Modern use of Chinese herbal formulae from Shang-Han Lun
Modern use of Chinese herbal formulae from Shang-Han Lun
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DOI：
10.3760/cma.j.issn.0366-6999.2009.16.010
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发表时间：
2009-08-20
影响因子：
6.1
通讯作者：
Hwang Shinn-jang
中科院分区：
文献类型：
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作者：
Chen Fang-pey;Chen Fun-jou;Hwang Shinn-jang
背景中国医学档案《伤寒论》据说是由张仲景（公元150-219年）撰写的。这部影响巨大的著作介绍了六经失调的具体症状（太阳、阳明、少阳、太阴、少阴、厥阴）及其相应的治疗方法、合并证、因病恶化以及六经转换的概念。“伤寒论”的概念被中医界广泛接受。方法抽取台湾地区全民健康保险下中医门诊处方数据。结果1999 ~ 2002年，在528889576张中药方剂中，“伤寒方”的处方使用率仅为5.22%。最常用的方剂是太阳方其次为少阳方（71.31%）个体最常使用的方剂为葛根汤芍药甘草汤（12.97%）、小青龙汤半夏泻心汤小柴胡汤结论从伤寒方剂的处方规律来看，没有证据表明六个通道之间存在过渡。尽管《伤寒论》在中医学中具有基础性地位，但《伤寒论》方剂在临床应用中仍有局限性。中华医学杂志2009;122（16）：1889-1894
Background The Chinese medical archive, Shang-Han Lun, is said to be written by ZHANG Zhong-jing (150-219 A.D.). This great influential work introduced the specific symptoms of six-channel disorders (Tai-Yang, Yang-Ming, Shao-Yang, Tai-Yin, Shao-Yin, and Jue-Yin) and their corresponding treatments, the combined syndromes, deterioration due to malpractice, and the concept of six-channel transitions. The concept of Shang-Han Lun is widely accepted by Chinese herbal doctors. However, no clinical data about Shang-Han symptoms are described in oriental or western medical reports.Methods The clinical prescription data of traditional Chinese medicine visits were extracted under the National Health Insurance in Taiwan. The application rate of 42 Shang-Han formulae in clinical practice was analyzed in detail with the software SPSS.Results Between 1999 and 2002, the prescription rate of Shang-Han formula was only 5.22% among a total of 528 889 576 Chinese herbal formula prescriptions. The most frequently used formula was Tai-Yang formulae (71.31%), followed by Shao-Yang formulae (17.49%) and the most commonly prescribed individual Shang-Han formulae were Ge-Gen Tang (16.11%), Shao-Yao-Gan-Cao Tang (12.97%), Xiao-Qing-Long Tang (11.79%), Ban-Xia Xie-Xin Tang (10.24%), and Xiao-Chai-Hu Tang (9.11%), which comprised 60.22% of the utilization rate of total Shang-Han formulae.Conclusions From the prescription patterns of Shang-Han formulae, there was no evidence of transitions among the six channels. Despite the fundamental role of Shang-Han Lun in traditional Chinese medicine, prescription of Shang-Han formulae was limited in clinical practice. Chin Med J 2009;122(16):1889-1894