近30年肝纤维化中医证候及方药规律分析  

Analysis on Prescriptions and TCM Syndrome Types of Hepatic Fibrosis in the Past 30 Years

作　　者：罗小闯 

机构地区：[1]河南医学高等专科学校,河南郑州450000

出　　处：《中医学报》2015年第6期891-894,共4页Acta Chinese Medicine

基　　金：河南省科学技术厅科技攻关项目(0424420047)

摘　　要：对1984年12月—2014年12月中国期刊数据库(CNKI)所有包括中医诊断治疗肝纤维化文献的方药、证候,按照术语规范标准进行收录整理,按照频次进行统计,确定最常见的方剂、药物和证候,同时对其证候要素进行分析。统计出肝纤维化中医证候文献142篇,其中证候11种,频次520次,常见证候有瘀血互结、肝郁脾虚、湿热瘀阻、肝肾阴虚、肝气郁结等;运用方剂86首,频次1 683次,其中最常用的有血府逐瘀汤、四逆散、鳖甲散、柴胡疏肝散、桃核承气汤、小柴胡汤、茵陈蒿汤、补阳还五汤、四君子汤、阳和汤;使用中药频率高于0.5%的有62种中药,频次4 172次,按功用最终归为13类,其中最常用的有补虚药、活血化瘀药、清热药;归经最多的是肝经、脾经、胃经。通过对近30年期刊发表的中医治疗肝纤维化文献中的中药、方剂等相关因素进行挖掘整理,并对中医辨证论治肝纤维化的规律进行收集整理,为临床诊治提供相关的参考和借鉴。The literatures on the treatment of Hepatic Fibrosis with Chinese medicine were collected from CNKI dated base in the range from December 1984 to December 2014. The prescriptions,herbs and syndrome types were summarized by frequency analysis so as to probe into the laws of the differentiation of syndrome and treatment of the disease in Chinese medicine. The statistics of liver fibrosis syndromes with 142 references,including syndrome 11 kinds,frequency of 520 times. The common syndromes with blood stasis mutual,stagnation of liver Qi and spleen deficiency,dampness and hotness obstruction,liver and kidney Yin deficiency,stagnation of liver Qi. Using the 86 prescriptions,frequency of 1 683 times,the most commonly used with Xuefu Zhuyu Decoction,Sini Powder,Biejia Powder,Chaihu Shugan Powder,Taohe Chengqi Decoction,Xiao Chaihu Decoction,Tarragon Decoction,Buyang Huanwu Decoction,Four Junzi Decoction,Yanghe Decoction. Use frequency is higher than 0. 5% of the 62 kinds of Chinese materia medica,frequency of 4 172 times,according to the function for 13 classes eventually. The most commonly used for virtual medicine,promoting blood circulation to remove blood stasis drugs,clear heat medicine,and liver,spleen,stomch meridian were the most common channel tropism. Providing the references for clinical diagnosis and treatment by the literatures of prescriptions and traditional Chinese medicine in treating liver fibrosis,and collecting reported in the journal of nearly 30 years,prescriptions of traditional Chinese medicine in treating liver fibrosis literature related to factors such as finishing excavation,and the law of TCM syndrome differentiation and treatment of liver fibrosis were collected and the law of TCM syndrome differentiation and treatment of liver fibrosis were collected.

关 键 词：肝纤维化 方药分析 证候分析 

分 类 号：R259[医药卫生—中西医结合]