哮病痰饮征象探讨  

Discussion of the Signs of Asthma Due to Phlegm and Retained Fluid

作　　者：陈苗苗[1] 贾祥文 董萱[1] 陈宪海[2] 

机构地区：[1]山东中医药大学,山东济南250014 [2]山东中医药大学附属医院,山东济南250011

出　　处：《河南中医》2015年第2期222-223,共2页Henan Traditional Chinese Medicine

基　　金："泰山学者"中医肺病学岗位建设工程项目(编号:ts20110819);山东省中医药科技发展计划项目(编号:2009-111)

摘　　要：从发作时间而言,哮病受痰饮影响多在夜间或饱餐之后,情志刺激亦是其诱发因素,这是临诊时常易忽视的问诊要点;从痰色质量而言,痰量的多少与痰色的改变亦充分反映了哮病痰饮证候的轻重;体质量的增减变化亦是临床常易忽视的症状表现,急性发作时,水津不布,痰饮内停,体质量增加;症状缓解时,水津疏泄,痰饮布散,体质量复常。这不仅为临床医生初步判断痰饮停积的多少做出量化上的裁定,也为评估哮喘病情轻重做出了及时的诊断。With regard to the time of onset,asthma is commonly influenced by the phlegm in the night of after meals. Emotional stimuli is also an inducing factor and is easily neglected in the interrogation; as to the quantity and color of the phlegm,the quantity and the changes of color can fully manifest the seriousness of the syndrome of asthma due to phlegm and retained fluid; the changes of body weight is also an easily neglected clinical symptom,in which the non-distribution of fluid and internal accumulation of the phlegm lead to weight gain in acute attack while the dispersion of fluid and distribution of the phlegm retention result in the recovery of normal weight in remission. This will not only provide a standard of quantization for the determination of the quantity of phlegm and retained fluid,but also make a timely diagnosis for assessing the seriousness of the asthma condition.

关 键 词：哮病 痰饮 征象 哮病发作时间 体质量变化 痰色质量 

分 类 号：R256.12[医药卫生—中医内科学]