摘要
目的目的探索汤嗣标老中医治疗北京地区流行性感冒的中药配伍和遣方用药规律。方法方法收集2023年10月-2024年3月、2024年10月-12月汤嗣标老中医在北京市回民医院基层老中医传承工作室治疗北京地区流行性感冒有确切疗效病例的方剂,人工录入中医传承计算平台(V3.0)软件中,形成方剂数据库,利用该软件集聚分析处方用药及配伍规律。结果结果所录208首方剂中,初期常用药物为金银花、冬凌草、金莲花、连翘、苦杏仁、茯苓、芦根、羚羊角等;中期常用药物为冬凌草、茯苓、苦杏仁、知母、黄芩、金莲花、地龙、麻黄、百合、款冬花等;后期常用药物为南沙参、北沙参、冬凌草、茯苓、知母、百合等;三期药物所属四气以寒、温、平为主,五味以苦、甘、辛为主,归经以肺经、胃经为主;初期以风热袭表、风热疫毒证(占75.0%)居多,治疗以解表清热类药物为主(占54.6%),中期以风热疫毒、风热犯肺证(占75.8%)居多,治疗以化痰止咳平喘类药物为主(占25.2%),后期以肺热阴虚证(占81%)居多,治疗以益气养肺类为主(占33.4%)。结论结论汤嗣标老中医治疗北京地区流行性感冒的遣方用药规律:①初、中期以风热疫毒侵袭肺卫及肺脏为主,需清热解毒,以冬凌草清肺热,茯苓化清浊,苦杏仁畅肺气;②初期兼顾疏风解表,核心组合为金银花、连翘、冬凌草、金莲花、茯苓;中期兼顾化痰止咳平喘,核心组合为冬凌草、知母、黄芩、苦杏仁、茯苓;后期以养阴清肺为主,核心组合为南沙参、北沙参、百合、冬凌草、茯苓。这为进一步挖掘名老中医治疗流行性感冒的方法提供思路。
Objective To explore the compatibility of Traditional Chinese Medicine(TCM)and the rules of prescription administration of Tang Sibiao in treating influenza in Beijing area.Methods From October 2023 to March 2024,and from October to December 2024,the prescriptions of Tang Sibiao,a Traditional Chinese Medicine practitioner,in the basic Traditional Chinese Medicine inheritance Studio of Beijing Huimin Hospital for the treatment of influenza in Beijing area with accurate curative effect were collected and manually recorded into the software of Traditional Chinese Medicine inheritance computing platform(V3.0)to form the prescription database.The software was used to analyze prescription drug use and compatibility.Results Among the 208 prescriptions recorded,the first commonly used drugs were honeysuckle,rabdosia,golden lotus,forsythia,bitter almond,Tuckaia,reed root,antelope horn,etc.In the middle stage,the commonly used drugs were rabdosia rabdosa,Poria cocos,bitter almond,fructus cicadae,scutellaria scutellaria,golden lotus flower,Didragon,ephedra,lily,collaria coltus etc.The commonly used drugs in the later period were Nansha ginseng,Beisha ginseng,rabdosia rabdosa,Tuckaia poria,Rhizome amabilis,lily and so on.The four qi of the third stage drugs are mainly cold,warm and flat,the five tastes are mainly bitter,sweet and xin,and the main channel is lung channel and stomach channel.In the early stage,the majority were wind-heat attacking the surface and wind-heat epidemic toxicity(75.0%),the majority were facial-clearing drugs(54.6%);in the middle stage,the majority were wind-heat epidemic toxicity and wind-heat invading the lung(75.8%),the treatment mainly consists of phlegm resolving,cough relieving,and asthma relieving drugs(25.2%);in the later stage,the majority were lung-heat Yin deficiency syndrome(81%),the main treatment was supplementing qi and nourishing lung(33.4%).Conclusion Tang Sibiao’s prescription for the treatment of influenza in Beijing area is as follows:①At the beginning and middle stage,wind-heat and pestilence attack the lung and lung,and it is necessary to clear heat and detoxify the lung.②At the beginning,the core combination was honeysuckle,forsythia,rabdosa,golden lotus and poria;In the middle stage,the core combination was Rabdosia rubiformis,Fructus cicada,scutellaria scutellaria,bitter almond and Tuckaia;in the later stage,the core compositions were Nansha ginseng,Beisha ginseng,Lily,Lamicola sinensis and Tuckaia.This provides a way to further explore the famous old Chinese medicine treatment of influenza.
作者
马立娟
裴军斌
马淑红
Ma Lijuan;Pei Junbin;Ma Shuhong(Beijing Huimin Hospital,Beijing 100054,China;Tongzhou Hospital,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 101121,China;Pingyin County Hospital of Traditional Chinese Medicine,Jinan,Shandong 250400,China)
出处
《首都食品与医药》
2025年第14期8-11,共4页
Capital Food Medicine
关键词
流行性感冒
组方用药规律
汤嗣标
influenza
Prescription drug administration rule
Tang Sibiao
