中药治疗多形性日光疹辨证及用药特点分析

Study on Characteristic of Syndrome Differentiation and Medication Regularity of Traditional Chinese Medicine on Polymorphous Sunlight Eruption

目的探索中药内服治疗多形性日光疹临床研究文献的辨证及用药规律。方法对建库至2013年6月的中文数据库上发表的中药内服治疗多形性日光疹临床研究文献中的辨证及用药特点进行分析。结果最终共纳入15篇文献,涉及56味中药,报道病例551例;在辨证方面,湿热毒夹风型的患者最多(244例);在用药频次方面,最高的是青蒿13次(7.47%);在药物种类使用频次方面,最多的是清热药106次(60.92%),涉及药物26种,其次为利水渗湿药、解表药、补虚药等。结论多形性日光疹的病因病机多为禀赋不耐,湿热毒夹风搏结于肌肤,临床治疗可以清热解毒、除湿祛风之药为主,酌情配以扶正药物。

Objective To study the characteristic of syndrome differentiation and medication regularity of TCM （ traditional Chinese medicine） on Polymorphous Sunlight Eruption （PLE）. Methods Retrieve the internal treatment of TCM for PLE literatures from some Chinese Data Bases, with the founded date to June 2013 as the retrieval time limit, and analyze the characteristic of syndrome differentiation and medication regu- laxity. Results A total of 15 documents are collected, involving about 56 kinds of Chinese medications. In the part Of syndrome differentiation, dampness-heat poisoning with wind syndrome, a total of 244, is the most; part of use frequency, Artemisia annua L is for 13 times, accounted for 7.47% of the total drug use frequency; part of use frequency of medication types, antipyretic of Chinese herbal medicine is for 106 times, accounted for 60.92% of the total, involving 26 kinds of drugs, followed by decoction of removing dampness ＇and promoting diuresis, draining precipitation, tonifying Chinese medieinals, and so on. Conclusion Pathogenesis of PLE mostly will be congenital deficiency, dampness-heat poisoning with wind act on and clestroy the skin, then its medication will give priority to antipyretication, detoxification, dehumidification and dispelling wind, with tonifying medieinals at an appropriate time.