中医诊治肌萎缩证型和用药规律文献分析

目的 探讨中医诊治肌萎缩的证型和用药规律.方法 检索1979年1月至2011年12月中国期刊全文数据库(CNKI)收录的中医治疗肌萎缩的文献,对所选文献中的证型和用药进行统计归类,总结各证型、药物出现频次和所占比例.结果 最终筛选合格文献57篇,肌萎缩证型20个,常见证型有肝肾阴虚、脾气虚、脾肾阳虚和肾阳虚,共占53.71％.证候组成要素有12个,其中虚证占74.11％,主要有阴虚、气虚和阳虚,占总证候要素25.38％;实证占25.89％,主要有湿热、血瘀、火热,湿热占总证候要素6.60％.用药236味,按功效归为46类,进一步合并为19大类,补虚药、活血化瘀药和清热药占62.17％.结论 中医诊治肌萎缩证型特点和用药规律的分析可为目前肌萎缩的辨证论治提供参考.

Literature Analysis on Chinese Medicine Syndromes and Medication Laws in TCM Diagnosis and Treatment of Amyotrophy

Objective To explore the law of syndrome identification and treatment administration for amyotrophy.Mehtods Search related articles collected in China National Knowledge Internet(CNKI) from January 1979 to December 2011.The frequency of syndromes and medications in the selected literature were analyzed.Results Fifty-seven qualified articles were selected and twenty syndromes were identified.The common syndromes were liver-kidney yin deficiency,spleen qi deficiency,spleen-kidney yang deficiency and kidney yang deficiency,accounting for 53.71%.There were 12 major factors of syndrome composition.Deficiency syndrome accounted for 74.11%,including yin deficiency,qi deficiency and yang deficiency.The most common syndrome was yin-deficiency,which accounted for 25.38%.Excessive syndrome accounted for 25.89%,including damp heat,blood stasis and fire heat.Damp heat syndrome accounted for 6.60%.There were 236 medicinal belonging to 46 kinds of function classification used.The medicinal could be further combined into 19 main categories.Deficiency supplementing medicinal,blood-quickening stasis-transforming medicinal and heat clearing medicinal accounted for 62.17%.Conclusion Analysis on Chinese medicine syndromes and medication laws of amyotrophy could provide a reference for syndrome identification and treatment administration.