gang(Zigong First P eopled Hpspital,Zigong 643000,China)

机构地区：[1]四川省自贡市第一人民医院,643000

出　　处：《临床合理用药杂志》2020年第36期22-24,共3页Chinese Journal of Clinical Rational Drug Use

基　　金：自贡市2018年第二批市级重点科技计划项目(2018SHFZ18)。

摘　　要：目的分析中药外敷治疗亚急性甲状腺炎(SAT)的方药规律,为该病中医外治提供参考。方法在中国知网(CNKI)、万方数据知识服务平台以"亚急性甲状腺炎""外敷""中医""中药"等为关键词检索2000年1月—2019年6月收录的外用中药治疗SAT的临床研究文献,对筛选出的文献中的方剂、药物进行统计分析。结果共筛选出符合文献符文献53篇,其中中药复方29个,其中成方5首,自拟方24首。使用频次最高的成方是金黄散,原方出现频率6次,加减方出现5次。治疗SAT主要以清热药、活血药、化痰药、解表药为主,其中以清热药使用最频繁(占31.50%),其次为活血药(占18.50%)、化痰药(占11.50%)。清热药中黄柏、夏枯草、黄连、金银花出现频次较高,均有清热解毒的作用。活血药中姜黄、延胡索(元胡)、香附、乳香出现频次较高。结论本研究初步分析了中药外敷治疗SAT的方药规律,可为临床组方用药提供参考。Objective To analyze the rules of Chinese medicine external application in the treatment of subacute thyroiditis(SAT),and to provide reference for the external treatment of the disease.Methods In CNKI and Wanfang Data knowledge service platform,the clinical research literatures on SAT treated with external Chinese medicine from January 2000 to June 2019 were searched with the keywords of "subacute thyroiditis", "external application", "traditional Chinese medicine" and so on,and the prescriptions and drugs in the selected literatures were statistically analyzed.Results A total of 53 articles were selected according to the literature,including 29 traditional Chinese medicine prescriptions,including 5 prescriptions and 24 self-made prescriptions.The most frequently used prescription is Jinhuangsan,the original prescription appears 6 times,and the addition and subtraction prescription appears 5 times.Among them,antipyretic drugs(31.50%),blood activating drugs(18.50%)and phlegm resolving drugs(11.50%)were the most frequently used drugs in the treatment of SAT.Among the antipyretic drugs,Cortex Phellodendri,Prunella vulgaris,Coptis chinensis and honeysuckle appeared frequently,which had the effect of clearing away heat and detoxifying.Curcuma longa,Corydalis yanhusuo,Rhizoma Cyperi and frankincense were found frequently in blood activating drugs.Conclusion This study preliminarily analyzed the prescription rule of external application of traditional Chinese medicine in the treatment of subacute thyroiditis,which can provide reference for clinical prescription.

关 键 词：甲状腺炎 亚急性 中药外敷 方药 

分 类 号：R259[医药卫生—中西医结合]