用病名加掛ICD-10CM研究歷代古籍六味地黃丸之治病

The literature exploration of Liu Wei Di Huang Wan usage combined with ICD-10CM

李敏惠(Ming-Hui Lee) ； 張賢哲(Hsien-Cheh Chang) ； 孫茂峰(Mao-Feng Sun)

《臺灣中醫醫學雜誌》 13卷2期 (2015/09) Pp. 1-12

摘要

六味地黃丸是中醫臨床治療上的常用方劑之一，在台灣全民健保中醫用藥分析研究，92-93年健保中醫門診複方用藥使用率第十名為六味地黃丸;同時也是治療糖尿病的第一名用藥。本研究開發用病名加掛ICD-10的方法，運用中醫藥典籍電腦分析研究程式系統，統計出過去古籍在六味地黃丸的臨床治療的結果，依ICD-10共14類，依筆數統計排列，以皮膚及皮下組織疾病(345筆，占18.62%)的治療為主，同時研究資料分析醫家們最常使用六味地黃丸併用補中益氣湯，五味子則是最常配合使用的單味中藥，提供臨床醫師一個快速將方劑理論運用在臨床治療的參考。

關鍵字

六味地黃丸 ； 典籍醫案電腦分析 ； 皮膚及皮下組織疾病

並列摘要

Liu Wei Di Huang Wan(LWDHW) is one of the most common used TCM prescriptions. The analysis of utilization polypharmacy with LWDHW for Chinese medicine outpatient health care by National Health Insurance In Taiwan. The LWDHW is the top tenth formula between 2004 and 2005. It is also the first choice drug for the treatment of diabetes. We designed the Electronic Chinese Medical Literature Database Research for the study to ancient chinese medical literatures. To develope a research for literature exploration with a nonaggressive way linked ICD-IO is increasing. Using Chinese medicine books computer analysis program system, the result of statistics in the clinical treatment of ancient LWDHW is 14 items according to ICD-IO category. This study showed that the diseases of skin and subcutaneous tissue in the clinical treatments (345, 18.62%) was the most prescription of LWDHW by TCM physicians in the past. At the same time, the result of analysis also revealed that TCM physicians often used LWDHW combined with Bu Zhong Yi Ci Tang. Schisandra was the most commonly used single Chinese herb . These results could provide clinicians a quick reference guide to understand the theory of traditional Chinese prescription composition being used in the clinical treatments.

並列關鍵字

Liu Wei Di Huang Wan (LWDHW) ； Electronic Chinese Medical Literature Database Research ； Diseases of Skin and Subcutaneous Tissue

參考文獻

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