基于近十年文献回顾探讨儿童肺炎中医证治规律

发布时间：2018-01-28 23:07

本文关键词： 小儿肺炎文献中医方药　出处：《辽宁中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:分析儿童肺炎文献中医治疗的相关信息,了解近年来小儿肺炎使用中医中药治疗现状,探讨各类汤药、加减药物及中成药治疗小儿肺炎的疗效,为儿童肺炎中医治疗规范提供依据。方法:以“肺炎”“儿””中药”“中医”为检索词,检索2004年—2015年儿童肺炎中关于专方专药的临床疗效研究类文献,针对所纳入的文献进行中医治疗规范研究,对其中出现的汤剂、加减药、中成药、治则、证型进行规范整理,分析各自的应用特点及其相关性。结果:1.临床治疗小儿肺炎使用的经典方剂608条,自拟方剂474条。2.目前治疗儿童肺炎主要的中医经方为麻杏石甘汤,占所有经方的33.22%,其次为止嗽散、定喘汤、清金化痰汤等,麻杏石甘汤与其它类经方使用有显著差异。3.归纳加减药物治则,分别归类为清热、止咳、化痰、平喘、活血、通腑、润肺,其用药分别占总药物的33.64%、9.66%、26.62%、14.86%39.83%、11.57%和6.56%。4.对文件加减药的证型进行整理,频数最高的5项证型分别为:痰热闭肺21.6%、风热闭肺16.2%、风寒闭肺10.8%、气滞血瘀16.0%、阴虚肺热9.7%。将这5类证型通过治则互相关联后总用药频率分别为60.26%、47.86%、14.22、39.83和6.56。5.在治疗小儿肺炎中成药中出现频次最高的四项为痰热清28.82%、炎琥宁注射液21.47%、丹参注射液18.25%和喜炎平11.60%。结论:1.本次研究共整理经典方剂608条,自拟方474条,汤药加减731条,中成药871条。2.麻杏石甘汤在治疗肺炎经典方剂中使用频率最高。3.临床治疗小儿肺炎使用的经典方剂与自拟方剂,比例相差不大,经典方剂使用频次稍多。4.目前肺炎地治疗以清热、活血药为主,其次为化痰、止咳、平喘药。5.小儿肺炎用药记录以痰热闭肺证和风热闭肺证最多。6.在治疗小儿肺炎静点中药上以痰热清及炎琥宁注射液为主,其次为丹参注射液和喜炎平痰热清及炎琥宁注射液。
[Abstract]:Objective: to analyze the relevant information of TCM treatment in the literature of children's pneumonia, to understand the current situation of traditional Chinese medicine (TCM) treatment of pediatric pneumonia in recent years, and to explore the curative effect of various kinds of decoction, addition and subtractive drugs and traditional Chinese medicine for treating pediatric pneumonia. Methods: taking "pneumonia", "child", "Chinese medicine" and "Chinese medicine" as the key words. To search the literature of clinical curative effect of special prescription in children pneumonia from 2004 to 2015, to study the standard of TCM treatment for the included literature, to add and subtract the decoction. Chinese patent medicine, treatment principles, syndromes were standardized, and their application characteristics and their correlation were analyzed. Results: 1. 608 classical prescriptions for clinical treatment of pediatric pneumonia. At present, the main traditional Chinese medicine prescription for treating children's pneumonia is Ma Xing Shi gan Tang, which accounts for 33.22% of all the prescriptions, followed by cough Powder, Dingchuan decoction, Qingjin Huatan decoction and so on. There is significant difference between Maxingshigan decoction and other kinds of meridian prescriptions. 3.Inductive and subtractive drug treatment principles, respectively classified as clear heat, cough, phlegm, asthma, blood circulation, entrails, Runfei. Its medication accounted for 33.64% of the total drug, and 26.620.26.62% and 14.869.83% and 6.569.83% and 6.569.83% respectively. The card types of the addition and subtractive drugs were sorted out. The five syndrome types with the highest frequency were: phlegm heat closing lung 21.6m, wind heat closing lung 16.2um, wind-cold closing lung 10.8am, Qi stagnation and blood stasis 16.0%. The total drug use frequency of these five syndrome types were 60.26 and 47.86 ~ 14.22 respectively. 39.83 and 6.56.5. The four items with the highest frequency in the treatment of pediatric pneumonia were Tanreqing 28.82 and Yanhuning injection 21.47%. Danshen injection 18.25% and Xiyanping 11.600.Conclusion: 1. In this study, 608 classical prescriptions, 474 prescriptions were prepared, and 731 were added and subtracted from decoction. Chinese patent medicine 871 .2.Maxingshigan decoction in the treatment of pneumonia classic prescriptions used the highest frequency. 3. Clinical treatment of children pneumonia used in the classic prescription and self-made prescription, the proportion is not different. Classical prescriptions use a little more frequency. 4. At present, the treatment of pneumonia in order to clear the heat, blood circulation medicine, followed by phlegm, cough. Antiasthmatic drugs .5.The drug records of pediatric pneumonia were phlegm heat blocking lung syndrome and wind-heat blocking lung syndrome. 6. Tanreqing and Yanhuning injection were the main drugs in treating pediatric pneumonia. Danshen injection and Xiyan Ping Tanreqing and Yanhuning injection were followed.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R272

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