现代中医药方剂在抗运动性疲劳中的应用

Modern traditional Chinese medicine prescriptions in the treatment of athletic fatigue

目的:从中医理论的整体观念出发,并结合现代医学理论研究中医药抗运动性疲劳的立法与用药,为祖国医学在抗疲劳的临床康复治疗中提供科学理论依据和参考。资料来源:应用计算机检索万方数据库2000-01/2004-08相关中医药抗运动性疲劳及中医药方剂在抗运动性疲劳中应用的文章,限定文章语言为中文,检索词“中医药、中药方剂、运动性疲劳”。资料选择:对资料进行初审,重点筛选抗疲劳的中药方剂、配伍,选择实验研究包括动物实验组与对照组,人体饮用实验组与对照组等方面的文献,开始查找全文。纳入标准为:①试验包括药物对照组。②中药方剂动物对照试验。排除标准:①非确诊运动性疲劳实验的研究。②文献中重复研究,Meta分析类文章。资料提炼:共收集到76篇关于中药抗疲劳的实验研究,37个中药方剂试验符合纳入标准。排除的39篇试验中,25篇因系重复的同一研究,14篇为Meta分析研究。资料综合:37个中药试验包括693例中小学生和运动员,主要根据作者承担“复合豆类蛋白营养液”和“益气活血药抗运动性疲劳的作用机制及其量效关系研究”课题研究,并结合相关文献进行理论综合提升。结论:中医药在消除运动性疲劳和增强运动能力方面均具有独特的优势。研究中医药抗疲劳的立法和用药,对“全民健身”和“社区保健康复”

OBJECTIVE:This paper aims to study the use of traditional Chinese medicine(TCM ) in treatment of athletic fatigue according to the holistic concept of TCM theo ry and its applicable dosage,as well as its legalization, so as to provide scien tific basis and supports for the application of TCM in clinic recovery treatment of athletic fatigue. DATA SOURCES:Wanfang database was scanned with computer to search articles abo ut TCM against athletic fatigue and the application of TCM prescription in treat ing athletic fatigue published from January 2000 to August 2004,the keywords wer e “traditional Chinese medicine; traditional Chinese medicine prescription; ath letic fatigue' with language limited to Chinese. STUDY SELECTION:After a general study of various literatures, the emphasis of selection was put on those research articles on use of TCM prescriptions against fatigue and their compatibility,the trials including animal treatment and contr ol groups,as well as experiments containing groups taking the medical drinks and control groups were selected,and then the full texts of the selected articles w ere searched.Inclusion criteria:①experiments including drug control group;②TCM prescription animal control trials.Exclusion criteria:①study without being dia gnosed to have athletic fatigue;②repetitive experimental study and Meta analysi s articles. DATA EXTRACTION:Seventy six experimental studies about TCM against fatigue we re collected,and 37 TCM prescription trials were in accordance with the inclusio n criteria.Among the 39 trials being excluded,25 were repetitive studies and 14 were Meta analysis. DATA SYNTHESIS:The 37 trials with TCM involved 693 pupils,middle school studen ts and athletes.The data were studied in combination with the results of the two scientific research program carried out by the author, including“Liquid nutrie nts in bean type compound food' and “Study of working mechanism of medicine fo r invigorating blood circulation in treatment of athletic fatigue plus the quant ity effect relationship'.Theoretical generalizations were made with reference t o other related bibliographical materials. CONCLUSION:TCM has unique advantages in removal of athletic fatigue and in enh ancement of athletic achievements;the legalization and medication of TCM in trea ting athletic fatigue are of great realistic significance for the nation wide p romotion of national health movement and communal health keeping and recovery.