从肺脾论治小儿咳嗽变异性哮喘  

Treating Cough Variant Asthma in Children Based on the Lung and Spleen

作　　者：黄伟霞 范发才 HUANG Wei-xia;FAN Fa-cai(Hunan University of CM,Changsha,Hunan,China,410208;Jiangmen Wuyi Hospital of TCM,Jiangmen,Guangdong,China,529000)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]江门市五邑中医院,广东江门529000

出　　处：《河南中医》2020年第4期506-509,共4页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81874429)。

摘　　要：小儿咳嗽变异性哮喘主要病因可归纳为风、燥、痰、瘀、虚;病变脏腑主要涉及肺、脾、肝、肾;病机关键为风痰伏肺、内外合邪。气阴亏虚是重要病理基础,阴伤气耗、风痰瘀阻络为突出的病理特点。故治疗需重视养阴润肺、补气健脾,同时兼顾祛风化痰、活血化瘀的合理运用,还要注重调理中焦脾胃气机,亦重视肺金的培养,即从肺脾论治肺系疾病,临床可获佳效。The main causes of cough variant asthma in children can be caused by wind,dryness,phlegm,blood stasis and deficiency.The diseased viscera mainly involve the lung,spleen,liver and kidney.The key pathogenesis of the disease is that wind and phlegm are stagnated in the lung,and internal and external pathogenic factors are intermingled together.Deficiency of qi and yin is an important pathological basis,with yin injury and qi consumption,wind phlegm and blood stasis blocking collaterals as prominent pathological characteristics.So the treatment should focus on nourishing yin,moistening the lung,supplementing qi and fortifying the spleen combined with proper use of expelling wind and phlegm,promoting blood circulation and removing blood stasis.At the same time,attention should be paid to regulating spleen-stomach qi movement in middle energizer,nourishing the lung,which means to treat the lung system diseases based on the lung and spleen.In this way,good efficacies can be obtained in clinical practice.

关 键 词：小儿咳嗽变异性哮喘 从肺脾论治 疏风止咳 益气养阴 养阴润肺 止嗽散 沙参麦冬汤 

分 类 号：R256.11[医药卫生—中医内科学]