外用中药治疗湿疹的用药规律探讨

Study on thePrinciples of External TCM in the Treatment of Eczema

目的:探讨外用中药治疗湿疹的用药特点及规律。方法:对中国期刊网、维普数据库、中国生物医学期刊数据库等数据库中收载的关于外治湿疹的中医药期刊文献进行统计,共收集2007-2017年发表于省级以上期刊的文献共134篇。用EXECL建立数据库,将数据导入SPSS 21.0软件。结果:共选出符合条件的中药外用处方127首,涉及中药167味,累计用药次数986次。将26味高频中药作聚类分析,可分为5类,采用因子分析提取出7个公因子。结论:现代医家外治湿疹以清热药、解表药等为主,主要药味为苦、甘、辛,并以寒性药居多,多归于脾胃两经。研究表明,聚类分析及因子分析结果有良好的一致性,能客观地反映临床医案证治规律,为临床提供参考。

Objective:To explore the characteristics and rules of external use of Chinese medicine in the treatment of eczema.Methods:the statistics of Chinese and foreign journals of Chinese medicine for eczema were collected from Chinese Journal Network,VP database and Chinese biomedical journal database,and 134papers were collected from 2007-2017years at the provincial level.Establish database with Excel and import SPSS 21.0software.Results:a total of 127Chinese herbal prescriptions were selected,involving 167flavors of Chinese medicine and 986times of cumulative dosage.The 26high frequency Chinese medicines were classified into 5groups by cluster analysis,and 7common factors were extracted by factor analysis.Conclusion:modern medical eczema is mainly treated with antipyretic drugs and antipyretic drugs.The main drug tastes are bitter,gump and symplectic,with many cold drugs and mostly in the two meridians of the spleen and stomach.The results of cluster analysis and factor analysis havegood consistency,which can objectively reflect the rule of clinical medical records and provide new ideas for clinical practice.