46位名中医治疗肝硬化腹水的用药分析

Analysis on the Medication of 46 Famous TCM Doctors in Treating Cirrhotic Ascites

目的:分析46例名中医治疗肝硬化腹水的用药规律。方法:通过检索CNKI和万方数据库自2006年至今名中医治疗肝硬化腹水经验总结共46篇,从药物性味、归经及分类等方面进行统计学分析。结果:46篇文献中共提及中药271味,使用频次1 860次;所用药物中补益类药物使用频率为24.89%、理气类药物使用频率为5.05%、活血化瘀类药物使用频率为7.26%、利水渗湿类使用频率为10.16%、其余类药物使用频率为52.64%。药性以温、平为主;药味以苦、甘、辛为主;归经主要以脾、肾、肝、胃、肺经为主。结论:名老中医治疗肝硬化腹水用药规律体现出攻补兼施的治则,以补益、利水、理气和活血化瘀为主要治法。

Objective： To analyze medication rules of 46 famous TCM doctors in treating cirrhotic ascites.Methods： All 46 articles about famous TCM doctor in treating cirrhotic ascites were searched in CNKI and Wan Fang database since 2006, the property, meridian and classifications of the herbs were statistically analyzed. Results： In 46 articles, 271 drugs were raised, altogether 1 860 times; the frequency of tonification drugs occupied 24.89%, regulating-Qi drugs 5.05%, the drugs of blood-activating and stagnation-eliminating 7.26%, diuretic drugs 10.16%, others52.64%. Drug properties were mainly warm and plain; the flavors of the drugs were bitter, sweet and spicy; the meridians were spleen, kidney, liver, stomach and lung. Conclusion： The medication rules of famous TCM doctor in treating cirrhotic ascites represent therapeutic principles of mutual tonification and purgation, main therapeutic methods of tonification, diuretics, regulating-Qi, blood-activating and stagnation-eliminating.