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[中医治疗急性咽炎的优势与问题]

[Advantages and problems of traditional Chinese medicine in treatment of acute pharyngitis].

作者信息

Zhang Xia, Xie Yan-Ming, Li Guang-Xi, Gao Yang, Zhao Yuan-Chen, Tang Jing-Jing, Yao Xiao-Yan, Li Meng

机构信息

Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

Institute of Basic Research in Clinical Medicine, China Academy of Chineses Medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2017 Oct;42(19):3819-3825. doi: 10.19540/j.cnki.cjcmm.20170901.002.

DOI:10.19540/j.cnki.cjcmm.20170901.002
PMID:29235301
Abstract

This paper systematically studies relevant literatures at home and abroad in recent years. China National Knowledge Internet (CNKI) was used to collect the literatures for acute pharyngitis treated with traditional Chinese medicine from January 1, 2006, to December 31, 2016, and the bibliometric method was employed for statistical analysis. A total of 493 papers were preliminarily selected. According to the inclusion criteria and exclusion criteria, 182 eligible articles were selected. According to the evaluation and analysis of the literatures, the Guidelines for Clinical Research of New Drugs is currently used as the common standards for the diagnosis and treatment of acute pharyngitis; Chinese patent medicines are the main traditional Chinese medicine for treating this disease; Decoctions for treatment of this disease include Lonicerae Japonicae Flos, Scutellariae Radix, Platycodonis Radix, Forsythiae Fructus, Glycyrrhizae Radix et Rhizoma, Scrophdlariae Radix, Isatidis Radix, and Ophiopogonis Radix; The bloodletting puncture is the common external therapy. Traditional Chinese medicine and Western medicine have their own characteristics in the treatment of this disease. Western medicine for the treatment of acute pharyngitis are mainly antiviral, antibiotic and glucocorticoid drugs, whose disadvantages are toxicity, side effects, drug resistance and double infections. Traditional Chinese medicine doctors have rich experiences in the treatment of the disease, which is characterized by treatment determination based on syndrome differentiation, safe and reliable medication, significant curative effect, low drug resistance, and wide varieties of traditional Chinese medicine forms, convenient portability and taking, low price, and low toxic and side effects. It is an arduous and significant task to explore traditional Chinese medicine, and study and develop new-type effective drugs.

摘要

本文系统研究了近年来国内外的相关文献。利用中国知网(CNKI)收集2006年1月1日至2016年12月31日期间运用中医药治疗急性咽炎的文献,并采用文献计量学方法进行统计分析。初步筛选出493篇论文。根据纳入标准和排除标准,选取了182篇符合要求的文章。通过对文献的评价与分析可知,目前《新药临床研究指导原则》为急性咽炎诊疗的通用标准;中成药是治疗该病的主要中药;治疗该病的方剂有金银花、黄芩、桔梗、连翘、甘草、玄参、板蓝根、麦冬;放血疗法是常用的外治法。中西医在治疗该病方面各有特点。西医治疗急性咽炎主要使用抗病毒、抗生素及糖皮质激素类药物,存在毒性、副作用、耐药性及二重感染等弊端。中医医生在治疗该病方面经验丰富,具有辨证论治、用药安全可靠、疗效显著、耐药性低、中药剂型多样、便于携带服用、价格低廉、毒副作用小等特点。探索中医药、研究开发新型有效药物是一项艰巨而重大的任务。

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Drug Des Devel Ther. 2025 May 24;19:4321-4342. doi: 10.2147/DDDT.S513073. eCollection 2025.
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Efficacy of botanical lozenges in the treatment of chronic pharyngitis: a randomized controlled trial.植物含片治疗慢性咽炎的疗效:一项随机对照试验。
Front Pharmacol. 2024 Mar 14;15:1162883. doi: 10.3389/fphar.2024.1162883. eCollection 2024.
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Pharmacological effects and mechanism of Kaihoujian Throat Spray (children's type) in the treatment of pediatric acute pharyngitis and tonsillitis.
开喉剑喷雾剂(儿童型)治疗小儿急性咽炎和扁桃体炎的药理作用及机制
Heliyon. 2023 Jun 30;9(7):e17802. doi: 10.1016/j.heliyon.2023.e17802. eCollection 2023 Jul.
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Effects of compound lobelia oral liquid on acute pharyngitis rabbits model.复方半边莲口服液对急性咽炎家兔模型的影响。
Saudi J Biol Sci. 2019 May;26(4):816-820. doi: 10.1016/j.sjbs.2019.02.008. Epub 2019 Feb 20.
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Anti-inflammatory effect and the effect on acute pharyngitis rats model of compound Lobelia oral liquid.复方半边莲口服液的抗炎作用及对急性咽炎大鼠模型的影响。
Saudi J Biol Sci. 2019 Mar;26(3):577-581. doi: 10.1016/j.sjbs.2018.11.018. Epub 2018 Nov 26.