摘要
目的:梳理支气管哮喘的中医古籍证据,系统评价证据质量,为中医临床治疗哮喘提供更可靠的古籍依据,推动中医药在循证医学领域的创新与发展。方法:设定检索词,在“中华医典”中检索并筛选治疗支气管哮喘的古方证据,以中医古籍防治证据评价分级量表为评价标准,对每条证据进行评价与分级。结果:共获得支气管哮喘防治证据153条,其中高等级证据24个,包括小半夏汤、小青龙汤、定喘汤等,古籍中治疗支气管哮喘所选药物主要归于肺、脾经,高频药物以甘草、半夏、麻黄、茯苓、苦杏仁、陈皮等补益肺脾、解表、化痰止咳药物为主。结论:本研究得出的高等级哮喘方剂防治证据,为临床治疗哮喘提供了理论依据,为中医药在呼吸系统疾病中的应用奠定了科学基础。
OBJECTIVE:To systematically review the classical Chinese medical texts evidence related to bronchial asthma,evaluate the quality of evidence,provide more reliable ancient medical references for the clinical treatment of asthma in traditional Chinese medicine,and promote the innovation and development of traditional Chinese medicine in the field of evidence-based medicine.METHODS:The search terms were set,and the evidence of ancient prescriptions for the treatment of bronchial asthma was retrieved and screened in the Chinese Medical Code.Scale of Prevention and Treatment Evidence in Classical Chinese Medical Texts was used as the evaluation standard to evaluate and grade each evidence.RESULTS:A total of 153 pieces of evidence for the prevention and treatment of bronchial asthma were obtained,of which 24 were high-grade evidence,including Xiaobanxia decoction,Xiaoqinglong decoction,and Dingchuan decoction.In classical Chinese medical texts,the selected drugs for the treatment of bronchial asthma were mainly attributed to the lung and spleen meridians,and the high-frequency drugs were mainly licorice,Arum Ternatum Thunb,Ephedra herba,Poria Cocos,Amygdalus Communis Vas and Citrus Reticulata.CONCLUSIONS:The high-level evidence of asthma prescription provides a theoretical basis for clinical treatment of asthma and lays a scientific foundation for the application of traditional Chinese medicine in respiratory diseases.
作者
王从瑶
袁嘉博
赵芮琪
李竹英
WANG Congyao;YUAN Jiabo;ZHAO Ruiqi;LI Zhuying(First School of Clinical Medicine,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Dept.of Respiratory Medicine,First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《中国医院用药评价与分析》
2025年第8期938-943,共6页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
黑龙江省中医药经典普及化项目(No.黑中医药综函〔2024〕42号-ZYW2024-016)
黑龙江省第二批省级名中医专家传承工作室建设项目(No.黑中医药科教函〔2021〕24号)
黑龙江省级领军人才梯队后备带头人项目(No.黑人社函〔2021〕296号)。
关键词
支气管哮喘
中华医典
证据评价
数据挖掘
Bronchial asthma
Chinese Medical Code
Evidence evaluation
Data mining
