王忆勤活用经典名方辨治哮喘的临证特色  

Wang Yiqin’s characteristics of clinical experience in syndrome differentiation and treatment of asthma by using classic prescriptions flexibly

作　　者：郝一鸣[1] 王忆勤[1] HAO Yiming;WANG Yiqin(Shanghai University of Traditional Chinese Medicine,Shanghai Key Laboratory of Health Identification and Assessment/Laboratory of Traditional Chinese Medicine Four Diagnostic Information,Shanghai 201203,China)

机构地区：[1]上海中医药大学,上海市健康辨识与评估重点实验室/中医四诊信息化实验室,上海201203

出　　处：《上海中医药杂志》2022年第9期48-52,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委科技计划项目(21DZ2271000);上海市教委专项(2021科技02-37);上海中医药大学人才培养计划“杏林学者”项目(上中医人字[2020]23号)

摘　　要：总结王忆勤教授辨治哮喘的临证特色。认为虚实夹杂是哮喘的病机特点,痰瘀交结是哮喘发病的夙根;治疗原则为发时治标并顾本,平时治本且顾标。王教授善用经典名方,临证变通,主张哮喘发作期治气为先,痰瘀并治,顾护脾胃贯穿始终,针对发作期小儿多痰湿、成人多痰瘀的临床特点而针对性地根据经典名方加减自拟出小平喘方及大平喘方分而治之,并善用虫药、对药,重视小儿望诊、闻诊,对其用药轻平温和。This paper summarized professor Wang Yiqin’s characteristics of clinical experience in syndrome differentiation and treatment of asthma.Professor Wang claimed that the mixture of deficiency and excess was the pathogenesis of asthma,and the combination of phlegm and blood stasis was the long-standing root of asthma.The treatment principle of asthma was to give priority to the symptoms and give consideration to the fundamental treatment in the attack period,while give priority to the fundamental treatment and give consideration to the symptoms in the remission period.Professor Wang frequently used ancient classic prescriptions and adapted to clinical symptoms.She advocated that qi should be treated first during the attack of asthma,phlegm and blood stasis should be treated at the same time,and spleen and stomach should be protected from beginning to end.According to the clinical characteristics of phlegm dampness in most children as well as phlegm and blood stasis in most adults during the attack period,she proposed Xiaopingchuan formula and Dapingchuan formula added and subtracted from classic prescriptions to treat them separately,made good use of insect drugs and pair of drugs,and paid attention to children’s inspection,auscultation,and mild medication.

关 键 词：哮喘 经典名方 中医药疗法 名医经验 

分 类 号：R249[医药卫生—中医临床基础] R256.12[医药卫生—中医学]