中医药治疗不宁腿综合征期刊文献内容评析

Content Analysis of Journal Literature on Treating Restless Leg Syndrome by Traditional Chinese Medicine

目的:通过研究中医药期刊文献分析不宁腿综合征(RLS)的中医辨治认识。方法:计算机检索中国知网,维普全文数据库(中文科技期刊全文数据库)和万方数据库,收集1978年1月―2018年12月发表在国内医学期刊上有关中医药治疗RLS相关文献,应用文献计量学、内容分析法,分别从中医疾病范畴界定、辨治思路、辨治结果、治则治法、常用方剂等方面分析文献对RLS的中医辨治认识。结果:共纳入符合要求文献186篇,中医药对RLS辨治方式以辨病结合辨证(109篇)和辨病思维(55篇)为主,所用治法主要有滋阴养血法(主要是滋肝血)、活血化瘀法、滋补肝肾法、温阳散寒法等。使用最多的方剂类型是滋阴养血方24.7%(46/186),活血化瘀方23.7%(44/186),滋补肝肾方16.7%(31/186),温阳散寒方16.1%(30/186)等。结论:中医学对RLS的辨治有了丰富的理论认识和临床经验积累。但其诊治思路混杂不一、各说纷纭,且没有系统而完备的论述,多数文献对RLS的中医界定或描述不规范,尚未明确统一的中医病名,不利于RLS的中医临床科研交流与发展。

Objective: To analyze the syndrome differentiation of Restless Legs Syndrome(RLS) in traditional Chinese medicine(TCM) through the research of Chinese medicine journal literature. Methods: Computer was used to retrieval related literature in CNKI, VIP fulltext database(Chinese sci-tech periodical full-text database) and WanFang digital database, and then literature related to TCM treatment of RLS published in domestic medical journals from January 1978 to December 2018 was collected. Bibliometrics and content analysis were applied to those literatures to analyze the recognition of RLS in TCM from the aspects of TCM disease category definition, differentiation and treatment ideas, differentiation and treatment results, treatment principles and methods, commonly used prescriptions, etc. Results: A total of 186 qualified literatures were included. Disease differentiation combined with syndrome differentiation(109 papers) and disease differentiation thinking(55 papers) were the main methods for RLS treatment in traditional Chinese medicine.The methods used mainly included nourishing Yin and nourishing blood(mainly nourishing liver and blood), activating blood circulation and removing blood stasis, tonifying liver and kidney, warming Yang and dispersing cold.The most commonly used prescription types were nourishing Yin and blood prescription(24.7%, 46/186), promoting blood circulation and removing blood stasis prescription(23.7%, 44/186), nourishing liver and kidney prescription(16.7%, 31/186), and Wenyang Sanhan prescription(16.1%, 30/186). Conclusion: TCM has accumulated rich theoretical knowledge and clinical experience in the diagnosis and treatment of RLS. But the ideas of diagnosis and treatment are mixed and different opinions, and don’t have a systematic and complete exposition.The definition or description of RLS in TCM is not standardized in most literatures, and there is still no clear and unified TCM disease name, which is not conducive to the clinical research communication and development of RLS.