摘要
目的 分析总结陈彤云教授治疗黄褐斑的临床用药经验.方法 收集2017年9月~2019年7月首都医科大学附属北京中医医院陈彤云教授治疗的黄褐斑患者医案109诊次,从药物类别、药物性味、药物归经等方面进行总结分析.结果 用药类别方面,使用频率最高是补虚药及活血化瘀药,分别为40.99%及29.00%.药性方面,偏温热性药物占大多数(49.05%),平性药物占30.50%,偏寒凉性药物占20.44%.药味方面,苦、甘、辛味药的使用频率均明显高于其他药物,分别为29.07%、29.26%、28.75%.药物归经方面,药物归五脏经所占比例较大,约84.38%.诸脏经中,以肝经所占比例最大,其次为脾经、肾经.结论 陈彤云教授临床治疗黄褐斑以补虚及活血化瘀为主法,重视肝肾,兼顾脾胃,用药多以辛开、苦降、甘缓,擅用温、平性药.
Objective To analyze and summarize the experience of Professor Chen Tongyun′s clinical medication experience in treating melasma.Methods A total of 109 medical records of melasma patients treated by Professor Chen Tongyun in Beijing Traditional Chinese Medicine Hospital,Capital Medical University were collected from September 2017 to July 2019.These medical records from the category,character,taste,and meridian tropism of Chinese herbal medicines were summarized and analyzed.Results Regarding the type of medication,the most frequently used drugs were tonic and activating blood stasis medicine,which were 40.99%and 29.00%respectively.In terms of medicinal properties,thermophilic drugs accounted for the majority(49.05%),mediocre drugs accounted for 30.50%,and cold drugs accounted for 20.44%.In terms of medicinal taste,the use frequency of bitter,sweet and spicy medicines were significantly higher than other medicines,which were 29.07%,29.26%and 28.75%respectively.In terms of medicines,the proportion of medicines in the five internal organs was large,about 84.38%.Among the visceral meridians,liver meridian accounts for the largest proportion,followed by spleen meridian and kidney meridian.Conclusion Professor Chen Tongyun′s clinical treatment of melasma is mainly based on the method of replenishing deficiency and promoting blood circulation and removing blood stasis.The professor attaches importance to liver and kidney,and takes care of the spleen and stomach.Most of the medications are spicy,bitter,sweet,and warm and calming drugs.
作者
刘婷
孙丽蕴
曲剑华
LIU Ting;SUN Liyun;QU Jianhua(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Dermatology,Beijing Traditional Chinese Medicine Hospital,Capital Medical University,Beijing 100010,China)
出处
《中国医药导报》
CAS
2020年第19期105-107,111,共4页
China Medical Herald
关键词
黄褐斑
用药经验
陈彤云教授
Melasma
Medication experience
Professor Chen Tongyun
