小儿肺炎风热闭肺证阶段辨证用药文献分析

Research on Treatment of Pneumonia in Children with Wind-heat Syndrome by Analyzing Domestic Literatures

目的:分析1994～2009年小儿肺炎风热闭肺证文献中方药应用情况,总结用药规律并指导临床。方法:收集1994年1月至2009年12月国内医学期刊公开发表的关于小儿肺炎风热闭肺证辨证用药的文献,对治疗原则、方剂、用药进行统计分析。结果:1994～2009年关于小儿肺炎风热闭肺证辨证论治国内文献共96篇,治疗原则以宣肺、清热、化痰、解表为主;应用频率最高的代表方剂是麻杏石甘汤,其次是银翘散;应用频数最高的单味中药是杏仁,其次是麻黄、甘草、石膏。结论:小儿肺炎风热闭肺证治则以宣肺清热为主,麻杏石甘汤方剂加减应用最为广泛。

Objective：In order to make guidance to clinical treatment,we analyze the application of pre-scription of wind-heat pneumonia in children in literatures between 1994 and 2009,and sum-up the situations of medicine usage.Method：The articles related to the treatment of wind-heat pneumonia in children,published in do-mestic medical journals from January 1994 to December 2004 were collected,and the principles of treatment,pre-scription and medicines were analyzed.Result： There are 96 articles chosen by adoption standards.the primary treatment principles are ventilating lung,clearing heat,removing phlegm,and relieving exterior disorder.The most important prescription is Maxingshigan soup,followed by Yinqiaosan;the most frequently used herb is kernel of a-pricot,followed by ephedra,licorice,gypsum.Conclusion：The primary treatment principles of wind-heat pneumo-nia are ventilating lung and clearing heat,the prescription,Maxingshigan soup,is most widely used.