摘要
目的:探讨中药治疗无症状高尿酸血症的用药规律和特点,为高尿酸血症的中医治疗提供参考和借鉴。方法:检索近14年相关文献,将符合标准的66篇中医治疗文献中的中药归类,并分别查出其功效、性、味、归经,用EXCEL进行统计分析。结果:经过统计分析发现,治疗无症状高尿酸血症出现频数最高为土茯苓、萆薢,占全部用方的50%以上;从功效角度以利水渗湿药为主,其次是清热药、补虚药,三者占全部功效组成的63.7%;"归经"以归肝经的药物为最,其次是归肾、胃经的药物,此3类归经占到了全部用药归经的53.4%;从药味角度以甘味为最,其次是苦、辛味药,此3味占到了全部用药药味的79.9%;从药性角度主要是寒性,其次是平性药物,此两种占到了全部用药药性的74.3%。结论:从用药规律中可以看出常用药物紧扣其病位在肝,以肝脾肾功能失调为本,临床上多选用疏肝补肾健脾、利湿祛浊化瘀之法。
Objective:To investigate the regularity and characteristics of prescriptions for treating asymptomatic hyperuricemia in order to provide the references for the TCM treatment of asymptomatic hypericemia.Methods:Methods:We searched the related literatures in recent 14 years.The inclusion criteria and exclusion criteria of the 66 papers were classified and then their efficacy,property and flavor and meridian distributions were founded with EXCEL software for statistical analysis.Results:The highest frequency drugs are Smilax glabra and poison yam,accounting for more than 50% of all herbs.The main drugs were those for promoting diuretics and eliminating dampness,followed by antipyretics and tonifying drug.These three kinds of drugs accounted for 63.7%.As for the meridian distribution,the liver meridian drugs were most commonly used,followed by the kidney and stomach meridians drugs.The three meridians drugs accounted for 53.4%.In terms of the drug tastes,sweet taste was the most common,followed by the bitter and pungent drugs,all the three flavors accounting for 79.9%.From the drugs nature,cold drugs were the first,followed by drugs with general natures,both the two accounting for 74.3%.Conclusion:From the regularity of drugs,we could conclude that the commonly-used drugs are closely related to liver,spleen and kidney and the disease root is the dysfunction of liver,spleen and kidney.Soothing liver and tonifying kidney and spleen and removing dampness and blood stasis and dissolving turbidity are the main treatments.
出处
《辽宁中医杂志》
CAS
北大核心
2015年第4期685-687,共3页
Liaoning Journal of Traditional Chinese Medicine
关键词
中药
无症状高尿酸血症
用药规律
traditional Chinese medicine
asymptomatic hyperuricemia
medication regularity
作者简介
霍晶晶(1982-),女,辽宁阜新人,主治医师,博士研究生,研究方向:内分泌相关疾病中西医治疗。
通讯作者:于世家(1957-),男,主任医师,博士研究生导师,研究方向:内分泌相关疾病中西医治疗。