从脏腑气机升降探讨胸闷变异性哮喘  

Discussion on Chest Distress of Variant Asthma from Viscera Based on the Theory of Ascending and Descending

作　　者：栗卿 马加路[1] 陈宪海[2] LI Qing;MA Jialu;CHEN Xianhai(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医药大学学报》2021年第5期576-580,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省2019-2020年度中医药科技发展计划项目(经方专项)(编号:2019-0967)。

摘　　要：气机的升降运动促进了气血津液的运行,保证了脏腑功能的正常运转,若升降失常,则诸病蜂起。胸闷变异性哮喘是一种新型的哮喘,症状不典型,多以胸闷为主要或唯一症状,其主要病位在肺,肺与心、脾、胃、肝、肾皆以气血津液为物质基础,通过气机升降相互联系。胸闷变异性哮喘的主要病机为气机升降失常,水液代谢障碍导致气滞、痰浊阻滞于胸中。临证应审证求因,辨认脏腑气机升降之别,并以调畅气机为核心,则气顺痰自消,胸闷、咳嗽逐渐缓解。The ascending and descending movement of qi promotes the movement of qi,blood and body fluids,and ensures the normal operation of viscera function.If the ascending and descending are abnormal,all diseases will rise.Chest distress of variant asthma is a new type of asthma.Its symptoms are atypical.Chest distress is the main or only symptom.The main disease location is in the lungs.The lungs,heart,spleen,stomach,liver and kidneys are all based on qi,blood and body fluids.They are connected with each other through the ascending and descending of qi movement.The main pathogenesis of chest distress of variant asthma is disturbance in ascending and descending of qi movement,and disorder of water metabolism causing qi stagnation and phlegm turbidity blocking in the chest.In clinical practice,we should differentiate syndrome to identify cause,identify the difference between the ascending and descending of qi movement,regulate qi movement as the core,then qi will be smooth and phlegm will disappear,chest distress and cough will gradually be alleviated.

关 键 词：气机升降 胸闷变异性哮喘 病机 脏腑 胸闷 痰浊 

分 类 号：R256.12[医药卫生—中医内科学]