基于历代本草古籍挖掘肺痈用药特点
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(1. 北京中医药大学,北京 100029;2. 中日友好医院,北京 100029)

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张欣怡(1998-),女,在读博士研究生,E-mail: zhangxinyi72@163.com

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基金项目: 张洪春名老中医传承工作室(国中医药人教函〔2022〕75号)


The Characteristics of Chinese Herbal Medicine for Treating Lung Abscess: An Exploration Based on Classical Materia Medica
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(1. Beijing University of Chinese Medicine, Beijing 100029, China; 2. China-Japan Friendship Hospital, Beijing 100029, China)

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    摘要:

    目的 挖掘本草著作中治疗肺痈的药物,指导临床用药。方法 检索《中华医典》本草类中全部本草著作,根据纳入排除标准纳入药物,依据《中华人民共和国药典(2020年版)》进行四气五味及归经分析,根据药物的主治功效将其分类,结合本草著作中的有关论述,分析其治疗肺痈的特点。结果 纳入药物24味,涉及本草著作45部,药性以寒性、微寒、平性为主,药味以甘味、苦味为主,归经以肺经为主,依据功效可分为化痰药、清热药、活血药、补虚药和排脓解毒药。结论 肺痈治疗药物主要分为化痰药、清热药、活血药、补虚药和排脓解毒药5类,与肺痈痰、热、瘀、虚的发病基础相符,在临床治疗时可根据病情需要与药物特点进行选用。

    Abstract:

    Objective To investigate the Chinese herbal medicines used for treating Lung Abscess in classical materia medica and provide guidance for clinical applications. Methods The materia medica texts in the Chinese Medical Code database were systematically reviewed. Herbal medicines were selected based on inclusion and exclusion criteria, and their properties, flavors, and meridian tropism were analyzed according to the Pharmacopoeia of the People‘s Republic of China(2020 Edition). The herbs were categorized based on their primary therapeutic effects, and their characteristics in treating Lung Abscess were further examined using relevant descriptions from the classical texts. Results A total of 24 Chinese herbal medicines were included, derived from 45 classical materia medica texts. The herbs were predominantly cold, slightly cold, or neutral in nature, with sweet and bitter flavors, and primarily associated with the lung meridian. Based on therapeutic effects, they were classified into five categories: phlegm-reducing, heat-clearing, blood-activating, deficiency-tonifying, and pus-draining and detoxifying herbs. Conclusion The treatment of Lung Abscess mainly involves five categories of Chinese herbal medicines: phlegm-reducing, heat-clearing, blood-activating, deficiency-tonifying, and pus-draining and detoxifying herbs. These classifications align with the pathogenesis of Lung Abscess, involving phlegm, heat, blood stasis, and deficiency. Clinicians can select appropriate herbs based on specific disease conditions and the characteristics of the medicines.

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  • 收稿日期:2025-01-01
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  • 在线发布日期: 2026-03-04
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