中药治疗原发性肝癌中晚期的药味频率分析

Analysis on the Frequency of Herbs Used in Primary Hepatocellular Carcinoma

对 1990— 2 0 0 0年国内公开发表的 6 6篇中医药治疗中晚期原发性肝癌的临床报道进行了用药频率的统计分析 ,结果表明 :中晚期原发性肝癌治疗用药中 ,健脾益气、活血祛瘀、清热解毒、清热燥湿和补阴类的使用率较高。茯苓、白术、柴胡、八月札和黄芪等健脾理气药的使用频率分别为 79%、71%、71%、4 3%和 4 3% ;丹参、当归、莪术、延胡索和郁金等活血祛瘀药的使用频率依次为 86 %、6 4 %、6 4 %、5 0 %和 5 0 % ;白花蛇舌草和半枝莲在气滞血瘀、肝郁脾虚、肝肾阴虚证中的使用频率分别为 5 7%和 36 %、36 %和 2 9%、2 9%和 14 % ,是常用的基本抗癌药味 ;生地、丹皮、鳖甲、龟板和知母等滋补肝肾药的使用频率依次为 71%、5 7%、5 0 %、4 3%和 4 3%

According to 66 domestic clinical articles reported during the year 1990 to 2000,a statistic analysis is made on the frequency of herbs used in primary hepatocellular carcinoma.The results show that the most frequently used herbs are those having the function of spleen invigorating with Qi strengthening,blood activating with phlegm dissipating,heat clearing with toxic expelling,heat dampness cleaning as well as Yin nourishing.The used frequencies of tuckahoe,large headed atractylodes,Chinese thorowax,Bayuezha and milk veteh are 79%,71%,71%,43% and 43% respectively;root of red rooted salvia,Chinese agnelica,zedoary furmeric,yanhusuo and root tuber of aromatic turmeric are 86%,64%,64%,57%,50% and 50%;Baihuasheshecao and sun plant used in Qi stagnation with blood stasis,liver stagnation with spleen deficiency,deficiency of liver Yin and kidney Yin are 57% and 36%,36% and 29%,29% and 14%;root of rehmannia,root bark of peony,turtle shell,tortoise plastron and rhizome of wind weed are 71%,57%,50%,43% and 43%.