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Regularity of traditional Chinese medicine in the treatment of cough variant asthma |
WU Qing1 MA Xiaomeng1 LUO Yinhe1▲ WANG Mengqing2▲ |
1.College of Integrated Traditional Chinese and Western Medicine, Hu’nan University of Chinese Medicine, Hu’nan Province, Changsha 410208, China; 2.Department of Pediatric, the First Hospital of Hu’nan University of Chinese Medicine, Hu’nan Province, Changsha 410007, China |
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Abstract Objective To explore the regularity of traditional Chinese medicine in the treatment of cough variant asthma. Methods With traditional Chinese medicine and cough variant asthma as the main topics, the literatures collected from CNKI since inception to June 2020 were searched. The prescriptions recorded in literature were collected and a database was established. Excel 2003 and SPSS Modeler 18.0 software were used to statistically analyze the frequency, nature and flavour, channel tropism, efficacy and correlation degree of the included traditional Chinese medicine. Results A total of 55 journal articles that met the standards were included, containing 103 traditional Chinese medicines, with a total frequency of 637 times. Among the 103 traditional Chinese medicines included, there were 20 kinds of traditional Chinese medicines with frequency ≥ten, and the drugs with the highest word frequency were liquorice root, ephedra, cicada slough, bitter apricot seed, stiff silkworm, etc. The proportion of drugs in the “four nature of drugs” from large to small was cold, warm, calm, cool, hot. The proportion of drugs in the “five flavours” from large to small is bitter, sweet, pungent, sour, salty, astringent and tasteless. The frequency of drug channelization was lung, spleen, stomach, liver, heart, etc. Reducing phlegm, relieving cough and relieving asthma drugs, tonifying deficiency drugs, heat-clearing drugs, relieving exterior disorder drugs, suppressing hyperactive liver for calming endogenous wind drugs were the most common in the efficacy classification. Apriori association rule results showed that there were 14 combinations of drug pairs with the highest association strength, and reducing phlegm, relieving cough and relieving asthma drugs were the main ones, and most of them were used in combination with tonifying deficiency drugs. Conclusion Freeing lung and relieving asthma, relieving cough and relieving asthma, dispelling pathogenic wind for resolving convulsion are the core therapeutic principles for clinical treatment of cough variant asthma.
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[1] 赖克方.咳嗽的诊断与治疗指南(2015)[J].中华结核和呼吸杂志,2016,39(5):323-354.
[2] Gibson PG,Fujimura M,Niimi A. Eosinophilic bronchitis:clinical manifestations and implications for treatment [J]. Thorax,2002,57(2):178-182.
[3] Matsumoto H,Niimi A,Takemura M,et al. Features of cough variant asthma and classic asthma during methacholine-induced brochoconstriction:a cross-sectional study [J]. Cough,2009,5:3.
[4] 王东,杨欣燐,田琳娟,等.苏黄止咳汤对咳嗽变异性哮喘患者IL-6,TNF-α的影响[J].中国实验方剂学杂志,2017,23(2):164-168.
[5] 罗巧华.槐杞黄联合孟鲁司特钠治疗小儿咳嗽变异性哮喘的临床疗效及改善免疫功能[J].中国医药科学,2021, 11(7):129-132.
[6] 杨原,王华启,孙志宏,等.沙美特罗替卡松粉吸入剂联合百令胶囊治疗老年咳嗽变异性哮喘疗效及对血清炎症因子水平的影响[J].现代中西医结合杂志,2020,29(8):853-856.
[7] 陈垣,陈华妹,肖一佳,等.特布他林联合孟鲁司特钠治疗支气管哮喘患者效果及对炎性因子和呼吸力学的影响[J].疑难病杂志,2020,19(1):26-29,35.
[8] 王晟,陈乐.咳嗽变异性哮喘患儿布地奈德吸入剂与孟鲁斯特钠联合治疗对血清IL-6,TNF-α,TGF-β和IgE水平影响及作用机制研究[J].现代检验医学杂志,2019, 34(1):137-141.
[9] 朱小敏,陈玉芳,朱恬玲.小儿止咳方联合孟鲁司特治疗慢性咳嗽的效果及对血清炎症细胞因子的影响[J].中国现代医生,2019,57(25):105-108.
[10] 郭洁,刘洁云,吴雅俊,等.小儿治哮灵片对发作期小儿咳嗽变异性哮喘气道反应性的影响[J].中国实验方剂学杂志,2017,23(18):204-209.
[11] 韩建锋.疏风宣肺汤联合沙美特罗替卡松粉吸入剂治疗咳嗽变异性哮喘的效果观察[J].临床研究,2020,28(12):131-132.
[12] 王瑞,刘施吟.儿童咳嗽变异性哮喘中医研究进展[J].中医临床研究,2016,8(26):139-142.
[13] 郝宏文,王豪,王道涵,等.从伏风化燥伤阴论治儿童咳嗽变异性哮喘的体会[J].现代中医临床,2019,26(3):71-73.
[14] 钟赣生.中药学[M].3版.北京:中国中医药出版社,2012:2-10.
[15] 范艺龄,马冲,曹庆,等.从“寒留三焦”论治咳嗽变异性哮喘的思路[J].中医杂志,2020,61(2):114-118.
[16] 金丽娜,延光海,郑明昱,等.浅述朝医太阴人咳嗽变异性哮喘的病因病机[J].中国民族医药杂志,2020,26(11):44-45.
[17] 张惠霖,袁雪晶.中医药在儿童咳嗽变异性哮喘中的应用现状及展望[J].儿科药学杂志,2020,26(11):48-50.
[18] 田雪秋,席中原,蔡鸿彦.采用温脏透邪法治疗咳嗽变异性哮喘60例[J].中医研究,2020,33(12):18-21.
[19] 熊健.小儿慢性咳嗽的病因及治疗分析[J].中国医药指南,2020,18(27):23-24.
[20] 王访,苏耀海.甘草的药理作用及临床应用[J].时珍国医国药,2002,13(5):303-304.
[21] 张明发,沈雅琴.甘草及甘草酸类成分抗病毒性肺炎的药理作用研究进展[J].药物评价研究,2020,43(7):1452-1468.
[22] 李冀,李想,曹明明,等.甘草药理作用及药对配伍比例研究进展[J].上海中医药杂志,2019,53(7):83-87.
[23] 王志慧,吕桂凤.平嗽定金组方配合体穴贴敷治疗小儿咳嗽变异性哮喘临床观察[J].陕西中医,2014,35(7):802-803.
[24] 董樑,夏敬文,龚益,等.连花清瘟胶囊治疗慢性阻塞性肺疾病急性加重期的临床疗效和作用机制[J].中成药,2014,36(5):926-929.
[25] 王永梅,徐树楠,张美玉,等.蝉蜕对哮喘大鼠模型支气管和肺组织形态学及血清中TXB2和6-keto-PGF1α的影响[J].中药药理与临床,2007,23(6):45-47.
[26] 赵子佳,周桂荣,王玉,等.蝉蜕的化学成分及药理作用研究[J].吉林中医药,2017,37(5):491-493.
[27] 武晏屹,苗明三.基于临床应用的杏仁配伍规律分析[J].中医学报,2020,35(7):1505-1508.
[28] 杨国辉,魏丽娟,王德功,等.中药苦杏仁的药理研究进展[J].中兽医学杂志,2017(4):75-76.
[29] 肖朝霞,蒋萌蒙,王向军.杏仁的功能性及其药理研究进展[J].农产品加工,2011(11):71-73. |
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