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内科综合疗法联合加味小建中汤治疗阴黄证的临床观察 被引量:5

Clinical Observation on Treatment of Yin-Huang Syndrome with Jiawei Xiaojianzhong Decoction
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摘要 目的:观察加味小建中汤治疗阴黄证(脾虚湿滞证)的临床疗效。方法:将84例诊断为阴黄证(脾虚湿滞证)的患者随机分为观察组和对照组各42人,对照组患者选取单纯西药治疗;观察组患者在对照组的基础上加用加味小建中汤,观察两组患者治疗后的有效率、中医症候评分,监测治疗前后肝功能、凝血功能指标的变化。结果:观察组患者有效率87.80%显著高于对照组的69.05%(P<0.05);两组患者的中医症候评分、肝功能、凝血功能均比治疗前明显改善(P<0.05),但观察组患者上述指标下降优于对照组(P<0.05)。结论:加味小建中汤治疗阴黄证(脾虚湿滞证)的疗效肯定,能够通过降低患者的黄疸、转氨酶水平,升高白蛋白水平,改善凝血功能以达到缓解患者临床症状的目的。 Objective:To observe the clinical curative effect of Jiawei Xiaojianzhong Decoction on the treatment of Yin-Huang Syndrome(Spleen Deficiency Syndrome).Methods:Forty-eight patients diagnosed as Yin-Huang Syndrome(spleen deficiency and stagnation syndrome) were randomly divided into observation group and control group with 42 patients each.The control group did not choose western medicine alone;the observation group added Jiawei Xiaojianzhong Decoction on the basis of the control group.The treatment of Jiawei Xiaojianzhong Decoction was used to observe the effective rate after treatment and scores of symptoms of traditional Chinese medicine in the two groups,and to monitor the level of liver function and coagulation function before and after treatment.Results:The effective rate of observation group was 87.80%,which was significantly higher than that of the control group(69.05%)(P<0.05).The symptom scores,hepatic function and coagulation function of Chinese medicine were improved in both groups(P<0.05),but the above indicators in the observation group decreased.Better than the control group(P<0.05).Conclusion:Modified Xiaojianzhong Decoction is effective in treating Yin-Huang Syndrome(stagnation syndrome of spleen deficiency and dampness).It can reduce the patient’s jaundice and transaminase levels,increase albumin levels,and improve coagulation function to relieve clinical symptoms.
作者 冉思邈 姜锦林 吕建林 胡振斌 黄珍 黎仲援 RAN Si-miao;JIANG Jin-lin;LV Jian-lin;HU Zhen-bin(Graduate School, Guangxi University of Traditional Chinese Medicine (banning Guangxi ,530001 ) China)
出处 《中西医结合肝病杂志》 CAS 2019年第1期16-18,共3页 Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
基金 广西中医药大学研究生教育创新计划资助课题(No.YJSP201735)
关键词 阴黄证 加味小建中汤 治疗应用 Yin-Huang Syndrome Jiawei Xiaojianzhong Decoction therapeutic uses
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