平乐郭氏正骨处方用药结构分析

Analysis on Prescription Structure of Pingle Village Guo's Bone Setting

目的:探讨平乐郭氏正骨中药处方用药规律,为完善平乐郭氏正骨理论体系提供依据。方法:调查2016年全年的2 651张中药处方,按照处方的药味数、使用频数、药物分类、配伍禁忌、单剂量情况等进行分析。结果:2 651张处方中药味数10~15者最多见,占86.68%,既避免了处方中药物组成过多、过杂、针对性差,又能避免同类药物的重复应用。所用药物以补益药、祛风湿药、活血化瘀药最多,分别占23.61%、18.06%、15.28%。2 651张有效统计处方中单味药使用频率较多的药依次为甘草、黄芪、丹参、当归、独活、薏苡仁、香附、川芎、白芍、牛膝等。无配伍禁忌和超剂量用药现象。结论:平乐郭氏正骨临床用药有自己的侧重点,同时也反应出平乐郭氏正骨"破、和、补"的三期用药原则。

Objective： To study the medication laws of TCM prescription of Pingle Village Guo＇s bone setting and to provide a basis for perfecting the theoretical system of Pingle Village Guo＇s bone setting. Methods： Investigate the 2 651 TCM prescriptions of the whole year 2016,and analyzed according to number of herbal medicines,use frequency,medicine categorization,incompatibility,single dosage,etc. Results： The majority of the 2 651 prescriptions had 10-15 herbal medicines,amounting to 86. 68%; redundancy and miscellany of the herbal medicines,poor pertinence,as well as repeated use of homogeneous medicines were avoid. Most of the medicines played the role of tonifying（ 23. 61%）,eliminating wind damp（ 18. 06%）,activating blood and removing stasis（ 15. 28%）. Among the valid statistics of 2 651 prescriptions,individual herbal medicines used in prescriptions ranking the top 72 in terms of use frequency were Gancao（ Glycyrrhiza Uralensis Fisch）,Huangqi（ Astragalus Mongholicus）,Danshen（ Radix Salviae Miltiorrhiae）,Danggui（ Angelica Sinensis）,Duhuo（ Angelicae Pubescentis Radix）,Yiyiren（ Coix Seed）,Xiangfu（ Cyperus Rotundus L.）,Chuanxiong（ Ligusticum Chuanxiong Hort）,Baishao（ Paeonia Tacti Lora Pall.）,Niuxi（ Root of Bidentate Achyranthes）,etc. There was no incompatibility or overdose. Conclusion： Pingle Village Guo＇s bone setting has its own emphasis in clinical medication,and meanwhile reflects the ＂ break,activate,supplement＂ three-phase medication principle.