基于“风、痰、虚”理论辨证治疗支气管哮喘的新思路  

New Idea of Syndrome Differentiation Treatment of Bronchial Asthma Based on "Wind,Phlegm and Deficiency" Theory

作　　者：滑宬 何明[2] Hua Cheng;He Ming(Department of Traditional Chinese Medicine,Tianqiao Community Health Service Center of Xicheng District,Beijing 100050,China;Department of Respiratory Heat Disease,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京市西城区天桥社区卫生服务中心中医科,北京100050 [2]北京中医药大学东方医院呼吸热病科,北京100078

出　　处：《中国社区医师》2023年第4期76-78,共3页Chinese Community Doctors

摘　　要：支气管哮喘是呼吸科常见疾病,属中医“哮病”范畴。古代文献多认为本病的核心病机为宿痰伏肺。何明教授在临床中发现,痰饮伏肺虽为哮病之“夙根”,但“风邪”和“脏腑虚损”是哮病重要的发病因素,更是难治性哮喘反复发作的重要原因。据此总结出“三因”致哮的理论,提出了以“风、痰、虚”为核心的哮病辨证治疗新思路,在治疗重症、难治性哮喘方面取得了良好效果。Bronchial asthma is a common disease in the department of respiration and belong to the wheezing category of traditional Chinese medicine.In ancient literature,the core pathogenesis of this disease is mainly the dwelling of retained phlegm in lung.Professor He Ming finds in clinical practice that,although the phlegm-fluid retention in lung is regarded as the root cause of asthma,the "wind pathogen" and "deficiency of the viscera" are also the important pathogenesis of asthma and the important cause for repeated attacks of refractory bronchial asthma.Based on the above findings,the theory of three factors leading to asthma is summarized,and a new idea of syndrome differentiation treatment of asthma taking the "wind,phlegm and deficiency" as the core is proposed,which achieves good results in the treatment of severe and refractory asthma.

关 键 词：哮病 宿痰伏肺 风邪犯肺 脏腑虚损 

分 类 号：R256.12[医药卫生—中医内科学]