利水化瘀法治疗湿热瘀阻型泌尿系结石的用药

Medication Rules of Draining Water and Dissolving Stasis Therapy in Treating the Urolithiasis of Damp-heat and Blood Stasis Obstruction Type

目的:研究利水化瘀法治疗湿热瘀阻型泌尿系结石的用药规律,为中医药治疗泌尿系结石提供临床思路。方法:选取2015年4月至2016年4月在广东省第二中医院泌尿外科住院的100例324份电子病历及处方,并行回顾性分析。采用药物频数、频率统计及系统分层聚类分析方法进行分析,并探讨其用药规律。结果:9味药出现频率超过50. 00%,8味药出现频率介于25. 00%～50. 00%,13味药出现频率低于25. 00%。28味中药可以凝聚为4类。结论:利水化瘀法从下焦膀胱湿热瘀阻论治,着重使用膀胱经药物,重视其药物的归经,并且采用地道药材,因地制宜,具有岭南中医药特色。

Objective To investigate the medication rules of draining water and dissolving stasis therapy in treating the damp-heat and blood stasis obstruction type urolithiasis, which could be the guidance for treating the urinary calculus on TCM. Methods： A total of 100 medical records and 324 prescriptions in our hospital during April 2015 to April 2016 were collected and analyzed.The frequencies and rates were collected and analyzed by the hierarchical cluster for studying the medication rules. Results： The frequency of 9 drugs was over 50.00%, and 13 drugs less than 25.00%, as well as 8 drugs between 25.00% and 50.00%.Then those 28 drugs were classified into 4 clusters. Conclusion： Focusing on the medicines of bladder meridian, draining water and dissolving stasis therapy was used to treat the urolithiasis on the pathogenesis of damp-heat and blood stasis obstruction type on the lower Jiao, which was concentrated on the channel tropism and adjusted measures to local conditions with Lingnan genuine medicinal materials.