国医论坛

目的 基于中医传承辅助平台(V2.5)探讨三亚市中医院儿科中药治疗儿童呼吸道合胞病毒(RSV)肺炎的用药规律。方法 收集2020年1月—2024年12月三亚市中医院儿科住院治疗RSV肺炎患儿有效中药处方，将数据标准化录入中医传承辅助平台(V2.5),运用数据挖掘方法探讨其用药规律，并挖掘出高频药物组合和生成新方。结果 纳入分析198例患儿，共纳入处方385首，首先主要为痰热闭肺证处方307首(79.7%),其次为肺脾气虚证处方72首(18.7%)。痰热闭肺证处方共涉及125味中药，四气中寒性药频次最高，其次为温性药；五味集中于辛、苦、甘；归经以肺经为首，其次归胃、脾经；数据分析产生13味核心中药、2个可用新方。肺脾气虚证处方共涉及77味中药，四气中温性药频次最高；五味集中于甘、苦、辛；归经主要归肺经，其次归脾、胃经；数据分析产生8味核心中药。结论 儿童RSV肺炎住院患者证型最多为痰热闭肺证，其次为肺脾气虚证。陈皮-茯苓为治疗儿童RSV肺炎必选药对。治疗痰热闭肺证予苦寒之药的同时要佐以甘温之品，以防苦寒伤胃；治疗肺脾气虚证予补益药的同时，要注意祛邪、祛痰。

Objective To explore the medication patterns of traditional Chinese medicine(TCM) for treating respiratory syncytial virus(RSV) pneumonia in children in the pediatrics department of Sanya Traditional Chinese Medicine Hospital using the TCM Heritage Auxiliary Platform(V2.5). Methods Valid TCM prescriptions for RSV pneumonia in hospitalized children were collected from January 2020 to December 2024 and standardized into the TCM Heritage Auxiliary Platform(V2.5). Data mining methods were employed to explore medication patterns, identify high frequency drug combinations, and generate new prescriptions. Results A total of 198 cases were included, A total of 385 prescriptions were included, The first was the syndrome of phlegm-heat obstructing the lung(307 cases, 79.7%), followed by the syndrome of lung-spleen qi deficiency(72 cases, 18.7%). The syndrome of phlegm-heat obstructing the lung prescriptions involved 125 TCM herbs, with cold-natured herbs being the most frequent among the four natures, followed by warm-natured herbs. The five flavors were concentrated in pungent, bitter, and sweet; the primary meridian was the lung, followed by the stomach and spleen. Data analysis identified 13 core herbs and two new prescriptions. The syndrome of lung-spleen qi deficiency prescriptions involved 77 TCM herbs, with warm-natured herbs being the most frequent among the four natures. The five flavors were concentrated in sweet, bitter, and pungent; the primary meridian was the lung, followed by the spleen and stomach. Data analysis identified 8 core herbs. Conclusion The most common syndrome in hospitalized children with RSV pneumonia was the syndrome of phlegm-heat obstructing the lung, followed by the syndrome of lung-spleen qi deficiency. Tangerine peel and poria cocos were essential drug pairs for treating RSV pneumonia in children. When treating the syndrome of phlegm-heat obstructing the lung, bitter-cold herbs should be combined with sweet-warm herbs to prevent stomach injury from excessive bitterness and coldness. For the syndrome of lung-spleen qi deficiency, tonifying herbs should be used alongside pathogen removal and phlegm elimination.