ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (4): 282-286.doi: 10.3969/j.issn.1674-3865.2019.04.003

• 名医专栏 • 上一篇    下一篇

王雪峰教授治疗儿童肺炎支原体肺炎后慢性咳嗽的用药规律分析

张秀英，王雪峰，宋立超，张立佳,李庆焕   

  1. 110032 沈阳，辽宁中医药大学附属医院儿科(张秀英，王雪峰)；辽宁中医药大学2018级中医儿科学专业研究生(宋立超)，2017级中医儿科学专业研究生(张立佳，李庆焕)
  • 出版日期:2019-08-25 发布日期:2019-09-18
  • 通讯作者: 王雪峰，E-mail：lnzywsf@16.com
  • 作者简介:张秀英(1978-)，女，医学博士，副主任医师。研究方向：儿科呼吸系统疾病的中医药治疗
  • 基金资助:
    国家十二五中医药行业科研专项(201307007)；国家自然科学基金项目(81774363)

Analysis of medication rules in the treatment of chronic cough after mycoplasma pneumonia in children by Professor Wang Xuefeng

ZHANG Xiuying，WANG Xuefeng，SONG Lichao，ZHANG Lijia，LI Qinghuan   

  1. Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032,China
  • Online:2019-08-25 Published:2019-09-18

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摘要：
目的
探讨王雪峰教授治疗儿童肺炎支原体肺炎后慢性咳嗽的用药特点及规律。
方法
收集整理王雪峰教授治疗儿童肺炎支原体肺炎后慢性咳嗽处方277首，通过建立系统数据库，应用SPSS 17.0软件进行数据分析。
结果
处方中使用中药84味，选取使用频率大于1%的中药进行分析，共计69味。其中使用频率最高的为93.50%，使用频率最低的为0.36%，频率>50%的药物共13味；寒性药居首，其次为温性、平性药，凉性最少；甘味药为主，其次为苦、辛味频次较多，淡、酸、咸、涩味较少；归肺经的味数最多，其次为归胃经、心经，其他亦有归脾经、大肠经、肝经、肾经、胆经、小肠经、心包经、膀胱经、三焦经。就药物的功效归类而言，累计频数在1 000以上的为化痰、止咳、平喘药，其次为清热、补虚；再次为消食药、收涩药、解表药、利水渗湿药、平肝熄风药、安神药、活血化瘀药、理气药、化湿药、泻下药、开窍药。
结论
王雪峰教授诊疗儿童肺炎支原体肺炎后慢性咳嗽，以清肺濡润止咳为主，药物多选用微寒、甘苦及炮制之品。

关键词: 慢性咳嗽, 肺炎支原体肺炎, 王雪峰, 儿童

Abstract:
Objective
To investigate the characteristics and rules in the treatment of chronic cough after mycoplasma pneumonia in children by Professor Wang Xuefeng.
Methods
A total of 277 prescriptions by Professor Wang Xuefeng for the treatment of chronic cough after mycoplasma pneumonia in children were collected and sorted out. The data were analyzed by using SPSS 17.0 software through establishing a systematic database.
Results 
A total of 84 kinds of traditional Chinese herbs were used in the prescription, and 69 kinds of traditional Chinese herbs with frequency more than 1% were selected for analysis. Among them, the highest frequency of use was 93.50%, the lowest frequency 0.36%.There were 13 kinds of herbs whose frequency was more than 50%. The cold medicines were the most, followed by the warm and placid medicines, and the cool drugs were the least. The drugs were mainly sweet taste medicine, followed by bitter and spicy taste, while the drugs of light, sour, salty, astringent taste were less. The herbs aiming at lung meridian were the most, followed by those aiming at the stomach meridian and heart meridian, and there were herbs aiming at other meridians, such as spleen meridian, large intestine meridian and liver meridian, the liver meridian, the kidney meridian, the gallbladder meridian, the small intestine meridian, the pericardium meridian, the bladder meridian and the triple Jiao meridian. As far as the classification of drug effect was concerned, the drugs with accumulative frequency above 1 000 were phlegm-resolving, cough-relieving and asthma-relieving drugs, followed by heat-clearing and deficiency-tonifying drugs, and then the digestive drugs, astringent drugs, exterior-syndrome relieving drugs, diuresis and dampness-relieving drugs, Liver-calming and wind-quenching drugs, antipsychotic drugs, blood-activating and stasis-removing drugs, Qi-regulating drugs, dampness-removing drugs, purgative drugs and resuscitation drugs for inducing resuscitation.
Conclusion
Professor Wang Xuefeng's diagnosis and treatment of chronic cough after mycoplasma pneumonia in children is mainly to clear and moist the lung and relieve cough, and the drugs used are mostly slightly cold, sweet and bitter and processed products.

Key words: Chronic cough, Mycoplasma pneumonia, Wang Xuefeng, Children