论文部分内容阅读
[目的]探讨支气管哮喘患者使用糖皮质激素(以下简称激素)不同剂量时的中医证型及用药特点。方法:对132例支气管哮喘患者进行激素治疗不同阶段的证型分布和主要证型的用药特点的临床回顾性研究。结果:激素激素大剂量应用阶段常见证型为热哮型(占29.27%)、肺脾气虚型、肺热阴虚型(占21.95%)等;常用药物有:桑白皮、甘草、紫苏子、薏苡仁、桔梗、知母、黄柏等。减量阶段的常见证型为肺脾气虚型(占35.29%)、寒哮型和肺热阴虚型(各占17.65%);常用药物有:丹参、川芎、葶苈子、女贞子、旱莲草、何首乌等。维持量阶段的常见证型为寒哮兼脾肾亏虚型(占46.88%);常用药物有:黄芪、仙灵脾、白术、茯苓、薏苡仁、桑白皮等。结论:激素大剂量应用阶段常见证型有热哮型、肺热阴虚型和肺脾气虚型,撤减阶段常见证型有肺脾气虚型、寒哮型和肺热阴虚型,维持量阶段常见证型有寒哮兼脾肾阳虚型。激素大剂量应用阶段常用中药为桑白皮、甘草、紫苏子、薏苡仁、桔梗、知母、黄柏等;撤减阶段为丹参、川芎、佛手、葶苈子、女贞子、旱莲草、何首乌等;维持量阶段为黄芪、仙灵脾、白术、茯苓、薏苡仁、桑白皮等。
[Objective] To investigate the TCM syndromes and medication characteristics of patients with bronchial asthma under different dosages of glucocorticoids (hereinafter referred to as hormone). Methods: A retrospective study was conducted on 132 cases of bronchial asthma patients with different stages of hormone therapy and the main syndromes. Results: The common syndromes of high-dose hormones in the application stage were hot-swallow type (29.27%), lung-spleen qi deficiency type and lung-heat-yin deficiency type (21.95%). Commonly used drugs were Morus alba, licorice, Seed, Coix Seed, Campanulaceae, Anemarrhena, Cork and so on. The common syndromes of reducing phase were lung spleen and qi deficiency type (35.29%), cold type and lung heat deficiency type (17.65% each). The common drugs were Salvia miltiorrhiza, Chuanxiong rhizome, Eclipta, Polygonum. Maintaining the amount of stage common card type for the cold and spleen and kidney deficiency type (46.88%); commonly used drugs are: Astragalus, Epimedium, Atractylodes, Poria, Coix, Morus alba and so on. Conclusions: The common syndromes of high dose of hormones are hot-heat type, lung-heat-yin deficiency type and lung-spleen-qi deficiency type. Common types of deficiency syndrome include lung-spleen deficiency syndrome type, Common cold syndrome stage and spleen deficiency type. Common high-dose hormones in the application phase of Chinese medicine is Morus alba, licorice, Perilla seed, Coix, Campanulaceae, Anemarrhena, cork, etc .; withdrawal phase for the Salvia, Chuanxiong, bergamot, raccoon dog, Ligustrum lucidum, , Fleece-flower root, etc .; maintain the amount of stage Astragalus, Epimedium, Atractylodes, Poria, Coix seed, Morus alba and so on.