| 孔燕妮,俞景茂,陈群伟.俞景茂治疗小儿哮喘的用药规律分析及学术经验总结[J].浙江中医药大学学报,2019,43(2):158-162. |
| 俞景茂治疗小儿哮喘的用药规律分析及学术经验总结 |
| Analysis on Professor YU Jingmao’s Medication Rules and Summary of Academic Experience for Treating Childhood Asthma |
| DOI：10.16466/j.issn1005-5509.2019.02.008 |
| 中文关键词: 俞景茂 小儿哮喘 数据分析 用药规律 学术经验 |
| 英文关键词: YU Jingmao childhood asthma data analysis medication rules academic experience |
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| 中文摘要: |
| [目的]总结俞景茂教授治疗小儿哮喘的用药规律及学术经验。[方法]纳入2017年5月至2018年5月俞老于浙江中医药大学门诊部诊治小儿哮喘患者共107人、281诊次，采集患者临床信息，利用中医传承辅助平台软件V2.5建立病案数据库，对症候及药物进行频次频率统计，同时进行组方规律和新方分析，并结合临床总结俞老治疗小儿哮喘的学术经验。[结果]统计分析显示症候频次前5位的分别是舌淡红苔薄白、咳嗽、咽红、鼻流涕、鼻塞，用药频率在25%以上的分别为炙甘草、杏仁、浙贝、炙麻黄等17味药，药物组合频次前5位的分别是浙贝-杏仁、炙甘草-杏仁、炙甘草-浙贝、炙甘草-浙贝-杏仁、炙麻黄-杏仁，同时产生基于熵聚类的新方6首。[结论]俞老在小儿哮喘发作期的治疗重在豁痰止咳平喘和祛风解表清热，辅以健脾益气、养阴生津、理气消食和活血化瘀，缓解期则以健脾益气、滋肾养阴为主。 |
| 英文摘要: |
| [Objective]To summarize Professor YU Jingmao’s medication rules and academic experience for treating childhood asthma. [Methods]From May 2017 to May 2018, 281 outpatient prescriptions from 107 patients in the outpatient department of Zhejiang Chinese Medical University were collected and database was established relying on the traditional Chinese medicine inheritance support platform software V2.5. Then usage frequency statistics of drugs and syndrome manifestations, prescription regularity and new prescription analysis were achieved. Also, clinical characteristic of Professor YU was taken into consideration to summarize academic experience in treating childhood asthma. [Results]Top five syndrome manifestations are in the following order: pink tongue with white thin fur, cough, red pharynx, nasal discharge and stuffy nose. Seventeen drugs are frequently existed whose usage frequency is above 25%, such as Zhigancao, Xingren, Zhebei, Zhimahuang and so on. Five most commonly used medicine pairs and combinations are determined, and meanwhile six new prescriptions are summarized based on entropy clustering. [Conclusion]Professor YU prefers to eliminating phlegm, reducing cough, relieving asthma, dispelling wind, relieving the exterior and clearing away heat at the attack stage of childhood asthma, assisted by strengthening spleen, replenishing Qi, nourishing Yin, generating body fluid, regulating Qi, promoting digestion, activating blood and resolving stasis. And he pays more attention to strengthening spleen and replenishing Qi, invigorating kidney and nourishing Yin at the remission stage. |
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