目的探讨中医药治疗急性痛风性关节炎的用药规律,以指导临床选方用药.方法通过以“急性痛风性关节炎”为主题词,“中医药治疗”“中医治疗”为副主题词,检索“中文期刊数据库CNKI”2010-2015年的相关医学文献,共搜索文献216篇,其中符合条件的139篇,将纳入文献中所包栝的单味中药输入Excel2003进行-般统计学分析.结果139篇文献中,共涉及中药复方147首,药物134味,用药频次共达1501次,其中,用药频次前10位的药物分别是:黄柏、牛膝、薏苡仁、苍术、土茯苓、泽泻、萆蘚、防己、甘草、威灵仙;药物所属类别最多的分别是:清热药、活血化瘀药、祛风湿药、补虚药、利水渗湿药.结论清热利湿、活血通絡、泄浊解毒、兼顾补虚对急性痛风性关节炎具有较好疗效.
Objective To investigate the medication rule on acute gouty arthritis patients treated with traditional Chinese medicine. Methods The "acute gouty arthritis” was considered as the keywords, the "traditional Chinese medicine therapy”, "traditional Chinese medicine treatment” as the second keywords. There were 216 papers, including 139 eligible papers, were screened through the database in "China National Knowledge Infrastructure(CNKI)" from 2010 to 2015, the medication of induction and statistical analysis were carried out in EXCEL 2003. Results The 139 papers on treatment of acute gouty arthritis by traditional Chinese medicine include 147 prescriptions, 134 Chinese medicines, 1501 frequency of medication, in which utilization ranking top ten was Golden Cypress, Radix achyranthis bidentatae, Semen coicis, Rhizoma atractylodis, Rhizoma Smilacis glabrae, Rhizoma alismatis,Yam rhizome, Fangji, Glycyrrhiza, Radix clematidis, Rrhizoma anemarrhenae, respec-tively. Moreover, the drugs most frequently used pertain to category of clearing away heat, promoting blood circulation to dissapate blood stasis, medicine for rheumtism, drugs for restoring vital energy, dampclearing durgs, respectively. Conclusion The herbs of clearing heat and promoting diuresis, promoting blood circulation to remove meridian obstruction, purging turbidity to detoxication, reinforcing deficiency, show good effect on treatment of acute gouty arthritis.