从“肺系膜”论哮病伏痰犯膜的病机特点与分型分期论治规律  

Characteristics of pathogenesis and rule of classification and staging of asthma caused by latent phlegm invading the membrane from "pulmonary mesangium"

作　　者：陈延杰 易亚乔[1] CHEN Yanjie;YI Yaqiao(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2022年第4期624-628,共5页Journal of Hunan University of Chinese Medicine

基　　金：湖南省自然科学基金项目(2019JJ50434);中国博士后科学基金面上项目(2018M632972,2018M632966);湖南省教育厅科研项目(18A206);湖南中医药大学大学生研究性学习和创新性实验计划项目;湖南中医药大学校级科研项目(2017XJJJ09)。

摘　　要：基于古代文献及现代中医学者对人体膜系结构的认识,进而提出“肺系膜”是一类包含鼻膜、喉膜、肺膜等与肺系相关的膜层结构,具有阴行阳布、内通外固的生理特征。继而从“肺系膜”的角度出发,探究伏痰犯膜、“肺系膜”痉挛导致哮病的病机特点,通过将鼻膜、喉膜、肺膜等与肺脏相关的膜层结构相联系,可知“肺系膜”痉挛导致哮病的宿根在于“伏痰”,认识到“肺系膜”乃哮病发作的核心病位。最后,以此为基础将哮病分为寒、热、风、虚4型,并结合伏痰引、动、留、伏4期的发生发展过程进行辨治。以期能为哮病从伏痰犯膜的方向论治提供临床参考。Based on the understanding of ancient literature and modern Chinese medicine scholars on the structure of human membrane system,it is proposed that "pulmonary mesangium" is a kind of membrane structure related to the lung system,including nasal membrane,laryngeal membrane and pulmonary membrane.It has the physiological and pathological characteristics of Yin moving Yang interspersing,internal ventilation and external fixation.Then,from the perspective of "pulmonary mesangium",this paper explores the pathogenesis characteristics of asthma caused by latent phlegm invading the membrane and "pulmonary mesangium" spasm.By connecting the nasal membrane,laryngeal membrane and pulmonary membrane with the membrane structure related to the lung,it can be seen that the permanent root of asthma caused by "pulmonary mesangium" spasm lies in "latent phlegm",and it is recognized that "pulmonary mesangium" is the core disease location of asthma attack.Finally,on this basis,asthma is divided into four types:cold,heat,wind and deficiency,and syndrome differentiation and treatment is carried out in combination with the occurrence and development process of the four stages of latent phlegm inducing,moving,staying and latent.In order to provide clinical reference for the direction of asthma from latent phlegm invading the membrane.

关 键 词：支气管哮喘 膜系 肺系膜 伏痰 哮病 

分 类 号：R256.12[医药卫生—中医内科学]