主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2018, Vol. 25 ›› Issue (5): 26-30.doi: 10.3969/j.issn.2095-6606.2018.05.008

• 文献研究 • 上一篇    下一篇

功能性消化不良的中医用药规律及证素分布文献研究

杨一点1, 杜宏波2#   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学东直门医院
  • 收稿日期:2018-06-10 出版日期:2018-09-30 发布日期:2018-09-30
  • 通讯作者: 杜宏波,男,博士,副主任医师,硕士生导师
  • 作者简介:杨一点,男,在读本科生

Document research on the pharmacological regularity and syndrome distribution of functional dyspepsia in traditional Chinese medicine

Yang Yidian1, Du Hongbo2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Dongzhimen Hospital, Beijing University of Chinese Medicine
  • Received:2018-06-10 Online:2018-09-30 Published:2018-09-30

摘要: 目的 探索功能性消化不良的中医临床用药规律及其证素分布,为临床治疗提供帮助。方法 以中国学术期刊全文数据库(CNKI)为文献来源,统计2007年1月—2016年12月间符合要求的治疗功能性消化不良的方剂,运用SPSS Statistics 20.0和SPSS Modeler 15.0分析其用药规律及证素分布。结果 治疗功能性消化不良的常用药为甘草、白术、茯苓、柴胡、半夏、陈皮、枳壳、党参、白芍、厚朴。治疗功能性消化不良的常用药物种类为理气药、补气药、消食药、化湿药、清热药。功能性消化不良的主要病位在胃、脾,同时涉及肝,主要的病性证素为气滞、气虚、热、阳虚、血瘀。常用的药对是柴胡和川芎、柴胡和郁金、白术和莱菔子、白术和枳实、白术和麦芽,常用的角药为柴胡—白芍和枳壳、白术—麦芽和六神曲、白术—麦芽和茯苓、白术—山楂和陈皮、柴胡—香附和白芍。治疗功能性消化不良的基本方为党参、茯苓、白术、甘草、枳壳、白芍、柴胡、陈皮、厚朴、半夏。结论 功能性消化不良病位主要在胃、脾,同时与肝相关,病性多为气滞、气虚和热,夹有阳虚和血瘀,用药以理气、补气为主,导滞清热化湿为辅,其基本方为党参、茯苓、白术、甘草、枳壳、白芍、柴胡、陈皮、厚朴、半夏。

关键词: 功能性消化不良, 中医药, 数据分析, 用药规律, 证素

Abstract: Objective To explore the medication rule of TCM and distribution of syndrome element for functional dyspepsia, to conducive clinical therapy. Methods Collecting satisfactory prescription which treat functional dyspepsia from January 2007 to December 2016 from China National Knowledge Internet (CNKI), and analyzing the medication rule and distribution of syndrome element. Results The common herbs to treat functional dyspepsia are Gancao, Baizhu, Fuling, Chaihu, Banxia, Chenpi, Zhiqiao, Dangshen, Baishao, Houpo. The types of commonly used herbs are qi-regulating herbs, qi-tonifying herbs, digestant herbs, dampness-resolving herbs, heat-clearing herbs. The main disease location of functional dyspepsia is stomach and spleen, at the same time involving liver. The main syndromes of nature of disease are stagnation of qi, deficiency of qi, heat, deficiency of yang, stagnation of blood. The common herb pairs are Chaihu and Chuanxiong, Chaihu and Yujin, Baizhu and Laifuzi, Baizhu and Zhishi, Baizhu and Maiya, the common triple herb combinations are Chaihu-Baishao and Zhiqiao, Baishao-Maiya and Liushenqu, Baizhu-Maiya and Fuling, Baizhu-Shanzha and Chenpi, Chaihu-Xiangfu and Baishao. The basic formula to treat functional dyspepsia is Dangshen, Fuling, Baizhu, Gancao, Zhiqiao, Baishao, Chaihu, Chenpi, Houpo, Banxia. Conclusion The main disease location of functional dyspepsia is stomach and spleen, at the same time involving liver, the main characters are stagnation of qi, deficiency of qi and heat, with some deficiency of yang and stagnation of blood, the main treatment is regulating the flow of qi and tonifying qi, removing stagnancy and clearing heat, resolving dampness as supplementary. The basic formula to treat functional dyspepsia is Dangshen, Fuling, Baizhu, Gancao, Zhiqiao, Baishao, Chaihu, Chenpi, Houpo, Banxia.

Key words: functional dyspepsia, traditional Chinese medicine, analysis of data, pharmacological regularity, syndrome distribution

中图分类号: 

  • R256.3