新型冠状病毒感染中医药防治方案核心用药规律探索  

Exploration of the core medication rule of traditional Chinese medicine for prevention and treatment of COVID-19

作　　者：李兰兰[1] 朱玉蓉 张睿 杨涛[1] 代伟[1] 曹婧 虎亚光[1] LI Lan-lan;ZHU Yu-rong;ZHANG Rui(Gansu Provincial Maternity and Child-care Hospital,Lanzhou 730050,China)

机构地区：[1]甘肃省妇幼保健院,兰州730050

出　　处：《中国处方药》2024年第1期165-170,共6页Journal of China Prescription Drug

基　　金：兰州市科学技术局(2020-XG-11);甘肃省重点研发计划项目(20YF8WA095)。

摘　　要：目的探讨新型冠状病毒感染中医药防治方案的核心用药规律,为临床用药提供一定的理论指导。方法收集各新型冠状病毒感染诊疗方案,提取相关数据统计和分析药物的频次、性味归经、关联规则。结果共纳入183首治疗方和52首预防方,涉及证型34种,中药272味。针对不同分期不同证型,高频药物整体药性以温、平为主,归经肺、脾;预防方案均起补肺健脾的作用。结论防治新型冠状病毒感染的中医药方案均针对湿毒壅肺的病机,以补气健脾、生津润肺、驱除侵袭之湿毒为核心治法,要制定更有效可行的防治方案,还需进一步结合中医理论与临床实践。Objective To explore the core medication rule of of traditional Chinese medicine for prevention and treatment of COVID-19,and to provide certain theoretical guidance for clinical drug use.Methods Diagnosis and treatment plans of COVID-19 in different areas were collected,extract relevant data to conduct statistical analysis on the frequency of drugs,flavor and meridian tropism and association rules.Results 183 therapeutic prescriptions and 52 prophylactic prescriptions were included,involving 34 syndromes and 272 traditional Chinese medicines.According to different stages and syndrome types,the overall drug properties of high-frequency drugs were mainly warm and flat,which meridian tropism in lung and spleen,the prevention prescriptions all play the role of invigorating the lung and spleen.Conclusion Traditional Chinese medicine plans aim at the pathogenesis of damptoxin obstruction in the lung,with the core treatment methods of invigorating qi and invigorating spleen,invigorating fluid and moistening lung,and resolving dampness and detoxicating to prevent and treat the COVID-19.To develop a more effective and feasible prevention and treatment plan,further combination of traditional Chinese medicine theory and clinical practice is needed.

关 键 词：新型冠状病毒感染 中医药 用药规律 

分 类 号：R259[医药卫生—中西医结合]