六味地黄丸合金匮肾气丸加减治疗较小肾结石100例临床观察

目的 观察六味地黄丸合金匮肾气丸加减治疗不适合手术的较小肾结石(直径<1.0cm)的临床疗效.方法 将200例肾结石患者随机分为两组,治疗组100例辨证分为肾阴虚组(治疗A组)、肾阳虚组(治疗B组)各50例,分别采用六味地黄丸加减与金匮肾气丸加减治疗;对照组100例采用排石冲剂治疗.结果 治疗A组治愈率为60%、有效率为86%;治疗B组治愈率为62%、有效率为88%.对照组治愈率为7%、总有效率为35%.两治疗组的治愈率、总有效率均较对照组有显著性差异(P<0.01).结论 六味地黄丸合金匮肾气丸加减治疗较小肾结石有效.

The Clinical Observation on the Treatment 100 Cases of Smaller Renal Calculus with Liuwei Dihuang Wan plus Jinkui Shenqi Wan

Objectives To study the clinical results of Liuwei Dihuang Wan plus jinkui Shenqi Wan treating small renal calculus (diameter< 1.0cm) which are not suitable for surgical operation. Methods 200 eases were randomly recruited into a control group and a treatrnent group, with 100 cases in each group. 100 cases in the treatment group was further enrolled into team A (having the syndrome of kidney Yin deficiency) and team B (having the syndrome of kidney yang deficiency), with 50 eases in each team. Team A and team B was treated with Liuwei Dihuang Wan and Jinkui Shenqi Wan respectively. The control group was treated with drugs that removing urinary calculus. Results The cure rate and the effective rate in team A was 60% and 86% respectively; and 62% and 88% respectively in team B. The total cure rate and effective rate of the treatment was 61% and 87% respectively. On the other hand, the cure and effectively rate of the control group was 7% and 35% respectively. The difference between the two groups were significant (P<0.01). Conclusion Liuwei Dihuang Wan plus jinkui Shenqi Wan has good effect in treating small renal calculus.