中国中医药现代远程教育
中國中醫藥現代遠程教育
중국중의약현대원정교육
CHINESE MEDICINE MODERN DISTANCE EDUCATION OF CHINA
2014年
9期
3-4
,共2页
狼疮性肾炎%名中医%文献分析
狼瘡性腎炎%名中醫%文獻分析
랑창성신염%명중의%문헌분석
lupus nephritis%famous TCM doctor's experience%literature analysis
目的：了解名老中医对狼疮性肾炎的治疗现状，吸取经验，提高临床治疗效果。方法检索了2002～2012年公开发表的名中医治疗狼疮性肾炎的经验、体会等文献，最终纳入分析的文献29篇，涉及26位中医及中西医结合专家，对文中涉及的邪实因素、中医辨证治疗中各证型及用方在文献中出现的次数进行统计分析。结果①专家认为狼疮性肾炎病变过程中涉及邪实因素以热毒、瘀血、湿热出现频率最高，三者分别占34.92％、30.16％及14.29％。②辨证分型中以热毒炽盛、气阴两虚、肝肾阴虚、脾肾阳虚、阴虚内热占有主导地位。③方剂使用频率排在前八位的分别为知柏地黄汤、犀角地黄汤、六味地黄丸、二至丸、清瘟败毒饮、真武汤、金匮肾气丸、参芪地黄汤。
目的：瞭解名老中醫對狼瘡性腎炎的治療現狀，吸取經驗，提高臨床治療效果。方法檢索瞭2002～2012年公開髮錶的名中醫治療狼瘡性腎炎的經驗、體會等文獻，最終納入分析的文獻29篇，涉及26位中醫及中西醫結閤專傢，對文中涉及的邪實因素、中醫辨證治療中各證型及用方在文獻中齣現的次數進行統計分析。結果①專傢認為狼瘡性腎炎病變過程中涉及邪實因素以熱毒、瘀血、濕熱齣現頻率最高，三者分彆佔34.92％、30.16％及14.29％。②辨證分型中以熱毒熾盛、氣陰兩虛、肝腎陰虛、脾腎暘虛、陰虛內熱佔有主導地位。③方劑使用頻率排在前八位的分彆為知柏地黃湯、犀角地黃湯、六味地黃汍、二至汍、清瘟敗毒飲、真武湯、金匱腎氣汍、參芪地黃湯。
목적：료해명로중의대랑창성신염적치료현상，흡취경험，제고림상치료효과。방법검색료2002～2012년공개발표적명중의치료랑창성신염적경험、체회등문헌，최종납입분석적문헌29편，섭급26위중의급중서의결합전가，대문중섭급적사실인소、중의변증치료중각증형급용방재문헌중출현적차수진행통계분석。결과①전가인위랑창성신염병변과정중섭급사실인소이열독、어혈、습열출현빈솔최고，삼자분별점34.92％、30.16％급14.29％。②변증분형중이열독치성、기음량허、간신음허、비신양허、음허내열점유주도지위。③방제사용빈솔배재전팔위적분별위지백지황탕、서각지황탕、륙미지황환、이지환、청온패독음、진무탕、금궤신기환、삼기지황탕。
Objective Understand the status of the old Chinese medicine for the treatment of lupus nephritis,learn from experience and im-prove clinical outcomes.Methods Retrieval of experience between 2002~2012 were published Chinese medicine treatment of lupus nephritis, totally 29 articles were enrolled,involving 26 experts in Chinese medicine and integrative medicine.Related TCM syndromes,Pathogenic fac-tors,prescriptions and the number of occurrences of in the literature were analyzed.Results ① High rate of references were made in the ex-perts'opinion to the following Pathogenic factors involved lupus nephritis:heat-toxicity,blood stasis,humid heat,which makes up 34. 92%, 30. 16% and 14. 29% respectively.② The dominant TCM syndromes of lupus nephritis were hot toxic flaming card,deficiency of both qi and yin,yin deficiency of liver and kidney,yang deficiency of spleen and kidney,yin deficiency heat card.③The prescriptions used most frequently are Zhibai Dihuang decoction,Xijiao Dihuang decoction,Liuwei Dihuang pill,Erzhi pill,Qingwen Baidu yin,Zhenwu decoction,jinkui shen-qi pill,Shenqi Dihuang decoction.
