1. 中国中医科学院广安门医院
2. 北京中医药大学
纸质出版:2016
移动端阅览
[1]李敏,王阶,何庆勇,陈胤峰.《中华人民共和国药典》收载治疗失眠中成药的配伍规律[J].中医杂志,2016,57(07):558-562.
LI Min, WANG Jie, HE Qingyong, et al. Compatibility Law of Chinese Patent Medicine of Treating Insomnia Recorded in Pharmacopeia of the People’s Republic of China[J]. Journal of Traditional Chinese Medicine2016, 57(7): 558-562.
[1]李敏,王阶,何庆勇,陈胤峰.《中华人民共和国药典》收载治疗失眠中成药的配伍规律[J].中医杂志,2016,57(07):558-562. DOI: 10.13288/j.11-2166/r.2016.07.006.
LI Min, WANG Jie, HE Qingyong, et al. Compatibility Law of Chinese Patent Medicine of Treating Insomnia Recorded in Pharmacopeia of the People’s Republic of China[J]. Journal of Traditional Chinese Medicine2016, 57(7): 558-562. DOI: 10.13288/j.11-2166/r.2016.07.006.
目的总结《中华人民共和国药典》(简称《中国药典》)收载治疗失眠中成药的配伍规律。方法收集《中国药典》2010版现行本和增补本中治疗失眠的中成药
提取纳入中成药的证候类型、功能主治、中药类别、单味药物、药对、角药等信息建立数据库并进行频数统计
建立树状图并对药物配伍规律进行变量聚类分析。结果共计纳入中成药51种
涉及中药141味
使用总频数496。按其辨证可分为虚证、实证、虚实夹杂证3类
虚证以气血不足为主要证型
实证以肝阳上亢为主要证型
虚实夹杂证为气虚血瘀证。共计使用15类中药
最常用为补虚药(频数203
占40.93%)
其次为安神药(频数59
占11.90%)。使用频数前5位的单味药物分别为酸枣仁(17)、甘草(17)、黄芪(15)、五味子(14)、茯苓(13);使用频数前5位的药对分别为酸枣仁+远志(11)、酸枣仁+当归(11)、酸枣仁+茯苓(10)、甘草+当归(10)、当归+远志(10);使用频数前5位的角药分别为酸枣仁+远志+当归(10)、酸枣仁+远志+茯苓(9)、酸枣仁+远志+甘草(9)、酸枣仁+当归+甘草(9)、远志+当归+甘草(9)。聚类分析显示
治疗失眠的前20味高频中药可以聚为5类
第一类包含酸枣仁、远志、当归、茯苓、甘草;第二类包含黄芪、党参、川芎、半夏;第三类包含麦冬、赤芍、地黄;第四类包含丹参、枸杞子、何首乌、淫羊藿等;大枣单独为一类。结论《中国药典》收载治疗失眠中成药以补虚安神为主要治则
兼以活血、清热、平肝、解表、利水、理气、化痰、温里、收涩、开窍而进行组方配伍。
Objective To review the compatibility law of Chinese patent medicine of treating insomnia recorded in Pharmacopeia of the People’s Republic of China( Chinese pharmacopeia for short). Methods Collected Chinese patent medicine of treating insomnia recorded in Chinese pharmacopeia( 2010 Edition and enlarged version). Extracted the information of included Chinese patent medicine
such as syndrome types
functional indications
class of herbs
single herbs
herbal pairs
angle herbs. Established database and made frequency statistics. Built dendrogram and made variable cluster analysis on herbs compatibility law. Results There were 51 kinds of Chinese patent medicine included in total
141 herbs included
with the total using frequency of 496. According to syndrome differentiation
syndromes were divided into deficiency syndromes
excess syndromes and syndromes of intermingled deficiency and excess. The main syndrome of deficiency syndromes was deficiency of both Qi and blood. The main syndrome of excess syndromes was upper hyperactivity of liver Yang. The syndrome of intermingled deficiency and excess was mainly the syndrome of blood stasis due to Qi deficiency. Used herbs were 15 types in total. Herbs of invigorating deficiency were used the most common( frequency 203
accounting for 40. 93%). The second was herbs for tranquillization( frequency 59
accounting for 11. 90%). The single herbs of top 5 using frequency were Suanzaoren [Semen Ziziphi Spinosae]( 17)
Gancao [Radix Glycyrrhizae]( 17)
Huangqi [Radix Astragali seu Hedysari ]( 15)
Wuweizi [Fructus Schisandrae Chinensis]( 14) and Fuling [Poria]( 13). The herbal pairs of top 5 using frequency were Suanzaoren + Yuanzhi [Radix Polygalae ]( 11)
Suanzaoren + Danggui [Radix Angelicae Sinensis ]( 11)
Suanzaoren + Fuling( 10)
Gancao + Danggui( 10)
Danggui + Yuanzhi( 10). The angle herbs of top 5 using frequency were Suanzaoren + Yuanzhi + Danggui( 10)
Suanzaoren + Yuanzhi + Fuling( 9)
Suanzaoren + Yuanzhi +Gancao( 9)
Suanzaoren + Danggui + Gancao( 9)
Yuanzhi + Danggui + Gancao( 9). Cluster analysis showed that top 20 high frequency herbs of treating insomnia could be divided into 5 classes. The first class included Suanzaoren
Yuanzhi
Danggui
Fuling and Gancao. The second class included Huangqi
Dangshen [Radix Codonopsis ]
Chuanxiong [Rhizoma Ligustici Chuanxiong] and Banxia [Rhizoma Pinelliae]. The third class included Maidong[Radix Ophiopogonis]
Chishao [Radix Paeoniae Rubra]and Dihuang [radices rehmannia]. The forth class included Danshen [Radix Salviae Miltiorrhizae ]
Gouqizi [Fructus Lycii ]
Heshouwu [Radix Polygoni Multiflori ]
Yinyanghuo [Herba Epimedii ]
etc. Dazao [Fructus Jujubae] was another class. Conclusion Chinese patent medicine of treating insomnia recorded in Chinese pharmacopeia
taking invigorating deficiency and tranquillization as the main treatment principle
combined with promoting blood circulation
clearing heat
calming the liver
relieving superficies syndrome
diuresis
regulating Qi-flowing
eliminating phlegm
warming interior
astringent and resuscitation
were composed and concerted application.
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