基于583首中药内服方探讨2型糖尿病用药规律.PDFVIP

·72 · 国际中医中药杂志2016年1月第38卷第1期 Int J Trad Chin Med, January 2016, Vol. 38, No.1 ·论著 · 基于 583 首中药内服方探讨 2 型糖尿病用药规律 朱苏平 戴芳芳 【摘要】 目的 通过对江苏省中医院内分泌科门诊数据的收集整理与分析，探讨 2 型糖尿病中医 用药规律。方法 收集 2014 年 1－10 月就诊于江苏省中医院内分泌科门诊符合 2 型糖尿病诊断、使用中 药内服方 2 周以上且降糖有效患者的中药口服方，将方剂中的单味药建立数据库，统计出现频次、频率 及其临床功效。结果 共收集 583 首方剂，含有药物 281 味，其中使用频次≥30 次的药物共 107 味，以 茯苓、白芍、黄芪使用频次最高。这 107 味中药的临床功效分属 10 种，其中补益药及清热药所占比重最 高(频率分别为 30.4%、22.2%)，活血化瘀药、利水渗湿药及理气药其次。结论 2 型糖尿病的病机主要 以“阴津亏耗、燥热为盛”为主，兼“血瘀、痰湿、气滞”，治以滋阴清热为第一要法，注重活血化瘀药、 利水渗湿、疏肝理气药的应用。 【关键词】 糖尿病，2 型；方剂分析，计算机辅助；中医病因和病机；用药规律 Explore the pathogenesis of type 2 diabetes based on 583 internal medicine parties * Zhu Suping , * Dai Fangfang. Nanjing University of Chinese Medicine, Nanjing 210029, China Corresponding author: Dai Fangfang, Department of Endocrinology, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing 210029, China; Email: dff1166@126.com 【Abstract 】 Objective Through the analysis of endocrinology outpatient data of Jiangsu provincial hospital, the law and the pathogenesis of TCM for type 2 diabetes was discussed. Methods The data of patients who were diagnosed of type 2 diabetes in Jiangsu provincial hospital outpatient in January 2014 - October 2014 were collected, which including the oral medicine, establishment of a database, statistical analysis of single herb drugs appear frequency and its clinical efficacy. Results We collected a total of 583 prescriptions which contain 281 kinds of medcicines. Among these medicines, 107 medicines were used more than 30 times, with the most frequently