基于中医传承计算平台探析中医药治疗病毒性肺炎的用药规律

Exploration on the Medication Rules in the Treatment of Viral Pneumonia Based on the Traditional Chinese Medicine Inheritance Computing Platform

目的探讨中医药治疗病毒性肺炎的用药特点及规律。方法收集天津中医药大学第一附属医院呼吸科病房诊断为病毒性肺炎患者的治疗处方,并根据《中国药典》进行规范化处理,然后利用中医传承计算平台V3.0分析用药规律及常用药物的特点。结果用药频次排名前10位的药物为黄芩、浙贝母、甘草、半夏、茯苓、苦杏仁、芦根、白术、桔梗、荆芥。药物分类主要是化痰止咳平喘类、清热类、补虚类、解表类;药物归经主要归属肺经、脾经、胃经、肝经及心经;四气以寒、温、平为主;五味以苦、甘、辛为主;常用药物为苦杏仁、白术、半夏、麦冬、黄芩、浙贝母、茯苓、芦根、甘草,得到核心药物组合3组。结论经数据挖掘发现病毒性肺炎中医治疗以疏风解表、清热解毒、化痰止咳为主,为中医药治疗病毒性肺炎提供思路。

Objective:To explore the characteristics and rules of traditional Chinese medicine in the treatment of viral pneumonia.Methods:The treatment prescriptions of patients diagnosed as"viral pneumonia"were collect⁃ed from the respiratory ward of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,and standardized treatment was carried out according to the Chinese Pharmacopoeia.Then,the TCM inheritance computing platform V3.0 was used to analyze the medication rules of traditional Chinese medicine for viral pneu⁃monia in Tianjin and the characteristics of commonly used drugs.Results:The top 10 drugs in the frequency of medication were baical skullcap root,thunberbg fritillary bulb,liquorice root,pinellia tuber,Indian bread,bitter apricot seed,reed rhizome,largehead atractylodes rhizome,platycodon root,fineleaf schizonepeta herb.The classifi⁃cation of drugs was mainly phlegm-resolving,cough-relieving and asthma-relieving,heat-clearing,deficiency-toni⁃fying,and exterior-relieving.The meridian tropism of drugs was mainly attributed to the lung meridian,spleen me⁃ridian,stomach meridian,liver meridian and heart meridian.The four-qi was mainly cold,warm and flat.The fiveflavor was mainly bitter,sweet and pungent.The commonly used drugs were bitter apricot seed,largehead atracty⁃lodes rhizome,pinellia tuber,dwarf lilyturf tuber,baical skullcap root,thunberbg fritillary bulb,Indian bread,reed rhizome,liquorice root.Three groups of core drug combinations were obtained.Conclusion:Through data mining,it is found that traditional Chinese medicine treatment of viral pneumonia is mainly to dissipate wind and relieve surface,clear heat and detoxify,eliminate phlegm and relieve cough,provide ideas for the treatment of viral pneu⁃monia with traditional Chinese medicine.