雾化吸入麻黄连翘赤小豆汤治疗湿热黄疸的可行性及研究思路  

The Feasibility and Research Ideas of Inhalation of Mahuang Lianqiao Chixiaodou Decoction in the Treatment of Dampness-heat Jaundice

作　　者：杨琨 刘前 罗亚楠 侯俊林 YANG Kun;LIU Qian;LUO Yanan;HOU Junlin(The Second Clinical Medical School,Henan University of Traditional Chinese Medicine,Henan Province,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学第二临床医学院

出　　处：《中国中医药现代远程教育》2020年第3期148-149,共2页Chinese Medicine Modern Distance Education of China

摘　　要：黄疸是以身目黄染、小便发黄为主症的一种临床常见病症,中医将其病因归结于湿热内生,蕴结肝胆,胆汁不循常道,泛溢肌肤而成。临床常利用茵陈蒿汤、茵栀黄口服液治疗本病,而麻黄连翘赤小豆汤作为仲景治疗黄疸的三大主方之一,常被人们所忽略。本方中麻黄、杏仁宣发肺气,连翘、梓白皮清解热邪,赤小豆利湿,综合全方为一宣调肺气治疗黄疸的代表方剂。同时用直接作用于肺的雾化吸入治疗方式,对湿热黄疸患者产生正面干预作用。而借助对血清胆红素,胆汁酸,谷丙转氨酶(ALT),谷草转氨酶(AST)的含量测量,可以客观评价其疗效。Jaundice is a common clinical disease characterized by yellowing of body and eyes and yellow of urine.Chinese medicine attributes its etiology to endogenous dampness and heat,accumulation of liver and gallbladder,unusual bile passage and overflow of skin.Yinchenhao decoction and Yinzhihuang oral liquid are often used to treat this disease in clinic.As one of the three main prescriptions for Zhongjing’s jaundice treatment,Mahuang Lianqiao Chixiaodou decoction is often neglected.Ephedra,almond,lung qi,Lianpi,Zibaipi,clearing away heat and evil,adzuki bean,dampness,comprehensive prescription is a representative prescription for promoting lung qi to treat jaundice.At the same time,the nebulization inhalation therapy which directly acts on the lung has a positive effect on the patients with dampness-heat jaundice.By measuring the contents of serum bilirubin,bile acid,ALT and AST,the curative effect can be objectively evaluated.

关 键 词：黄疸 雾化 肺 麻黄连翘赤小豆汤 

分 类 号：R289.5[医药卫生—方剂学]