Dose of Dachengqi Decoction for Bowel Obstruction in Clinical Practice

YAN Shaohua; CHEN Xinyan; JIAO Yongzheng; LIAN Fengmei; TONG Xiaolin

doi:10.13288/j.11-2166/r.2013.22.010

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Dose of Dachengqi Decoction for Bowel Obstruction in Clinical Practice

更新时间：2021-11-17

- Dose of Dachengqi Decoction for Bowel Obstruction in Clinical Practice
- Journal of Traditional Chinese Medicine Vol. 54, Issue 22, Pages: 1953-1956(2013)
- 作者机构：
  
  中国中医科学院广安门医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2013.22.010
  CLC： R259
- Published：2013
- 稿件说明：
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[1]闫韶花,陈欣燕,焦拥政,连凤梅,仝小林.大承气汤治疗肠梗阻临床用量研究[J].中医杂志,2013,54(22):1953-1956.

YAN Shaohua, CHEN Xinyan, JIAO Yongzheng, et al. Dose of Dachengqi Decoction for Bowel Obstruction in Clinical Practice[J]. Journal of Traditional Chinese Medicine2013, 54(22): 1953-1956.
[1]闫韶花,陈欣燕,焦拥政,连凤梅,仝小林.大承气汤治疗肠梗阻临床用量研究[J].中医杂志,2013,54(22):1953-1956. DOI： 10.13288/j.11-2166/r.2013.22.010.

YAN Shaohua, CHEN Xinyan, JIAO Yongzheng, et al. Dose of Dachengqi Decoction for Bowel Obstruction in Clinical Practice[J]. Journal of Traditional Chinese Medicine2013, 54(22): 1953-1956. DOI： 10.13288/j.11-2166/r.2013.22.010.

摘要

目的了解大承气汤治疗肠梗阻的临床用量情况。方法检索中国知网数据库（CNKI）1994年至2012年大承气汤治疗肠梗阻的相关文献

对其中明确研究方法、处方用量及疗效判定的文献进行归纳

总结大承气汤治疗肠梗阻的所治疾病种类及组成药物临床实际用量。结果共纳入文献42篇。腹部手术后粘连性肠梗阻文献17篇

大承气汤原方药物用量范围为大黄9

芒硝5

枳实8

厚朴8

0g;术后早期炎性肠梗阻文献8篇

大承气汤原方药物用量范围为大黄15

芒硝9

枳实9

厚朴10

0g;小儿肠梗阻文献4篇

大承气汤原方药物用量范围为大黄5

芒硝5

枳实10

厚朴10

5g;急性肠梗阻文献8篇

大承气汤原方药物用量范围为大黄10

芒硝6

枳实10

厚朴10

0g;老年性肠梗阻文献2篇

大承气汤原方药物用量范围为大黄10g

芒硝10g

枳实10g

厚朴10g;麻痹性肠梗阻文献1篇

大承气汤原方药物用量范围为大黄12g

芒硝9g

枳实12g

厚朴12g;机械性肠梗阻文献2篇

大承气汤原方药物用量范围为大黄10g

芒硝10

枳实12

厚朴10

0g。结论大承气汤原方治疗肠梗阻的剂量范围为大黄5

芒硝5

枳实8

厚朴8

此结果提示了大承气汤治疗肠梗阻临床用量的有效及安全范围。

Abstract

Objective To explore the dosage of Dachengqi Decoction（Major Qi-Coordinating Decoction）for bowel obstruction in clinical practice.Methods The articles related to Dachengqi Decoction for bowel obstruction from 1994to 2012were searched in China National Knowledge Infrastructure（CNKI）.The articles with clear research method

dosage and efficacy determination were summarized.The dosage

indications and efficacy of Dachengqi Decoction were analyzed.Results Totally 42articles were included.The dosage of Dachengqi Decoction in 17articles related to adhesive bowel obstruction after abdominal surgery was Dahuang（Radix et Rhizoma Rhei）9

Mangxiao（Natrii Sulfas）5

Zhishi（Fructus Aurantii Immaturus）8

0g and Houpu（Cortex Magnoliae Officinalis）8

0g.The dosage of Dachengqi Decoction in 8articles related to early postoperative inflammatory ileus was Dahuang 15

Mangxiao 9

Zhishi 9

5g and Houpu 10

0g.The dosage of Dachengqi Decoction in 4articles related to pediatric bowel obstruction was Dahuang 5

Mangxiao 5

Zhishi 10

5g and Houpu 10

5g.The dosage of Dachengqi Decoction in 8articles related to acute bowel obstruction was Dahuang 10

Mangxiao 6

Zhishi 10

0g and Houpu 10

0g.The dosage of Dachengqi Decoction in 2articles related to senile ileus was Dahuang 10g

Mangxiao 10g

Zhishi 10g and Houpu 10g.The dosage of Dachengqi Decoction in one article related to paralytic ileus was Dahuang 12g

Mangxiao 9g

Zhishi 12g and Houpu 12g.The dosage of Dachengqi Decoction in 2articles related to mechanical obstruction was Dahuang 10g

Mangxiao 10

Zhishi 12

0g and Houpu10

0g.Conclusion The dosage of Dachengqi Decoction for bowel obstruction is Dahuang 5

Mangxiao 5

Zhishi8

0g and Houpu 8

0g.The result indicates the effective and safe dose range of Dachengqi Decoction for bowel obstruction.

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