1. 广州中医药大学中药学院
2. 广州中医药大学第一临床医学院
3. 广州中医药大学临床药理研究所
纸质出版:2016
移动端阅览
[1]刘海涛,施家希,罗丹,黄娟,王奇,施旭光.中医药辨证治疗慢性乙型肝炎用药规律文献研究[J].中医杂志,2016,57(16):1421-1425.
LIU Haitao, SHI Jiaxi, LUO Dan, et al. Literature Research of Medication Rule of Chinese Medicine Treatment of Chronic Hepatitis B by Syndrome Differentiation[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1421-1425.
[1]刘海涛,施家希,罗丹,黄娟,王奇,施旭光.中医药辨证治疗慢性乙型肝炎用药规律文献研究[J].中医杂志,2016,57(16):1421-1425. DOI: 10.13288/j.11-2166/r.2016.16.018.
LIU Haitao, SHI Jiaxi, LUO Dan, et al. Literature Research of Medication Rule of Chinese Medicine Treatment of Chronic Hepatitis B by Syndrome Differentiation[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1421-1425. DOI: 10.13288/j.11-2166/r.2016.16.018.
目的总结慢性乙型肝炎各中医证型中药配伍规律。方法收集中国知识资源总库、维普中文期刊数据库、万方学术期刊全文数据库、中国生物医学文献数据库中医药治疗慢性乙型肝炎相关文献
将慢性乙型肝炎分为肝郁气滞、肝郁脾虚、湿热蕴结、瘀血阻络、肝肾阴虚、脾肾阳虚证
分别统计纳入文献中各证型药物使用情况
对各证型使用频率超过10%的中药进行因子分析及聚类分析。结果共纳入文献243篇。肝郁气滞证型出现53次
涉及108味中药
使用频率在10%以上的中药共26味
可聚为8类
常用药物组合为柴胡、茵陈、板蓝根、白花蛇舌草、香附、郁金、枳壳等;湿热内蕴型出现204次
涉及中药174味
使用频率在10%以上的中药共30味
可聚为6类
常用药物组合为柴胡、黄芩、赤芍、白芍、当归、丹参、茯苓、薏苡仁、板蓝根、蒲公英、茵陈、大黄、栀子、白术、虎杖、郁金、白花蛇舌草、黄芪;肝郁脾虚型出现206次
涉及中药163味
使用频率在10%以上的中药共28味
可聚为5类
常用药物组合为柴胡、白术、茯苓、当归、白芍、枳壳、党参、郁金、黄芪、丹参、白花蛇舌草、虎杖、陈皮、板蓝根、甘草;瘀血阻络型出现147次
涉及中药151味
使用频率在10%以上的中药共35味
可聚为5类
常用药物组合为丹参、柴胡、当归、白芍、白术、茯苓、桃仁、红花、黄芪、白花蛇舌草、虎杖、赤芍、甘草、鳖甲、穿山甲、郁金;肝肾阴虚型出现142次
涉及中药161味
使用频率在10%以上的中药共30味
可聚为6类
常用药物组合为生地黄、沙参、麦冬、茯苓、白术、丹参、白花蛇舌草、郁金、柴胡、当归、白芍、女贞子、枸杞子、黄芪;脾肾阳虚型出现103次
涉及中药157味
使用频率在10%以上的中药共31味
可聚为6类
常用药物组合为附子、黄芪、党参、白术、茯苓、淫羊藿、丹参、巴戟天、柴胡、当归、白芍、山药、白花蛇舌草、虎杖、郁金、菟丝子、枸杞子、女贞子。结论疏肝健脾与清热解毒利湿中药在慢性乙型肝炎各证型中均有涉及
是本病的基本治疗方法
在此基础上或滋补肝肾或温补脾肾。
Objective To summarize the herb compatibility rules in the treatment of Chronic Hepatitis B with different Chinese medicine syndrome types. Methods Related literature on Chinese medicine treatment of Chronic Hepatitis B were collected from China Integrated Knowledge Resources Database
VIP Data
Full text database of Wanfang academic journals and Chinese Biological Medical Literature Database on disc. Chronic Hepatitis B were divided into syndromes of liver depression and Qi stagnation
stagnation of liver Qi and spleen deficiency
accumulation and binding of damp-heat
static blood blocking collaterals
Yin deficiency of liver and kidney
and Yang deficiency of spleen and kidney. Herbs used in these syndromes in included literature were calculated. Herbs with use frequency in these syndromes more than 10% were made factor analysis and cluster analysis. Results Totally 243 papers were included. Syndrome of liver depression and Qi stagnation occurred 53 times
involving 108 herbs. There were 26 herbs with use frequency more than 10%
which could be clustered into 8 categories. Combination of commonly used herbs were Chaihu [Radix Bupleuri
柴胡]
Yinchen [Herba Artemisiae Scopariae
茵陈]
Banlan’ gen[Radix Isatidis
板蓝根]
Baihua Sheshecao [Herba Hedyotis
白花蛇舌草]
Xiangfu [Rhizoma Cyperi
香附]
Yujin [Radix Curcumae
郁金]
Zhiqiao [Fructus Aurantii
枳壳]
etc. Syndrome of accumulation and binding of damp-heat occurred 204 times
