基于现代文献探讨中医药治疗肾性血尿用药规律
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摘要
目的:探讨中医药治疗肾性血尿的用药规律。方法:对2013-2018年中医药治疗肾性血尿的临床研究类及经验类文献进行检索,建立Excel数据库,统计分析药物的性味归经及功效的频数与频率。结果:共出现146味中药,其中药性以寒凉为主,累计频率为53.51%;药味以甘、苦为主,累计频率为67.69%;归经主要归肝、肺、肾经,累计频率为52.76%;功效以补虚药、清热药、止血药为主,累计频率为70.84%。结论:肾性血尿的常见病机为气阴两虚,治疗应以益气养阴、凉血止血为原则。
Objective:To explore the using drugs regularity of TCM treating glomerular hematuria.Methods:The clinical research and empirical literature of TCM treating glomerular hematuria from 2013 to 2018 were retrieved and the Excel database was established,to analyze the frequency of four nature,five flavors,channel tropism and effect.Results:There were 146 kinds of traditional Chinese medicine,of which the four nature were mainly cold and cool with a cumulative frequency of 53.51%;the five flavors were mainly sweet and bitter with a cumulative frequency of 67.69%;the channel tropism were mainly liver,lung and kidney meridian with a cumulative frequency of 52.76%;the effect were mainly supplement,clearing heat and hemostasis with a cumulative frequency of 70.84%.Conclusion:The common pathogenesis of glomerular hematuria is deficiency of Qi and Yin.The principle of treatment should be tonifying Qi and Yin,cooling blood to stop bleeding.
Objective:To explore the using drugs regularity of TCM treating glomerular hematuria.Methods:The clinical research and empirical literature of TCM treating glomerular hematuria from 2013 to 2018 were retrieved and the Excel database was established,to analyze the frequency of four nature,five flavors,channel tropism and effect.Results:There were 146 kinds of traditional Chinese medicine,of which the four nature were mainly cold and cool with a cumulative frequency of 53.51%;the five flavors were mainly sweet and bitter with a cumulative frequency of 67.69%;the channel tropism were mainly liver,lung and kidney meridian with a cumulative frequency of 52.76%;the effect were mainly supplement,clearing heat and hemostasis with a cumulative frequency of 70.84%.Conclusion:The common pathogenesis of glomerular hematuria is deficiency of Qi and Yin.The principle of treatment should be tonifying Qi and Yin,cooling blood to stop bleeding.
引文
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[2]中华医学会.临床诊疗指南·肾脏病学分册[M].北京:人民卫生出版社,2011:15-18.
[3]陈蔚文.中药学[M].北京:人民卫生出版社,2012.
[4]王科,王琼芬,钟永强.归脾汤加减联合复方芦丁治疗肾性血尿的临床研究[J].中医药导报,2017,23(20):98-99,102.
[5]吴嘉,易无庸,杨俊,等.益肾汤治疗慢性肾炎综合征肾性血尿的临床观察[J].中国中医药科技,2016,23(3):335-336.
[6]蓝芳,谢丽萍,史伟.血尿方治疗隐匿型肾小球肾炎(阴虚证)血尿30例疗效观察[J].亚太传统医药,2017,13(2):146-147.
[7]安金龙,周丽娜,俞仲贤,等.清心莲子饮合二至丸治疗单纯性肾性血尿30例临床研究[J].江苏中医药,2016,48(12):23-24.
[8]范军,车树强.归脾汤加味治疗肾性血尿临床观察[J].辽宁中医杂志,2013(8):1661-1662.
[9]梁西红,尚立,马均侠.肾炎汤化裁辨证治疗肾性血尿临床观察[J].陕西中医学院学报,2014,37(5):57,65.
[10]张彩霞,杨俊,程小燕.益气养阴法治疗血尿为主型IgA肾病的临床观察[J].内蒙古中医药,2016,35(15):3-5.
[11]刘新,路金华,黄彩兰.壮肾固精方治疗血尿为主IgA肾病临床疗效观察[J].中国优生与遗传杂志,2017,25(6):121-122.
[12]魏华娟,多慧玲,刘洪德,等.“通络宁血汤”治疗肾虚血瘀型IgA肾病30例临床研究[J].江苏中医药,2017,49(9):28-30.
[13]王宏安,王银萍,张守琳.补肾健脾、解毒利咽中药治疗IgA肾病29例临床观察[J].中医杂志,2016,57(5):413-415.
[14]邱菊英,张开礼.化瘀通络解毒汤治疗IgA肾病临床观察[J].现代中医临床,2016,23(4):24-27.
[15]陈新政,马宝梅,杨兰文,等.滋阴凉血、清利导热法治疗肾性血尿疗效观察[J].西部中医药,2014,27(12):73-74.
[16]姚春雷.保肾宁血汤治疗肾性血尿40例[J].中医临床研究,2015,7(10):84-85+87.
[17]张世涛,何学红,远方.止血方治疗肾性血尿[J].吉林中医药,2015,35(11):1129-1132.
[18]陈小燕,王维英,范彩文,等.僵蚕四草汤加减治疗肾性血尿52例[J].河北中医,2015,37(2):207-208+259.
[19]巴元明,董文.邵朝弟治疗肾小球性血尿经验[J].河南中医,2015,35(2):241-243.
[20]苏琼,王立新,杨霓芝.杨霓芝教授治疗肾小球性血尿的经验浅探[J].四川中医,2017,35(4):23-25.
[21]朱家欢,朱彩凤.朱彩凤教授治疗肾性血尿经验[J].陕西中医药大学学报,2016,39(6):41-43.
[22]王宝娟,孟祥震,高常柏,等.孟祥震主任治疗肾性血尿的经验[J].云南中医中药杂志,2015,36(7):5-6.
[23]贾方园,赵刚.赵刚辨证分型扶正祛邪治疗肾性血尿[J].实用中医内科杂志,2015,29(10):14-16.
[24]刘伟伟,张亮,孙平一,等.张法荣教授治疗无症状肾小球性血尿经验总结[J].广西中医药大学学报,2015,18(2):45-47.
[25]张新辉,张宗礼.张宗礼治疗肾性血尿经验撷英[J].江西中医药,2016,47(5):25-27.
[26]田颖华,车树强.车树强补肾活血法辨治肾性血尿经验[J].江西中医药,2015,46(7):25-26.
[27]王丽红,何学红.何学红降血丹治疗肾性血尿[J].实用中医内科杂志,2016,30(4):19-20.
[28]于红红,韩峰,田维毅.蔡英奇教授分期论治肾性血尿的经验[J].时珍国医国药,2014,25(5):1203-1204.
[29]宁为民,邓丽娥,何绍初,等.何世东清热活血凉血治疗肾性血尿[J].实用中医内科杂志,2014,28(4):23-25.
[30]姬彦兆,项磊,杨乐斌,等.罗仁诊治肾病学术思想与临床经验介绍[J].新中医,2017,49(3):180-182.