大叶性肺炎的分型辨治

Observation on the Treatment of Lobar Pneumonia Differentially

针对大叶性肺炎不同证候 ,采用相应的治法方药 ,如卫分证采用辛凉解表、疏风透热、清宣肺气法 ;气分证采用清热泻火、泄肺化痰法 ;心营证采用清营泻热、化痰开窍法等。本组 62例 ,总有效率治疗组为 95 .2 % ,略高于对照组的 93 .3 % ,但两组相比 ,P>0 .0 5。血白细胞、肺部 X线阴影消失时间等 ,治疗组短于对照组 ,但两组相比 ,P>0 .0 5。体温、咳嗽复常时间 ,治疗组明显优于对照组 ,两组相比 ,P<0 .0 5。提示中医药辨治大叶性肺炎 ,疗效与西药组相当 ,但在症状的控制方面 ,优于西药 ;且具有毒副作用小、使用方便。

cases of lobar pneumonia were treated by Chinese medicine differentially,for example,Wei-phase syndrome was treated through pungent-cool drugs to expel the wind and let off the heat;Qi-phase syndrome was treated through heat-clearing and lungqi-adjusting;Heart-Ying-phase syndrome was treated though ying-heat-clearing and phlegm-reducing to cause resuscitation.The total effective rate of treat group is 95.2%,slightly superior to that of control group,which is 93.3%( P >0.05).The treat group's dispelling time of X-ray shadow is slightly shorter than that of control group( P >0.05).So far as the disappearing time of cough and the recovering time of fever were concerned,the treat group is significantly shorter than control group.Although the curative effect don't have a statistic difference,Chinese medicine still have meaningful superiority to antibiotics,such as controlling clinical symptom more effectively,convenient using method,low side effect and cheap price etc.