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纸质出版日期:2018
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沈鸿, 穆兰澄, 汪芳, 等. 羌活-独活在外用药活血散中的作用[J]. 中国实验方剂学杂志, 2018,24(15):228-234.
Shen Hong, MU Lan-cheng, WANG Fang, et al. Efficacy of a Pair of Notopterygii Rhizoma et Radix-Angelicae Pubescentis Radix in External Use[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(15): 228-234.
沈鸿, 穆兰澄, 汪芳, 等. 羌活-独活在外用药活血散中的作用[J]. 中国实验方剂学杂志, 2018,24(15):228-234. DOI: 10.13422/j.cnki.syfjx.20181531.
Shen Hong, MU Lan-cheng, WANG Fang, et al. Efficacy of a Pair of Notopterygii Rhizoma et Radix-Angelicae Pubescentis Radix in External Use[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(15): 228-234. DOI: 10.13422/j.cnki.syfjx.20181531.
活血散是广安门医院名老中医杜自明老先生的祖传验方,主要功效为温经散寒祛湿,活血消肿止痛,临床上广泛用于膝骨关节炎(KOA)的治疗,疗效显著。羌活-独活作为治疗膝骨关节炎病的常用药,是活血散的重要组成之一。本文以“羌活”“独活”为主要检索词,对近10年来有关羌活-独活药对的研究文献进行检索,保留与本文相关的文献,对羌活-独活的药性、临床及药理研究进行回顾和总结分析。文献总结分析显示,①羌活-独活能祛风除湿、温经散寒、通痹止痛,为治疗膝骨关节炎病的有效药对之一,其临床治疗的总有效率均在80%以上,治疗效果显著;②羌活-独活配伍应用,二药相须相助增强药力,临床疗效明显高于其单独应用;分析这可能与联用后其挥发油变化,种类、数目的增多,新成分的产生有关,印证了羌活-独活配伍应用的治疗效果强于单独给药的合理性;③羌活-独活外用治疗膝骨关节炎疗效可靠。由于羌活-独活含有较高的、适合于透皮吸收的挥发油,故适合用于外敷、外用,具有局部药物浓度高、起效快的特点。羌活-独活所具有的这些独特药性,在活血散的临床上起着重要作用,成为活血的重要组成成分。活血散处方具有安全、有效、方便的特性。随着药源性疾病问题的日益突出,中医外治法越来越受到国内外学者专家的高度重视。
Huoxue powder is a proved recipe of Mr. Du Zi-ming
a famous veteran doctor of traditional Chinese medicine(TCM) at Guang'anmen Hospital. The main effect is to warm channels to dispel cold dampness
promote blood circulation and relieve pain. In clinic
it is widely applied in treating knee osteoarthritis (KOA) and other relevant diseases
with a good efficacy. Notopterygii Rhizoma et Radix-Angelicae Pubescentis Radix are commonly used drugs for the treatment of osteoarthritis of the knee
and important components of Huoxue powder. With Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix as the key words
the authors retrieved relevant research literatures over the past ten years
and retain the literatures related to this article. The clinical and pharmacological studies of Notopterygii Rhizoma et Radix-Angelicae Pubescentis Radix were reviewed and summarized for analysis. According to the summary and analysis of the literatures
① Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix can dispel wind and dehumidification
warm meridian and relieve cold and relieve pain
and are effective drugs for the treatment of osteoarthritis of knee. The total effective rate of clinical treatment was above 80%
and the curative effect was remarkable. ② The combined application of Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix could help enhance the efficacy
so the clinical efficacy was significantly higher than the single application. The cause may be related to the changes in volatile oil
such as the increase in species and number
and the appearance of new components. This proved that the effect of combined application was better than that of single application. ③Effect of Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix topical in the treatment of knee osteoarthritis is reliable. Because Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix contain high content of volatile oil that is suitable for transdermal absorption
it is suitable for external use. Notopterygii Rhizoma et Radix and Angelicae Pubescentis Radix play an important role in the clinical application of Huoxue powder
and become important components of Huoxue powder. Huoxue powder is safe
effective and convenient. With the increasing prominence of the problem of drug-induced diseases
the external use of TCM has been paid more and more attention from scholars and experts at home and abroad.
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