1.Research on the Compatibility Rules of Medicinal Ingredients in Classical Cough Treatment Formulas Based on Guidelines/Textbooks
Mingyue QI ; Hongye GUO ; Chenqiong XIE ; Yijia ZHAO ; Rui JIN ; Xiange HAN
World Science and Technology-Modernization of Traditional Chinese Medicine 2025;27(9):2654-2665
Objective Under the theory guidance of the Fuxingjue and the Tang-Ye-Jing-Fa map,this study aims to explore the common patterns and unique characteristics of five-flavor combinations in formulas for treating different syndromes of cough.Methods Chinese herbal formulas for cough treatment were collected from traditional Chinese medicine(TCM)clinical practice guidelines,consensuses,and textbooks,and their flavor combinations and distribution were clarified.Based on the theory of the Tang-Ye-Jing-Fa map regarding the five flavors for lung diseases(sour for tonifying,salty for purging,and pungent for transforming),the dominant flavors in each formula were statistically analyzed.Further classification was conducted according to the cold-heat properties and the amount of phlegm,and the characteristics and five-flavor combination patterns of formulas for different syndromes were analyzed.Results A total of 21 formulas for treating different syndromes of cough were statistically analyzed,among which 85.7%of the formulas had dominant flavors of"sour,salty,and pungent".For hot cough(9 formulas),sour was mainly used to tonify the lung and bitter to purge the heart(e.g.,Sangxing Tang and Qingjin Huatan Tang);for cold cough(4 formulas),pungent was mainly used to tonify the liver and warm yang(e.g.,San'ao Tang combined with Zhike San and Xiaoqinglong Tang);for cough with abundant phlegm(7 formulas),the focus was on using pungent to purge the spleen and eliminate dampness(e.g.,Erchen Tang combined with Sanzi Yangqin Tang);for cough with little or no phlegm(6 formulas),sour was used as the core to tonify the lung and nourish yin(e.g.,Sha Shen Mai Dong Tang).Conclusion From the perspective of the Tang-Ye-Jing-Fa map,the flavors of"sour,salty,and pungent"play an important role in the composition of formulas for treating cough.Although the five-flavor combinations of formulas for different syndromes of cough vary,they share common characteristics when classified according to cold-heat properties and phlegm amount.These findings provide a theoretical basis for optimizing the combination of Chinese herbal formulas for cough treatment by adjusting the proportion of the five flavors in clinical practice.
2.Research on the Compatibility Rules of Medicinal Ingredients in Classical Cough Treatment Formulas Based on Guidelines/Textbooks
Mingyue QI ; Hongye GUO ; Chenqiong XIE ; Yijia ZHAO ; Rui JIN ; Xiange HAN
World Science and Technology-Modernization of Traditional Chinese Medicine 2025;27(9):2654-2665
Objective Under the theory guidance of the Fuxingjue and the Tang-Ye-Jing-Fa map,this study aims to explore the common patterns and unique characteristics of five-flavor combinations in formulas for treating different syndromes of cough.Methods Chinese herbal formulas for cough treatment were collected from traditional Chinese medicine(TCM)clinical practice guidelines,consensuses,and textbooks,and their flavor combinations and distribution were clarified.Based on the theory of the Tang-Ye-Jing-Fa map regarding the five flavors for lung diseases(sour for tonifying,salty for purging,and pungent for transforming),the dominant flavors in each formula were statistically analyzed.Further classification was conducted according to the cold-heat properties and the amount of phlegm,and the characteristics and five-flavor combination patterns of formulas for different syndromes were analyzed.Results A total of 21 formulas for treating different syndromes of cough were statistically analyzed,among which 85.7%of the formulas had dominant flavors of"sour,salty,and pungent".For hot cough(9 formulas),sour was mainly used to tonify the lung and bitter to purge the heart(e.g.,Sangxing Tang and Qingjin Huatan Tang);for cold cough(4 formulas),pungent was mainly used to tonify the liver and warm yang(e.g.,San'ao Tang combined with Zhike San and Xiaoqinglong Tang);for cough with abundant phlegm(7 formulas),the focus was on using pungent to purge the spleen and eliminate dampness(e.g.,Erchen Tang combined with Sanzi Yangqin Tang);for cough with little or no phlegm(6 formulas),sour was used as the core to tonify the lung and nourish yin(e.g.,Sha Shen Mai Dong Tang).Conclusion From the perspective of the Tang-Ye-Jing-Fa map,the flavors of"sour,salty,and pungent"play an important role in the composition of formulas for treating cough.Although the five-flavor combinations of formulas for different syndromes of cough vary,they share common characteristics when classified according to cold-heat properties and phlegm amount.These findings provide a theoretical basis for optimizing the combination of Chinese herbal formulas for cough treatment by adjusting the proportion of the five flavors in clinical practice.
3.Investigation and Analysis of 435 Kinds of Chinese Patent Medicine Instructions in Outpatient Department of Our Hospital
Wenqing WANG ; Xiange HAN ; Jin LIU ; Wenwei DU ; Zhirong LI ; Shanrong GAO
China Pharmacy 2019;30(9):1288-1292
OBJECTIVE: To investigate and analyze the current status and existing problems of Chinese patent medicine instructions in outpatient department of our hospital, and to provide suggestions for the improvement of Chinese patent medicine instructions. METHODS: A total of 435 copies of Chinese patent medicines instructions using in the outpatient pharmacy of our hospital were collected in 2018. The labeling of usage and dosage of the instructions and other items were not clear and missing items were analyzed statistically. RESULTS: In 435 copies of drug instructions, unclear usage and dosage included usage and dosage were marked only in grams or milliliters (54 kinds, 12.4%); daily dosage was not clear (165 kinds, 37.9%); the words “or follow the doctor’s advice” were involved in drug instructions (86 kinds, 19.8%); the labeling of usage and dosage for special population were not clear (34 kinds, 7.8%); medication time was not labeled (365 kinds, 83.9%). Unclear labeling of other items included unclear drug interaction (121 kinds, 27.8%), unclear matters needing attention (12 kinds, 2.8%), unclear ADR (307 kinds, 70.6%), unclear contraindications (257 kinds, 59.1%) and unclear indications (1 kind, 0.2%). The missing items included that drug dosage for special population (41 kinds, 94.5%), pharmacological and toxicological items (305 kinds, 70.1%), clinical trial data (395 kinds, 90.8%), storage temperature label (377 kinds, 86.7%). CONCLUSIONS: Missing items and unclear information on safe medication are common in Chinese patent medicine instructions, which need to be standardized and perfected in order to provide reference for rational drug use and guarantee the safety of drug use in patients.

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