基于“窠囊”理论论治儿童支气管扩张症稳定期  

Biased on“kenang”theory to treat stable bronchiectasis of children

作　　者：张题培 宋桂华[2] 张岩[2] 张冰雪[2] 韩慧珍 任芳芳 刘洁[1] ZHANG Tipei;SONG Guihua;ZHANG Yan;ZHANG Bingxue;HAN Huizhen;REN Fangfang;LIU Jie(Postgraduate Office of Henan University of Chinese Medicine,Zhengzhou 450000,China;Pediatrics Department,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学研究生处,郑州450000 [2]河南中医药大学第一附属医院儿科,郑州450000

出　　处：《天津中医药》2021年第6期769-772,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2018JDZX117);全国名老中医传承工作室建设项目(CZ0008)。

摘　　要：支气管扩张症作为一种慢性化脓性呼吸道疾病,在儿童中并不少见。它以气道黏液高分泌状态、黏液纤毛清除受损、细菌定植为病理基础,具有反复发作的特点。《说文解字》载:“窠,空也。穴中曰窠。”“囊,橐也。从橐省。”故“窠囊”一词可解释为动物之巢穴、有底的口袋,如容器一般为容纳物体之所。这与儿童支气管扩张症稳定期病理特征、临床特点相似,宋桂华教授以“窠囊”理论为指导治疗儿童支气管扩张症稳定期,定病位为肺、脾,顽痰旧血贯穿始终,治法上从清补肺脾气阴、透窠囊而祛顽痰旧血两方面论治儿童支气管扩张症稳定期。Bronchiectasis as a chronic suppurative disease is not scarce in childhood.The pathological basis is highly secreted of respiratory mucus,damage of mucus cilia,bacterial colonization and specific trait is repeated attack.Shuowen Jiezi contained that“a nest in an empty cave”.So“kenang”can be explained as animal’s nest,and the pocket bottom,like vessels.This is similar to the pathological and clinical characteristics of stable bronchiectasis.Based on the“kenang”theory,Professor SONG Guihua treats stable bronchiectasis of children.She believes that the location of disease are lung and spleen,stubborn phlegm and old blood are throughout the disease.Repair the qi and yin of lung and spleen and penetrate“kenang”to clean stubborn phlegm and old blood are two ways to cure stable bronchiectasis of children.

关 键 词：儿童 支气管扩张症稳定期 窠囊 临床辨证应用 宋桂华 

分 类 号：R562.22[医药卫生—呼吸系统]