基于明清文献挖掘的哮喘中医证治用药规律研究

Study of Chinese medicine regularity on asthma based on the data of literature of Ming and Qing dynasty

关键词:  哮喘  用药规律  明清文献挖掘

Key words:  asthma  Chinese medicine regularity  literature mining of Ming and Qing dynasty

摘要:

[目的] 探索明清时期支气管哮喘的用药规律,为中医药防治支气管哮喘提供思路和方法。[方法] 通过对明清时期的文献进行搜集整理,将符合纳入和排除标准的中医证治文献中的哮喘药物进行分类,使用SPSS统计软件进行描述性统计。[结果] 明清时期治疗哮喘使用频率较高的药物分别是甘草(6.89%)、半夏(5.15%)、杏仁(4.48%)、陈皮(3.32%)、麻黄(2.89%)、茯苓(2.89%)、人参(2.31%)、桔梗(2.26%);按归类则为化痰止咳平喘药(27.65%)、补虚药(19.65%)、解表药(12.57%)。[结论] 明清时期治疗哮喘用药有着自身的规律及特点,与现代治疗哮喘的药物有所不同,但“痰饮”仍是贯穿古今的核心病机。

Abstract:

[Objective] To explore the Chinese medicine for asthma's regularity and provide the prescription of clinical medicine for asthma. [Methods] Through arranging and researching the ancient literature of Ming and Qing dynasty, we classified the drugs in the literature of asthma and used SPSS to describe statistics. [Results] The most frequently used Chinese medicine for the treatment of asthma were Glycyrrhizae Radix et Rhizoma(6.89%), Pinellia ternate(5.15%), Amygdalus Communis(4.48%), Pericarpium Citri Reticulatae (3.32%), Herba Ephedrae Sinice(2.89%), Poria Cocos Wolf (2.89%), Panax ginseng C.A.Mey (2.31%), Platycodon grandiflorus (2.26%). According to frequency of traditional Chinese medicine, Huatan zhike pingchuan drugs (27.65%) were most frequently used, followed by Buxu drugs(19.65%) and Jiebiao drugs(12.57%). [Conclusion] The Chinese medicine treated for asthma has its own laws and characteristics. Some drugs are different from drugs used now. But phlegm and retained fluid is still the core pathogenesis in all ages.