摘要
目的:观察麻杏石甘汤合千金苇茎汤加减治疗风温肺热病痰热壅肺证的临床疗效。方法:将符合入选标准的70例风温肺热病患者随机分为治疗组和对照组,每组各35例。对照组予以西医抗感染治疗,治疗组在对照组基础上加用麻杏石甘汤和千金苇茎汤加减口服。比较两组患者治疗前、治疗第3天及治疗第10天中医证候积分、白细胞计数(white blood cell,WBC)和C反应蛋白(C reactive protein,CRP)变化情况,观察两组患者胸部X线炎性渗出吸收情况。结果:两组患者治疗第3天及治疗第10天中医证候积分低于治疗前,且治疗组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗第3天及治疗第10天WBC及CRP低于治疗前,治疗第3天治疗组优于对照组,差异均有统计学意义(P<0.05)。治疗组胸部X线炎性渗出吸收面积优于对照组,差异具有统计学意义(P<0.05)。结论:麻杏石甘汤合千金苇茎汤加减治疗风温肺热病疗效显著。
Objective：To observe the clinical effects of Ephedra, Apricot Kernel, Gypsum and Licorice Decoction combined with Modified Phragmites Stem Decoction on wind-warm and hmg-heat disease of phlegm-heat accumulating the lung syndrome. Meth- ods：Totally 70 patients with community acquired pneumonia accorded with the inclusive criteria were randomized into treatment group and control group,with 35 cases in each group. Control group were given western medicine anti-intection treatment while treatment group were added with Ephedra,Aprieot Kernel, Gypsum and l.icoriee Decoction combined with Modified Phragmites Stem Decoction. The TCM symptom scores on the 3rd day and 10th day of the treatment,the changes of WBC and CRP, the absotion of chest X-ray inflammatory exudation condition in both groups were observed. Results ： The TCM symptom scores on the 3th day and l0th day of the treatment in both groups were lower than these before treatment,and treatment group were lower than con- trol group;the difference had statistical significance （P 〈0.05 ）. The levels of WBC and CRP on the 3rd day and 10th day of the treatment were lower than these befbre treatment, and treatment group on the 3thday were better than control group,with statistical significance （P 〈0.05）. The absorption area of chest X-ray inflamnmtory exudation in treatment group was better than that in control group;the difference was significant （ P 〈 0.05 ）. Conclusion ： Ephedra, Aprieot Kernel, Gypsum and Licorice Decoction combined with Modified Phragmites Stem Decoction has remarkable therapeutic effects on wind-warm and lung-heat disease of phlegm-heat accumulating the lung syndrome.
出处
《河南中医》
2017年第1期102-104,共3页
Henan Traditional Chinese Medicine
基金
全国名老中医药专家传承工作室建设项目(编号:国中医药人教函〔2013〕47号)
关键词
风温肺热病
社区获得性肺炎
痰热壅肺证
麻杏石甘汤
千金苇茎汤
wind-warm and lung-heat disease
community acquired pneumonia
phlegm-heat accumulating the lung syndrome
Ephedra,Apricot Kernel, Gypsum and Licorice Decoction
Modified Phragmites Stem Decoction
