| 引用本文:田朝晖1,2,3,4，向建军1,2,3,4，葛舰1,2,3,4，秦开烈1,2,3,4，李玉英1,2,3,4，王奎1,2,3,4，陈小川1,2,3,4，陈淑1,2,3,4.清肺排毒汤治疗新型冠状病毒肺炎理论分析与临床实践[J].世界中医药,2020,(04):. |
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| 清肺排毒汤治疗新型冠状病毒肺炎理论分析与临床实践 |
| Novel coronavirus pneumonia treated by Qingfei Paidu Decoction: Theoretical Analysis and Clinical Practice |
| 投稿时间：2020-02-22 |
| DOI：10.3969/j.issn.1673-7202.2020.04.005 |
| 中文关键词: 清肺排毒汤 新型冠状病毒肺炎 辨证论治 制方原理 临床实践 |
| English Keywords:Qingfei Paidu decoction Coronavirus Disease 2019 Syndrome differentiation and treatment Prescription principle Clinical practice |
| 基金项目:湖北省卫生健康委员会2018—2019中医药科研项目(ZY2019Q021);恩施土家族苗族自治州科学技术局2018年指导性科研项目(201819) |
| 作者 | 单位 | | 田朝晖1,2,3,4，向建军1,2,3,4，葛舰1,2,3,4，秦开烈1,2,3,4，李玉英1,2,3,4，王奎1,2,3,4，陈小川1,2,3,4，陈淑1,2,3,4 | 1 湖北省恩施土家族苗族自治州中心医院恩施,445000
2 湖北省恩施土家族苗族自治州民族医院,恩施,445000
3 武汉大学恩施临床学院,恩施,445000
4 湖北民族大学附属恩施州中心医院,恩施,445000 |
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| 中文摘要: |
| 清肺排毒汤由麻杏石甘汤,射干麻黄汤(去大枣、五味子),小柴胡汤(去人参、大枣),五苓散,橘枳姜汤,加山药、藿香组合而成。上述5首经典方剂均来源于医圣张仲景《伤寒杂病论》。其中,麻杏石甘汤疏表宣肺,清热平喘;射干麻黄汤(去大枣、五味子)宣肺祛痰,降气止咳;小柴胡汤(去人参、大枣)和解半表半里之邪;橘枳姜汤行气化痰;五苓散利水渗湿;藿香散邪化湿;山药健脾补肺;且桂枝、甘草合用,辛甘化阳,扶助正气;诸药合用,共奏清肺解毒之功,适用于新型冠状病毒肺炎(COVID-19)轻型、普通型、重型患者。有学者通过网络药理学分析表明,清肺排毒汤通过多成分、多靶标对机体起到整体调控作用。 |
| English Summary: |
| Qingfei Paidu decoction is composed of Maxing Shigan decoction, Shegan Mahuang Decoction (Chinese date and Chinese magnoliavine fruit were taken out), Xiaochaihu Decoction (ginseng and Chinese date were taken out), Wuling powder, Juzhijiang decoction, common yam rhizome and cablin patchouli herb. The above five classical prescriptions are all from Shanghan Zabing Lun by ZHANG Zhongjing, the medical saint. Among them, Maxing Shigan decoction can relieve superficies and ventilate lung Qi, clear heat and relieve panting; Shegan Mahuang decoction (Chinese date and Chinese magnoliavine fruit were taken out) can ventilate lung Qi and dispell phlegm, descend Qi and relieve cough; Xiaochaihu Decoction (ginseng and Chinese date were taken out) can harmonize the pathogen in the half-superficies and half-interior. Juzhijiang decoction can activate Qi and dispel phlegm; Wuling powder can diffuse dampness; cablin patchouli herb can resolve toxins and remove dampness, common yam rhizome can invigorate the spleen and supplement the lung. The combination of cassia twig and liquorice root can support Yang and the healthy energy. The combination of those medicines can clear lung-heat and remove toxicity and is suitable for light, normal, and heavy Coronavirus Disease 2019 patients. Some scholars have shown through network pharmacological analysis that Qingfei Paidu decoction plays an overall regulatory role on the body through multiple components and multiple targets. |
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