从“伏痰”理论探讨儿童哮喘与气道黏蛋白的关系及治疗  

Exploration the Mechanism and Diagnosis of Airway Mucin in Children with Asthma from the Theory of"Fu Phlegm"

作　　者：陈娜 陈竹 张远 陈华 李圣钻 CHEN Na;CHEN Zhu;ZHANG Yuan;CHEN Hua;LI Sheng-zuan(Department of Pediatrics,The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550003,China;Heze Hospital of Traditional Chinese Medicine,Heze,Shangdong,274000,China;Lishui Hospital of Traditional Chinese Medicine,Lishui,Zhejiang,323000,China)

机构地区：[1]贵州中医药大学第二附属医院,贵州贵阳55000 [2]菏泽市中医医院,山东菏泽274000 [3]丽水市中医院,浙江丽水323000

出　　处：《贵州中医药大学学报》2022年第4期1-4,共4页Journal of Guizhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金地区科学基金项目,项目编号:81860868;贵州省科技厅项目,项目编号:黔科和基础[2020]1Y365。

摘　　要：现代医学认为气道黏液高分泌是哮喘的重要病理特征之一,已成为影响哮喘预后和病情发展的独立危险因素。中医学认为哮喘是因内有伏痰,复感外邪、饮食、情志等,致痰随气升,气因痰阻,相互搏击气道致喉中哮鸣,气息喘促。伏痰为发病之关键。其中伏痰的产生与肺脾两脏密切相关,结合小儿“纯阳之体”的生理特点,疾病易从阳化热,初期可出现痰热壅肺的病理状态,故见咳喘,痰多黏稠,难以咳出等哮喘症状时,临床上以清泻肺热、运脾化痰为治疗原则。Modern medicine has been proved that airway mucus hypersecretion is one of the important pathological characteristics of asthma and has become an independent risk factor affecting the prognosis and progression of asthma.According to the theory of Traditional Chinese medicine,asthma is caused by internal Fu Phlegm,compound feeling of exogenous pathogens,diet and emotion etc.,and the symptom of wheezing appeared in throat and breath since phlegm to rise with qi,and qi fights each other with phlegm resistance.Fu Phlegm is the key factor for morbidity,which has the closely relationship between lungs and spleen.Combined with the physiological characteristics of children’s"pure Yang body",diseases are prone to Yang fever and can show the pathological state of phlegm heat obstructing the lung in the initial stage.Therefore,when asthma symptoms such as cough and asthma appeared,phlegm became thick and sticky,and it was difficult to cough,the clinical principles of clearing away lung heat and transferring spleen to dissolve phlegm are as follows.

关 键 词：气道黏液高分泌 运脾泻肺化痰 肺脾同治 

分 类 号：R725.6[医药卫生—儿科]