杨志旭治疗新型冠状病毒肺炎用药规律  

Prescription Regularity for the Treatment of COVID-19 by Professor YANG Zhixu

作　　者：范铁兵[1] 杨志旭(指导)[1] FAN Tiebing;YANG Zhixu(China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院,北京100700

出　　处：《山东中医杂志》2022年第3期321-325,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：中央级公益性科研院所基本科研业务费专项资金资助(编号:ZZ14-FY-003)。

摘　　要：目的:探析杨志旭教授治疗新型冠状病毒肺炎(新冠肺炎)的用药规律。方法:收集2020年2月1日至3月21日杨教授在武汉市金银潭医院救治新冠肺炎患者的50张处方,采用频数法分析用药规律。结果:50张处方涉及57味中药,合计用药频次646次,使用频次>30次的分别为黄芪、贯众、金银花、苦杏仁、百合、麻黄、茯苓、瓜蒌;四气中以寒性多见;五味位居前3位的是甘、苦、辛;归经位居前3位的是肺经、胃经、脾经;功效位居前3位的是清热药、化痰止咳药、补虚药。结论:杨志旭教授治疗新冠肺炎寒温并用、甘苦兼施,以治肺为主,注重固护脾胃,将清热药、化痰止咳药、补虚药协同配伍,以扶正解毒贯穿治疗始终,并根据疾病特点随症加减。Objective:To explore the prescription regularity for the treatment of COVID-19 by Professor YANG Zhixu.Methods:Fifty prescriptions were collected from February 1,2020 to March 21,2020 by Professor YANG Zhixu for treating patients with COVID-19 at Wuhan Jinyintan Hospital,and the frequency analysis method was used to analyze the prescription regularity.Results:Fifty prescriptions involving 57 Chinese medicinals,with a total frequency of 646.Chinese medicinals with frequency>30 were Huangqi(Astragali Radixs),Mianmaguanzhong(Dryopteridis Crassirhizomatis Rhizoma),Jinyinhua(Lonicerae Japonicae Flos),Kuxingren(Armeniacae Semen Amarum),Baihe(Lilii Bulbus),Mahuang(Ephedrae Herba),Fuling(Poria),and Gualou(Trichosanthis Fructus).Most medicinals were cold in properties,and the top 3 flavors were sweet,bitter and pungent,the top 3 channels for channel tropism were lung,stomach and spleen,the top 3 functions were clearing heat,resolving phlegm and relieving cough,and tonifying deficiency.Conclusions:Professor YANG Zhixu in treating COVID-19 combines cold and warm,uses sweet and bitter medicinals together.He mainly treats lung,and also pays attention to protecting spleen and stomach.He applied medicinals for clearing heat,medicinals for resolving phlegm and relieving cough,and medicinals for tonifying deficiency in combination.In the treatment,there is always tonifying healthy qi and removing toxin.Also,the treatment should be modified according to disease properties.

关 键 词：新型冠状病毒肺炎 扶正解毒 寒温并用 甘苦兼施 清热药 化痰止咳药 补虚药 杨志旭 

分 类 号：R259.631[医药卫生—中西医结合]