膏方在小儿肺系疾病治疗中的研究进展  

Research Progress in the Treatment of Pediatric Lung Diseases with Medicinal Plasters

作　　者：庞珏舟 李立红 PANG Juezhou;LI Lihong(Zheji-ang Chinese Medical University,Hangzhou(310053),China;The Second Affiliated Hospital of Zhejiang Chinese Medical University)

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江中医药大学附属第二医院

出　　处：《浙江中医药大学学报》2025年第3期337-344,共8页Journal of Zhejiang Chinese Medical University

基　　金：方回春堂大学生科研创新项目(CX 2024009)。

摘　　要：[目的]系统分析膏方在小儿肺系疾病治疗中的应用,为小儿肺系疾病的膏方治疗提供依据。[方法]结合相关文献,基于古今医案云平台,从临床病症、医家经验、组方规律、作用机制四方面,对膏方治疗小儿肺系疾病的研究进行整理总结。[结果]膏方治疗小儿肺系疾病,以哮喘、反复呼吸道感染、过敏性咳嗽和过敏性鼻炎为主。以常见小儿肺系疾病反复呼吸道感染为例,治疗中药药性以平、温为主,主要药味为甘、辛、苦,多归于脾、肺、胃、心经,核心组方为黄芪-白术-防风-太子参-山药-陈皮-茯苓-黄精-炙甘草-鸡内金-山楂-麦冬-五味子-苍耳子-白扁豆-桂枝,治疗机制为增强淋巴细胞功能、增强吞噬作用、提高免疫器官功能和降低免疫活性物质水平等。[结论]膏方治疗小儿肺系疾病局限在哮喘、反复呼吸道感染、过敏性咳嗽和过敏性鼻炎,治疗机制仍局限于单味中药,有待进一步研究。[ObjectiveObjective]To systematically analyze the application of medicinal plasters in pediatric lung diseases and provide a basis for their clinical use in such conditions.[MethodsMethods]By integrating relevant literature and utilizing the Ancient and Modern Medical Case Cloud Platform,this paper focuses on the treatment of pediatric lung diseases with medicinal plasters and summarizes research findings in four aspects:clinical manifestations,expert experience,formulation patterns and mechanisms.[ResultsResults]The main pediatric lung diseases treated by medicinal plasters are asthma,recurrent respiratory tract infections,allergic cough and allergic rhinitis.Taking recurrent respiratory tract infections,a common pediatric lung disease as an example,the medicinal properties are mainly neutral and warm,with the main flavors being sweet,pungent and bitter,mostly belong to meridians of the spleen,lungs,stomach and heart.The core formula is composed of Astragalus membranaceus(Huangqi),Atractylodes macrocephala(Baizhu),Saposhnikovia divaricata(Fangfeng),Pseudostellaria heterophylla(Taizishen),Dioscorea opposite(Shanyao),Citrus reticulata(Chenpi),Poria cocos(Fuling),Polygonatum sibiricum(Huangjing),Glycyrrhizae Radix Preparata(Zhigancao),Gallus gallus domesticus gigeria(Jineijin),Crataegus pinnatifida(Shanzha),Ophiopogon japonicus(Maidong),Schisandra chinensis(Wuweizi),Xanthium sibiricum(Cangerzi),Dolichos lablab(Baibiandou)and Cinnamomum cassia(Guizhi).The treatment mechanisms include enhancing lymphocyte function,phagocytosis,immune organ function,and reducing the levels of immunologically active substances.[ConclusionConclusion]The application of medicinal plasters in treating pediatric lung diseases is limited to asthma,recurrent respiratory tract infections,allergic cough and allergic rhinitis.The treatment mechanisms are still limited to single medicinal and require further research.

关 键 词：膏方 肺系疾病 儿科 临床应用 专家经验 组方规律 机制 研究进展 

分 类 号：R720[医药卫生—儿科]