徐荣谦从少阳论治儿童闭塞性细支气管炎临证经验  

Clinical experience of Xu Rongqian in treating occlusive bronchiolitis in children from Shaoyang

作　　者：王双玲[1] 靳晓霞[1] 郭俊明[2] 杨晓明[2] 郭新杰 Wang Shuangling

机构地区：[1]北京中医药大学东直门医院东区,北京100700 [2]北京中医药大学东直门医院,北京101149

出　　处：《中医临床研究》2020年第13期99-101,共3页Clinical Journal Of Chinese Medicine

摘　　要：儿童闭塞性细支气管炎(Bronchiolitis Obliterans,BO)是一种与小气道损伤相关的严重肺功能障碍性疾病,目前为止国内外均无公认的确切治疗方案,患儿总体预后不良,病死率高,中医药干预可改善预后。徐荣谦教授认为小儿闭塞性细支气管炎属中医"肺胀",即"马脾风"范畴。病因为小儿肺脾肾三脏虚损,痰凝内伏于肺,在感受外邪后,引动肺络伏痰而发病。迁延期基本病机为:邪郁少阳,痰瘀阻肺,属虚人外感。临床根据本病病因病机特点,迁延期在六经辨证基础上从少阳论治本病,和解少阳,畅达三焦,以小柴胡汤为基础加减治疗,取得较好疗效。Occlusive bronchiolitis in children is a severe pulmonary dysfunction disease associated with small airway injury.So far,there is no definitive treatment plan at home and abroad.The overall prognosis of children is poor,and the mortality rate is high.The intervention of TCM can improve the prognosis.Professor Xu Rongqian believes that occlusive bronchiolitis in children belongs to the category of Feizhang(肺胀)in TCM.The disease is caused by the deficiency of the lungs,spleen and kidneys,and the sputum condenses in the lungs,which induces the pathogenesis of the lungs after feeling Waixie(外邪).The basic pathogenesis of the prolonged period is Xieyu Shaoyang(邪郁少阳),Tanyu Zufei(痰瘀阻肺).According to the characteristics of the pathogenesis of the disease,differentiation of Liujing(六经)according to Shaoyang(少阳)is applied in the protracted period.And the Xiaochaihu decoction(小柴胡汤)shows a good efficacy.

关 键 词：儿童闭塞性细支气管 邪郁少阳 少阳论治 临证经验 

分 类 号：R562.21[医药卫生—呼吸系统]