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中国中医科学院 中药研究所,道地药材品质保障与资源持续利用全国重点实验室,北京 100700
Received:14 October 2025,
Revised:2026-01-14,
Accepted:26 January 2026,
Online First:30 January 2026,
Published:05 June 2026
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李思宇,邓双飞,丁黛悦等.已上市治疗类风湿关节炎中成药品种特点及处方分析[J].中国实验方剂学杂志,2026,32(11):269-276.
LI Siyu,DENG Shuangfei,DING Daiyue,et al.Characteristics and Prescription Analysis of Marketed Chinese Patent Medicines for Rheumatoid Arthritis[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):269-276.
李思宇,邓双飞,丁黛悦等.已上市治疗类风湿关节炎中成药品种特点及处方分析[J].中国实验方剂学杂志,2026,32(11):269-276. DOI: 10.13422/j.cnki.syfjx.20260105.
LI Siyu,DENG Shuangfei,DING Daiyue,et al.Characteristics and Prescription Analysis of Marketed Chinese Patent Medicines for Rheumatoid Arthritis[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):269-276. DOI: 10.13422/j.cnki.syfjx.20260105.
目的
2
本研究聚焦于我国治疗类风湿关节炎(RA)的中成药上市品种及其处方特点,以期为抗RA中成药的临床应用与研发提供支持。
方法
2
收集已上市治疗RA的中成药品种信息,采用Microsoft Excel 2021软件进行初步数据整理与统计分析,借助古今医案云平台(V2.3.9)对规范处理后的中成药处方从药物性味归经、用药特点及组方规律等维度进行分析。
结果
2
本研究最终纳入国内已上市RA中成药共311种,其最初上市时间多集中于20世纪90年代至21世纪初;《国家基本医疗保险、工伤保险和生育保险药品目录》收录89种;剂型分布以片剂、胶囊剂、酒剂、丸剂为主。筛选得到237个处方,其来源考证工作相对滞后;其中治疗风寒湿痹证的中成药占比最高;药物使用频次前三分别为当归、羌活、防风;药性以温、平为主,药味以辛、甘、苦居多,多归肝、脾二经;关联规则分析显示,置信度最高的药对为川芎-当归、没药-乳香;聚类分析共得到3个药物组合。
结论
2
RA中成药虽具应用优势,但存在证型覆盖窄、剂型创新不足等问题。未来发展应注重构建循证证据体系,加强处方源流考据与经典名方挖掘,推动剂型创新与精准用药,以提升其临床价值。
Objective
2
To study the marketed products and prescription characteristics of Chinese patent medicines for rheumatoid arthritis (RA) in China, thus providing support for clinical application and innovative research and development of Chinese patent medicines for RA.
Methods
2
Information on marketed Chinese patent medicines for RA treatment was collected. Preliminary data organization and statistical analysis were performed in Microsoft Excel 2021. Subsequently, the standardized prescriptions were analyzed via the Ancient and Modern Medical Case Cloud Platform (V2.3.9) across dimensions including medicinal properties, flavors, channel tropisms, usage characteristics, and formulation patterns.
Results
2
This study ultimately included 311 marketed Chinese patent medicines for RA in China. Their initial market launch dates were mostly concentrated from the 1990s to the early 21st century. The National Basic Medical Insurance, Work-Related Injury Insurance, and Maternity Insurance Drug Directory included 89 Chinese patent medicines for RA. The primary dosage forms were tablets, capsules, medicated wines, and pills. After screening, 237 prescriptions were obtained, and the research on their origins was lagging. Among them, the Chinese patent medicines for treating wind-cold-dampness obstruction syndrome accounted for the highest proportion. The top three most frequently used medicinals were Angelicae Sinensis Radix, Notopterygii Rhizoma et Radix, and Saposhnikoviae Radix. Medicinal properties were primarily warm and plain, and flavors were mostly pungent, sweet, and bitter. The medicinals predominantly exhibited the liver and spleen channel tropism. Association rule analysis revealed that the herb pairs with the highest confidence were Chuanxiong-Angelicae Sinensis Radix and Myrrha-Olibanum. Cluster analysis yielded three medicinal combinations.
Conclusion
2
Although Chinese patent medicines for RA have application advantages, issues such as narrow syndrome coverage and insufficient innovation in dosage forms exist. Future development should focus on constructing an evidence-based system, strengthening the textual research on prescription origins and the exploration of classical famous formulas, and promoting dosage form innovation and precise medication to enhance their clinical value.
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