摘要
目的:整理分析有关中医药治疗瘟疫的文献,从病-症-药-方这四个方面着手,为新冠肺炎的防治提供理论依据和思路。方法:采用专业检索的方式,从中国知网期刊数据库纳入相关文献,经Bibexcel和Ucinet规范化处理获取关键词后,使用NetDraw软件制作共现图谱。结果:中医药治疗瘟疫的研究热点主要以辨证论治为主,对病因病机、治则、传变规律、用药规律等均有涉及;认为瘟疫的产生病因有气候、环境、社会等因素,病机主要是"虚、湿、热、毒"相互影响;症候主要有湿郁、汗出、疼痛;瘟疫的治疗围绕"治未病"和辨证论治的指导思想,根据实际病情,采用较为灵活的治疗原则;常用的中药有竹茹、淡竹叶、金银花、麦冬、玄参、黄连、连翘等;常用的方剂有银翘散、阳旦汤、犀角地黄汤、达原饮等。结论:为了更好的应对今后的突发疫情,发挥中医药的特色和作用,要做到重视经典著作的学习和应用、善于整合相关学科、将"病-症-药-方"四者有机的结合起来、积极发挥中医药专家的智慧和力量、根据临床病情变化及时调整用药。
Objective:To provide theoretical basis and ideas for the prevention and treatment of COVID-19 by sorting out and analyzing the literature on the treatment of pandemic by TCM in terms of disease-syndrome-medicine-prescription.Methods:A professional search method was adopted to incorporate relevant documents from CNKI,and after the keywords were standardized by Bibexcel and Ucinet,co-occurrence maps were made using NetDraw software.Results:The research hotspot of TCM in treating the pandemic is mainly based on syndrome differentiation.The etiology and pathogenesis,treating principles,transmission laws,and medication laws were all discussed in the study.The causes of the pandemic involved factors of climate,environment and society.The pathogenesis were mainly"deficiency,dampness,heat and toxin"affecting each other;symptoms mainly include dampness stagnation,sweating and pain;the treatment of the pandemic is based on the ideology of"preventive treatment of disease"and syndrome differentiation combined with adopting flexible treatment principle;commonly used herbs include Zhuru,Zhuye,Jinyinhua,Maidong,Xuanshen,Lianqiao;commonly used prescriptions include Yinqiao San,Yangdan Decoction,Xijiao Dihuang Decoction and Dayuan Yin.Conclusion:In order to better respond to future outbreaks,and make the characteristics and actions of TCM in full use,the classic works must be paid more attention to,related disciplines should be integrated,and diseases-syndrome-medicine-prescription should be organically combined.Medication needs timely adjusting according to changes in clinical conditions by actively exerting the wisdom and strength of TCM experts.
作者
何霞霞
尚成英
HE Xiaxia;SHANG Chengying(Affiliated Hospital of Gansu Medical College,Pingliang 744000,China;Pingliang Vocational and Technical College,Pingliang 744000,China)
出处
《中医药学报》
CAS
2020年第11期34-39,共6页
Acta Chinese Medicine and Pharmacology
关键词
中医药
瘟疫
防治
文本挖掘
思路
TCM
Pandemic
Treatment and prevention
Text mining
Ideas