involving 174 herbs. There were 30 herbs with use frequency more than 10%
which could be clustered into 6 categories. Combination of commonly used herbs were Chaihu
Huangqin [Radix Scutellariae
黄芩]
Chishao [Radix Paeoniae Rubra
赤芍]
Baishao [Radix Paeoniae Alba
白芍]
Danggui [Radix Angelicae Sinensis
当归]
Danshen [Radix Salviae Miltiorrhizae
丹参]
Fuling [Poria
茯苓]
Yiyiren [Semen Coicis
薏苡仁]
Banlan’gen
Pugongying [Herba Taraxaci
蒲公英]
Yinchen
Dahuang [Radix et Rhizoma Rhei
大黄]
Zhizi[Fructus Gardeniae
栀子]
Baizhu [Rhizoma Atractylodis Macrocephalae
白术]
Huzhang [Rhizoma Polygoni Cuspidati
虎杖]
Yujin
Baihuasheshecao
Huangqi [Radix Astragali seu Hedysari
黄芪]
etc. Syndrome of stagnation of liver Qi and spleen deficiency occurred 206 times
involving 163 herbs. There were 28 herbs with use frequency more than 10%
which could be clustered into 5 categories. Combination of commonly used herbs were Chaihu
Baizhu
Fuling
Danggui
Baishao
Zhiqiao
Dangshen [Radix Codonopsis
党 参 ]
Yujin
Huangqi
Danshen
Baihuasheshecao
Huzhang
Chenpi [Pericarpium Citri Reticulatae
陈皮]
Banlan’ gen
Gancao [Radix Glycyrrhizae
甘草]. Syndrome of static blood blocking collaterals occurred 147 times
involving 151 herbs. There were 35 herbs with use frequency more than 10%
which could be clustered into 5 categories. Combination of commonly used herbs were Danshen
Chaihu
Danggui
Baishao
Baizhu
Fuling
Taoren [Semen Persicae
桃仁]
Honghua [Flos Carthami
红花]
Huangqi
Baihuasheshecao
Huzhang
Chishao
Gancao
Biejia [Carapax Trionycis
鳖甲]
Chuanshanjia [Squama Manis
穿山甲]
Yujin. Syndrome of Yin deficiency of liver and kidney occurred 142 times
involving 161 herbs. There were 30 herbs with use frequency more than 10%
which could be clustered into 6categories. Combination of commonly used herbs were Shengdihuang [Radix Rehmanniae Recens
生地黄]
Shashen[Adenophora stricta
沙参]
Maidong [Radix Ophiopogonis
麦冬]
Fuling
Baizhu
Danshen
Baihuasheshecao
Yujin
Chaihu
Danggui
Baishao
Nyuzhenzi [Fructus Ligustri Lucidi
女贞子]
Gouqizi [Fructus Lycii
枸杞子]
Huangqi. Syndrome of Yang deficiency of spleen and kidney occurred 103 times
involving 157 herbs. There were 31 herbs with use frequency more than 10%
which could be clustered into 6 categories. Combination of commonly used herbs were Fuzi [Radix Aconiti Lateralis Preparata
附子]
Huangqi
Dangshen
Baizhu
Fuling
Yinyanghuo [Herba Epimedii
淫羊藿]
Danshen
Bajitian [Radix Morindae Officinalis
巴戟天]
Chaihu
Danggui
Baishao
Shanyao[Rhizoma Dioscoreae
山药]
Baihuasheshecao
Huzhang
Yujin
Tusizi [Semen Cuscutae
菟丝子]
Gouqizi
Nyuzhenzi. Conclusion Herbs of dispersing the stagnated liver-Qi
invigorating the spleen
clearing heat
removing toxicity and promoting diuresis were commonly used in Chinese medicine syndromes of Chronic Hepatitis B. They were basic treatment methods of this disease. In addition to these treatment methods
nourishing liver and kidney or warmly invigo-rating spleen and kidney might be added.
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