衰老是人体生命进程的必然结果。在中医理论中以五脏为核心,追求气血充盈、形神俱佳,以实现机体的健康和谐状态。中医药的美容理念注重“以内养外”的原则,明确指出人的肌肤状态与内在脏腑功能的紧密关联。若脏腑出现病变、气血失和,则会导致肌肤粗糙、色泽萎黄及皮肤松弛,甚至产生黄褐斑、色素沉着等现象。因此,中医的美容方剂亦遵循调和气血、调理五脏的原则,在中医整体观念和辨证施治的原则指导下应用,从而取得显著的抗衰效果。Aging is an inevitable result of the life process of the human body. In the theory of Chinese medicine, the five organs serve as the core, with the pursuit of abundant qi and blood, as well as optimal physical and mental well-being, in order to achieve a healthy and harmonious state of the body. The beauty concept of Chinese medicine focuses on the principle of “internal nourishment”, which clearly points out that the state of human skin is closely related to the function of internal organs. If the internal organs are diseased and the qi and blood are out of harmony, it will lead to roughness of the skin, yellowish colour and skin laxity, and even chloasma and pigmentation, etc. Therefore, the cosmetic formulas of TCM are also used in the treatment of skin care. Therefore, the beauty prescriptions of Chinese medicine also follow the principle of regulating qi and blood, regulating the five viscera, and are applied under the guidance of the overall concept of Chinese medicine and the principle of identification and treatment, thus achieving significant anti-aging effects.
目的评价中医药治疗子宫肌瘤的临床疗效与安全性。方法通过检索1989～2006年发表的有关中医药治疗子宫肌瘤的临床研究文献,比较中医药与西药、安慰剂、空白组,以及中药加用某种疗法与单用这种疗法治疗的随机对照试验或半随机对照试验,从文献的一般情况、诊断纳入排除标准、疗效判定标准、研究方案设计四个方面进行质量评价,利用Cochrane协作网专用软件Review Manager(Revman4.2)进行Meta分析。结果共纳入临床研究文献293篇,可进行系统评价的文献31篇。结果显示部分中医药治疗子宫肌瘤在缩小子宫体积方面优于西药[效应值--加权均数差值(weighted mean differences,WMD)=-46.02,95%可信区间(-82.32,-9.72)];调节雌孕激素水平优于西药[效应值分别为WMD=-201.34,95%可信区间(-208.83,-193.85)和WMD=-0.20,95%可信区间(-0.26,-0.14)];改善贫血优于西药[效应值WMD=2.87,95%可信区间(1.42,4.32)];闭经的发生率低于西药[效应值RR=0.26,95%可信区间(0.09,0.71)]。部分中药联合西药在缩小肌瘤体积方面有增效作用[效应值WMD=-1.02,95%可信区间(-1.42,-0.63))。结论结果表明,部分中医药治疗子宫肌瘤有一定疗效。但由于在严格随机、双盲等方面还有欠缺,纳入研究的文献很少,其疗效目前尚无充分的证据,在以后的研究中尚需要设计良好的随机、双盲、多中心治疗子宫肌瘤的随机对照临床研究文献,以对本研究的结果能更进一步地证实。
