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題 名 | 痤瘡外用方劑之應用開發=Chinese Prescriptions for External Aplication in Acne |
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編 次 | (2-1) |
作 者 | 王靜瓊; | 書刊名 | 中醫藥年報 |
卷 期 | 3 2014.12[民103.12] |
頁 次 | 頁(5)1-(5)50 |
分類號 | 413.95 |
關鍵詞 | 外用方劑; 痤瘡; 實證醫學; 中醫藥實證醫學; External TCM prescripyion; Acne; Evidence-based medicine; Evidence-based medicine to traditional Chinese medicine; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:中醫藥是一連串的實踐醫學之後的彙整,所以開發中醫藥的實證醫學方法,將可提供另一種有效率探究中醫藥之有效性的研究方法。本研究以痤瘡為主題,建置中醫藥的實證醫學方法,再利用抗痘相關基礎實驗相互印證其有效性。篩選出有治療痤瘡之方劑,利用劑型的改良如軟膏或貼布等,開發出新的抗痤瘡產品。 研究方法:建置以健保資料庫探勘及古書典籍收尋,確認中醫臨床常用之治療痤瘡之處方。再利用抑制體外脂解酵素活性、痤瘡桿菌生長分析,及痤瘡桿菌誘導的發炎反應作為抗痤瘡之基礎實驗。 結果與討論:健保資料庫資料探勘結果,清上防風湯、真人活命飲及加味逍遙散為使臨床使用前 3名,並將前 10名之方劑進行抗發炎、抗菌、與抑制皮脂分泌之功效檢測。結果顯示:此 10個方劑,皆無抑制脂解酵素活性的作用,而溫清飲、黃連解毒湯、清上防風湯及真人活命飲明顯抑制痤瘡桿菌生長,及痤瘡桿菌誘導的發炎反應;而加味逍遙散則皆無明顯抑制作用。根據典籍收尋,發現外用方劑的顛倒散具有明顯之功效,故第二年將選擇『溫清飲』應用於痤瘡外用藥新劑型開發,而用用方劑則以『顛倒散』,開發新劑型為主。 |
英文摘要 | AIM: Applying evidence-based medicine to traditional Chinese medicine (TCM) research would certainly enhance the clinical applicability. In this study, our objective is to systematically review the studies on herbal treatment for acne in order to find out the clinically effective herbal remedies and to use these remedies as lead drugs for the development of new treatment for acne treatment. METHODS: We used the population-based National Health Insurance Research Database (NHIRD) in Taiwan to find out the clinically prescribed Chinese herbal formula for patients with acne and searched anti-acne TCM from ancient books. Secondly, the systematic review of herbal remedies for acne treatment was evaluated and the TCM measured the efficacies of anti-acne by their lipase inhibition, antibacterial effects to Propionibacterium acnes (P.A.) and anti-inflammatory effects. RESULTS & DISCUSSION: We find most of them are Ching-Shanp-Farng-Feng-Tang, Zen-Ren-Huo-Ming-Ying and Jia-Wei-Xiao-Yao-San from NHIRD. In the top ten TCMs, they all did not show anti-lipase activity, but Wen-Ching Yin, Huang-Lian-Jiedu-Tang , Ching-Shanp-Farng-Feng-Tang and Zen-Ren-Huo-Ming-Ying both showed antibacterial and anti-inflammatory effects, Jia-Wei-Xiao-Yao-San did not. Therefore, the five prescriptions will be developed a new formulation to treat acne in the 2nd year study. |
本系統中英文摘要資訊取自各篇刊載內容。