“消风法”三期分证论治小儿哮喘  

Research Development and Strategies of"Wind Elimination"Method in the Treatment of Childhood Asthma in Three Stages

作　　者：汪受传[1,2] 林丽丽[1,2] 冯璐[1,2] WANG Shou-chuan;LIN Li-li;FENG Lu(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Institute of Pediatrics,Nanjing University of Chinese Medicine,Jiangsu Key Laboratory of Pediatric Respiratory Disease,Nanjing 210023,China)

机构地区：[1]南京中医药大学附属医院,江苏南京210029 [2]南京中医药大学中医儿科学研究所,江苏省儿童呼吸疾病(中医药)重点实验室,江苏南京210023

出　　处：《南京中医药大学学报》2022年第6期467-475,共9页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：全国名中医工作室建设项目(国中医药办人教函〔2018〕119号);国家自然科学基金面上项目(81904254);江苏省自然科学基金青年基金项目(BK20190808);江苏省中医药科技发展专项(ZX2020B1)。

摘　　要：哮喘患儿先天禀赋有异,形成“伏风”内潜的体质,加之贼风外邪侵犯,两风相合引起哮喘发病。提出在传统哮喘发作期、缓解期的分期方法之外增加迁延期,“消风法”三期分证论治小儿哮喘:发作期疏外风消伏风,降气平喘;迁延期扶正气抑伏风,缓解发作;缓解期补脏气御外风,调补肺脾肾。论述如何从消风论治小儿哮喘三期证候,明确哮喘“伏风”证候演变特点及辨证治疗规律,结合现代机制研究,为小儿哮喘的中医临床诊疗提供理论支持及实施策略。This paper points out that the congenital endowment of children with asthma is different,forming the latent constitution of“latent-wind”,combined with the invasion of external evil by harmful wind,leads to the pathogenesis of asthma.It is proposed that,the middle and later stage should be increased in addition to the traditional asthma attack and remission staging methods.The“wind elimination method”in the treatment of three-stage pediatric asthma:during the attack stage,expel external wind and"latent-wind"elimination,downregulate qi,and relieve asthma;treatment methods for the middle and later stages are promoting healthy qi and suppressing"latent-wind";during the remission period,restores organ qi and resists external wind,tonifying the lung,spleen,and kidney.This paper focuses on how to treat the three-stage asthma syndrome in children using the theory of eliminating wind;to clarify the evolution characteristics and syndrome differentiation law of the“latent-wind”in asthma syndrome.This paper provides theoretical support and implementation strategies for TCM clinical diagnosis and treatment of pediatric asthma,combining modern clinical and mechanism research progress.

关 键 词：哮喘 消风 伏风 三期分证 

分 类 号：R272.6[医药卫生—中医儿科学]