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作 者:袁杰[1] 周云海 梁国强[1,2] YUAN Jie;ZHOU Yun-hai;LIANG Guo-qiang(Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Suzhou Jiangsu 215009,China;Suzhou Academy of Wumen Chinese Medicine,Suzhou Jiangsu 215009,China)
机构地区:[1]南京中医药大学附属苏州市中医医院,江苏苏州215009 [2]苏州市吴门医派研究院,江苏苏州215009
出 处:《抗感染药学》2021年第11期1605-1608,共4页Anti-infection Pharmacy
基 金:2021年度苏州市科技发展计划(编号:SKJYD2021195)。
摘 要:目的:采用回顾性方法分析苏州市吴门医派防治新型冠状病毒感染肺炎(COVID-19)处方用药性味和归经分布,为更有效地处方用药提供参考。方法:筛选出南京中医药大学附属苏州市中医医院药学部2020年2月1日—2月23日负责代煎的确诊COVID-19成年患者的108张中药处方,建立数据库,分析处方应用中药的药性分布规律。结果:用于治疗COVID-19的108张中药处方功效分布以清热解毒者居多,四气以微寒、温、平为主,五味以甘、苦、辛为主;归经以肺经、胃经、脾经为主。结论:通过分析苏州市吴门医派防治COVID-19的108张处方,推测四气分布与江南地理气候特点易致湿热相关;而五味分布符合本病"湿、热、毒"的病机特点;归经分布则体现了本病"肺"—"脾胃"的发病转归过程。Objective: To analyze the drug taste and channel distribution of prescription for the prevention and treatment of COVID-19 in Suzhou Wumen Medical School by retrospective method, and to provide reference for more effective drug prescription. Methods: 108 TCM prescriptions of adult patients diagnosed with COVID-19 from February 1 to February 23, 2020 were screened out from the department of pharmacy of Suzhou TCM hospital affiliated to Nanjing University of Chinese Medicine, and a database was established to analyze the drug property distribution of TCM prescriptions. Results: The efficacy distribution of 108 TCM prescriptions for the treatment of COVID-19 was mainly for clearing heat and detoxifying, the four qi were mainly cold, warm and flat, and the five tastes were mainly sweet,bitter and hot. The main channels are lung meridian, stomach meridian and spleen meridian. Conclusions: Based on the analysis of 108 prescriptions for the prevention and treatment of COVID-19 in Suzhou Wumen Medical School, it is speculated that the distribution of four qi is related to the geographical and climatic characteristics of Jiangnan, which are prone to damp and heat. The distribution of five flavors was consistent with the pathogenesis of "dampness, heat and poison". The distribution of recurrent channels reflects the pathogenesis of lung-spleen and stomach.
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