| Objective:In this paper,through collecting the literature of TCM phlegm-resolving method in treating chronic bronchitis in recent 20 years,sorting out the types of phlegm-resolving method for treating chronic bronchitis,the syndrome types of phlegm-resolving drugs and the rule of prescription and medication,providing dialectical thinking for clinical application of phlegm-resolving method for treating chronic bronchitis and providing reference for clinical prescription and medication.Methods:Using frequency analysis and frequency analysis as the main methods,the domestic and foreign countries in recent 20 years were screened from the database.Publicly publish the literature on the treatment of chronic bronchitis with phlegm-resolving method,read and delete the literature one by one,and 450 articles meet the inclusion criteria,and 500 complete prescriptions are collected.Finally,enter the included prescriptions into the auxiliary inheritance platform of traditional Chinese medicine,make statistical analysis,and summarize the corresponding rules.Results:Through the research,it is found that the current method of eliminating phlegm for treating chronic bronchitis has the following characteristics:1.There are 43 kinds of phlegm-resolving methods for treating chronic bronchitis,46 times for invigorating the kidney,49 times for dispelling wind and phlegm,52 times for dispelling cold and phlegm,66 times for invigorating middle energizer and invigorating qi and phlegm,73 times for nourishing yin and moistening dryness,77 times for invigorating spleen and phlegm,90 times for warming lung and phlegm,140 times for clearing heat and phlegm,and 165 times for eliminating dampness and phlegm.2.The syndrome types of phlegm-resolving therapy for chronic bronchitis can be roughly divided into 165 cases of phlegm-turbidity blocking lung,140 cases of phlegm-heat blocking lung,136 cases of spleen-lung qi deficiency,73 cases of lung-kidney yin deficiency,66 cases of lung-kidney yang deficiency,56 cases of wind-heat invading lung,52 cases of cold-phlegm blocking lung,49 cases of wind-cold attacking lung,and 43 cases of blood stasis blocking lung collaterals.3.Regularity of medication（1）The commonly used drugs for treating chronic bronchitis by expectorant method,the top 30 drugs are:Glycyrrhiza uralensis Fisch.,Pinellia ternata,almond,platycodon grandiflorum,Poria cocos,dried orange peel,ephedra,perilla frutescens,aster,scutellaria baicalensis,cortex mori,Schisandra chinensis,Ophiopogon japonicus,Flos Farfarae,Fritillaria thunbergii,Astragalus membranaceus,Atractylodes macrocephala,Trichosanthes kirilowii,Codonopsis pilosula,dried ginger,cassia twig,asarum,Magnolia officinalis,loquat leaves,white mustard seed and Rhizoma Cynanchi（2）The statistical results of four kinds of drugs for reating chronic bronchitis by phlegm-resolving method showed that there were 1515 times of cold drugs,134 times of hot drugs,2430 times of warm drugs,96 times of cool drugs and 1170 times of calming drugs.（3）Statistical results of five kinds of drugs for treating chronic bronchitis by phlegm-resolving method,Sweet taste 2550 times,bitter taste 2731 times,sour taste 257 times,salty taste 98 times,astringent taste 66 times and pungent taste 2376 times.（4）The statistical results of channel tropism of phlegm-resol ving drugs for chronic bronchitis showed that there were 4,261 channels in lung,2,421 channels in spleen,1,866 channels in stomach,1,647 channels in heart,961 channels in kidney,685 channels in liver,673 channels in large intestine,337 channels in bladder,225 channels in gallbladder and204 channels in small intestine.（5）Based on the formula rule of association rule analysis,there are 23 combination data of 7 herbs,among which the combination with the highest frequency is Pinellia ternata-licorice,the combination with the highest confidence is Pinellia ternata,Platycodon grandiflorum-> licorice,and the two herbs with the highest correlation are Scutellaria baicalensis Georgi-Anemarrhena asphodeloides.Finally,12 new prescriptions for treating chronic bronchitis with phlegm-reducing method are obtained.Conclusion:1.Phlegm-resolving therapy for chronic bronchitis should be based on the therapeutic method of "harmonizing viscera and viscera";"strengthening the body resistance and eliminating evil" is the general program of treatment.2.When treating chronic bronchitis with phlegm-resolving method,it is necessary to tonify lung,spleen and kidney,warm lung and eliminate phlegm,and harmonize the five internal organs,treating both exterior and interior;It is necessary to use both sweet and bitter drugs,and to adjust the cold and temperature together;3.Thirteen new prescriptions were concluded as follows:（1）Clearing phlegm and heat,moistening lung and purging qi;（2）Regulating cold and heat,lowering qi and eliminating phlegm;（3）Evacuate wind heat,clear away heat and toxic materials;（4）Eliminating phlegm and blood stasis,promoting qi circulation and relieving pain;（5）Eliminating dampness and heat,promoting blood circulation and eliminating phlegm;（6）invigorating qi and spleen,promoting diuresis and dampness;（7）Clearing heat,promoting fluid production,detoxicating and resolving stagnation;（8）Purging lung and eliminating phlegm,eliminating phlegm and relieving cough;（9）Warming kidney and strengthening yang,benefiting lung and eliminating phlegm;（10）eliminating dampness and eliminating phlegm,warming lung and removing fluid（11）eliminating phlegm and removing blood stasis,Activating blood circulation and cooling blood（12）nourishing yin and moistening dryness,eliminating phlegm and resolving stagnation;（13）Clearing phlegm heat,warming lung and dispelling cold;... |
PDF Full Text Request