我国岭南和华北名老中医治疗非酒精性脂肪性肝病处方规律的比较
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广东省中医药局科研项目(20201304)


A Comparative Study on Prescription Rules of Famous Traditional Chinese Medicine Veterans in Lingnan and North China in Treating Nonalcoholic Fatty Liver Disease
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    摘要:

    目的:比较我国岭南和华北地区名老中医辨治非酒精性脂肪性肝病(NAFLD)的用药规律异同。方法:从数据库和书籍搜集岭南、华北地区名老中医治疗NAFLD的处方,从用药频次、类别、性味归经与配伍规律的角度分析两地医家治疗NAFLD用药习惯的异同。结果:两地有16味共同的高频药物;主要药物类别均为补益药、利水渗湿药与活血化瘀药等;共同的核心药物配伍为泽泻、山楂、郁金、丹参和柴胡。差异在于岭南地区使用归脾经药物更多(P<0.05),多用白芍、决明子、茯苓、甘草、荷叶、莱菔子与三七(P<0.05);华北地区则多用赤芍、黄芪、当归与延胡索。结论:两地名老中医均以健脾祛湿、活血理气消滞为NAFLD的基本治则,各自特色在于,岭南更侧重健脾祛湿、益气养阴、理气化痰,且用药较平和;华北更侧重疏肝活血和养肝清热。

    Abstract:

    To compare the similarities and differences in the medication patterns of famous traditional Chinese medicine(TCM) veterans in Lingnan and North China in treating non-alcoholic fatty liver disease(NAFLD).Methods:The prescriptions of famous TCM veterans in Lingnan and North China for the treatment of NAFLD were collected from databases and books,and the similarities and differences in the prescriptions between the two regions were analyzed from the perspectives of drug frequency,category,property,taste,meridian tropism,and drug combination.Results:There were 16 common high-frequency herbal drugs in the two regions.The main herbal drug categories were tonic,damp-draining diuretic,and blood-activating and stasis-resolving drugs.The overlapping core herbal drug combinations were Rhizoma Alismatis,Fructus Crataegi,Radix Curcumae,Radix Salviae Miltiorrhizae,and Radix Bupleuri.The differences lied in that in Lingnan region,herbal drugs contributing to spleen channel were more used(P<0.05),such as Radix Paeoniae Alba,Semen Cassiae,Poria,Radix Glycyrrhizae,Folium Nelumbinis,Semen Raphani,and Radix et Rhizoma Notoginseng(P<0.05); while in North China,Radix Paeoniae Rubra,Radix Astragali seu Hedysari,Radix Angelicae Sinensis,and Rhizoma Corydalis were more used.Conclusion:The basic treatment principles of NAFLD were invigorating spleen,removing dampness,promoting blood circulation,regulating qi,and eliminating stagnation in the two regions.The medication rules in Lingnan region were characterized by invigorating spleen,removing dampness,replenishing Qi,nourishing Yin,regulating Qi,resolving phlegm,with mild herbal drugs; while those in North China focused on soothing liver,promoting blood circulation,nourishing liver and clearing heat.

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林彤,梁彩君,彭文雅,彭立生.我国岭南和华北名老中医治疗非酒精性脂肪性肝病处方规律的比较[J].世界中医药,2022,(14).

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  • 收稿日期:2020-10-20
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  • 在线发布日期: 2022-09-01
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