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耿建国治疗甲状腺结节用药规律特色浅析

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目的:对耿建国教授治疗甲状腺结节(Thyroid nodules,TNS)用药规律特色进行分析.方法:通过收集耿建国教授治疗TNS处方病历数据,分析归纳组方用药资料,应用Excel 2011软件建立数据库,归纳整理数据,应用SPSS19.0软件进行聚类分析.结果:纳入的100个处方中,共涉及中药62味,累及用药频次1229次,分析发现频数排名前10位的为柴胡、黄芩、浙贝母、夏枯草、炒白术、仙灵脾、川芎、干姜、皂角刺、生杜仲.结论:耿建国教授治疗TNS常常以"清上温下"为核心治法,兼以理气、化痰、散瘀之法.通过耿建国教授治疗TNS的处方研究,挖掘用药规律特色,能够提供更多的诊疗TNS的思路,能够更好地帮助患者恢复健康.
Analysis on the Characteristics of Medication Patterns for Treating Thyroid Nodules by GENG Jianguo
Objective: To analyze Professor GENG Jianguo's medication regularity and characteristics in treating thyroid nodules (TNS). Methods: By collecting the medical record data of Professor GENG Jianguo's prescriptions for treating TNS, analyzing and summarizing the prescription and medication information, using Excel 2011 software to establish a database, summarizing and organizing the data, and using SPSS19.0 software for cluster analysis. Results: Among the 100 prescriptions included, a total of 62 traditional Chinese medicines were involved, involving 1229 times of medication. The analysis found that the top 10 most frequently used Chinese medicines were Bupleurum, Scutellaria baicalensis, Fritillaria baicalensis, Prunella vulgaris, Atractylodes stir-fried, Xianlingpi, and Ligusticum chuanxiong. , Dried ginger, saponin thorn, raw Eucommia ulmoides. Conclusion: Professor GENG Jianguo often treats TNS with the core treatment method of "clearing the upper part and warming the lower part", and also uses methods of regulating Qi, resolving phlegm, and dispersing blood stasis. Through the study of Professor GENG Jianguo's prescriptions for treat-ing TNS and exploring the characteristics of medication rules, we can provide more ideas for the diagnosis and treat-ment of TNS and better help patients regain their health.

Thyroid noduleGall diseaseTraditional Chinese medicineTraditional Chinese medicineSyndrome differentiationPattern

姜楠、陈玉静、李杨帆、宋明

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北京市宣武中医医院 北京 100050

首都医科大学宣武医院 北京 100053

首都医科大学附属友谊医院 北京 100050

首都医科大学中医药学院 北京 100069

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甲状腺结节 瘿病 中医 中药 辨证 规律

国家中医药局全国老中医药专家学术经验继承工作项目(第七批)

国中医药办人教函[2021]272号

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(4)
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