Literature research on TCM medication law of HBV-related hepatocirrhosis
YANG Xianzhao1,2 JIANG Feng2,3 RU Shuying2,4 ZHANG Peng2,3 LI Ying2,3 ZHANG Ludan2,3 YE Yong′an2,3
1.Department of Infectious Disease, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China;
2.Institute of Liver Diseases, Beijing University of Chinese Medicine, Beijing 100700, China;
3.Department of Gastroenterology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China;
4.Department of Gastroenterology, Dongzhimen Hospital Eastern Affiliated to Beijing University of Chinese Medicine, Beijing 101100, China
Abstract:Objective To analyze the traditional Chinese medicine (TCM) medication law of HBV-related hepatocirrhosis based on the past clinical research literatures. Methods The clinical research literatures on TCM for HBV-related hepatocirrhosis from inception to September 2016 was searched in PubMed, Chinese biomedical literature database (CBM), China National Knowledge Infrastructure (CNKI), WanFang Data, VIP network. A database of TCM decoctions for HBV-related hepatocirrhosis was established. The frequency of medication was analyzed. The effect, nature and flavor of herbs were descriptively analyzed. Results A total of 118 articles were included. There were 121 prescriptions, 204 herbs and 1356 herb frequency involved. There were 11 herbs with a frequency greater than 30. The top 5 were Radix Astragali, Radix Salviae Miltiorrhizae, Carapax Trionycis, Rhizoma Atractylodis Macrocephalae and Radix Bupleuri. The 204 herbs could be divided into 19 categories according to the effect. The top 5 were deficiency-supplementing herb, blood-quickening stasis-transforming herb, heat-clearing herb, dampness-removing herb and qi-regulating herb, with a total frequency of 80.23%. In the frequency of herb nature, the top 3 were cold, warm and calm. The total frequency of cold herbs and slightly cold herbs was 37.75%. In the frequency of herb flavor, the top 3 were bitter, sweet and pungent. The frequency of bitter herbs was 32.40%. Conclusion The general rule of TCM in the treatment of HBV-related hepatocirrhosis is strengthening the body resistance and eliminating pathogenic factors. In the specific principle, on the basis of qi-boosting spleen-supplementing yin-nourishing therapy, blood-quickening stasis-transforming therapy, heat-clearing toxin-resolving therapy, dampness-clearing therapy and liver-coursing qi-rectifying therapy are often used in treating HBV-related hepatocirrhosis.
杨先照1,2 江锋2,3 茹淑瑛2,4 张鹏2,3 李莹2,3 张露丹2,3 叶永安2,3. 中医药治疗乙型肝炎肝硬化用药规律的文献研究[J]. 中国医药导报, 2017, 14(18): 157-160,180.
YANG Xianzhao1,2 JIANG Feng2,3 RU Shuying2,4 ZHANG Peng2,3 LI Ying2,3 ZHANG Ludan2,3 YE Yong′an2,3 . Literature research on TCM medication law of HBV-related hepatocirrhosis. 中国医药导报, 2017, 14(18): 157-160,180.
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