基于数据挖掘探究藏医对小儿肺病的认知及用药规律

目的:藏医小儿肺病包含多种疾病,是藏医儿科疾病中最为常见的类型,危害着小儿的生命健康。基于藏医古籍文献,整理藏医对小儿肺病的认知及方药配伍规律,以期为藏医临床辨治小儿肺病提供更多思路。方法:收集藏医古籍文献中关于小儿肺病的资料,运用文献研究法及中医传承辅助平台(v 3.0)软件,整理出藏医对小儿肺病的病因、症状、分类、诊断、治疗等基本理论特色;分析其核心用药和组方规律。结果与结论:藏医对小儿肺病的认知可归纳为由小儿及养护人员的饮食、行为等不当,致使小儿三因紊乱引起的寒性、热性两种肺病;其症状虽因属性不同而存在差异,但主要表现为体温异常、咳嗽、咯痰、气喘等,治疗手段以口服药物为主,食疗及行为疗法、外治疗法为辅;102首处方涉及藏药62味,总使用频次609次,其中以天竺黄最多,番红花次之,高频药物组合21对,潜在新药核心组合3组。

肺脾同调治疗小儿肺病验案二则

小儿本为稚阳之体,肺脾相依。临床上发现小儿呼吸系统疾病如上呼吸道感染、肺炎、哮喘等在发病过程中大多伴有脾运不健的症状。本文结合中医理论及临床经验,列举两则肺脾同调治疗小儿肺病的病案,阐述肺脾同调的具体治法,提出在小儿肺病治疗过程中应重视调理脾胃功能。

天保采薇汤肺脾同调治疗小儿肺病浅析

明代医家万全受到朱丹溪“阳常有余、阴常不足”的启示,在钱乙“脏腑虚实辨证”的基础上,提出了小儿“脾常不足”“肺常不足”的观点。小儿“肺常不足”,肺脏娇弱,腠理不密,加之寒温不能自调,六淫之邪首先犯肺。肺失宣降,气机生化不足,必影响脾气的运化功能。小儿“脾常不足”,且易为乳食、生冷所伤,影响水湿运化,聚而生痰成饮,上壅于肺,肺气宣降失司。脾土与肺金关系密切,往往相互涉及,造成两脏同病。肺脾同病,是小儿发病机制中最主要的方面之一。

门诊小儿家长对养生旅游需求调查分析

本文采取问卷调查的方法对门诊小儿家长对旅游养生的需求进行调查,并结合spss软件进行数据分析。结果表明,大部分中高学历、中高收入的小儿家长均有在山东省内进行养生自驾游的倾向,但普遍对养生旅游了解不足,笔者针对此现象提出要加强养生旅游宣传推广,推动发展山东省养生旅游的建议。

Therapeutic observation on lung-clearing and spleen-strengthening tuina in children with exogenous cough

Objective:To observe the clinical efficacy of lung-clearing and spleen-strengthening tuina on exogenous cough in children.Methods:A total of 77 children with exogenous cough that met the inclusion criteria were randomly divided into a treatment group and a control group according to the random number table,with 39 cases in the treatment group and 38 cases in the control group.The routine lung-clearing manipulation was used in the two groups,while the spleen-strengthening manipulation was added in the treatment group.Both groups were treated once a day,5 times as a course of treatment.After one course of treatment,the symptom score and clinical efficacy were observed.Results:There were one dropout in the treatment group and 2 dropouts in the control group.Therefore,a total of 74 cases were finally included in the analysis,with 38 cases in the treatment group and 36 cases in the control group.After treatment,there was a statistically significant difference in cough score between the two groups(P<0.05).There was a statistically significant difference in the score of poor appetite between the two groups(P<0.05).After treatment,the total effective rate was 89.5%in the treatment group versus 75.0%in the control group,showing a statistically significant difference(P<0.05).Conclusion:The therapeutic efficacy of lung-clearing spleen-strengthening manipulation is better than that of lung-clearing tuina manipulation alone for children with exogenous cough;regulating spleen and stomach can improve the curative efficacy of exogenous cough in children.