杨之藻主任医师治疗小儿咳嗽变异性哮喘经验  

Archiater YANG Zhizao's experience in treating cough variant asthma in children

作　　者：何大雪 杨之藻(指导) HE Daxue;YANG Zhizao(指导)(Pediatrics Department I,Anyang Traditional Chinese Medicine Hospital,Anyang,Henan,455000,China;不详)

机构地区：[1]安阳市中医院儿一科,河南安阳455000 [2]安阳市中医院儿科

出　　处：《中医儿科杂志》2023年第2期31-34,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：杨之藻主任医师认为小儿咳嗽变异性哮喘的病位在肺,与心、肝、脾、肾关系密切,病理因素多为风、寒、痰,病机特点以阳虚为本,陈寒与顽痰内伏为本病之夙根。急性发作期可分为陈寒伏肺证、阳虚痰阻证、痰湿郁肺证和顽痰宿肺证,治宜温阳化饮,方予麻黄附子细辛汤为主;缓解期以本虚为主,治宜温阳固本,方选温肾健脾补肺化痰汤加减,以增强患儿体质。附案例1则,以资验证。Archiater YANG Zhizao believes that the location of cough variant asthma is in the lung,closely related to the heart,liver,spleen,and kidney.The pathological factors are mostly wind,cold,and phlegm.The case are featured with yang deficiency,and cold and persistent phlegm are the"root causes"of the disease.The acute attack period can be divided into syndrome of old-coldness latent in the lung,yang deficiency phlegm obstruction,phlegmdampness constraint in the lung,and persistent phlegm staying in lung.The treatment is suitable for warming yang to dissolve fluid retention,and the prescription is mainly Mahuang Fuzi Xixin Tang(麻黄附子细辛汤).In the remission period,the main treatment is deficiency of the body,and it is appropriate to warm yang and consolidate the body.The prescription is modified Wenshen Jianpi Bufei Huatan Tang(温肾健脾补肺化痰汤),which is modified to enhance the physique of the child.One case is presented for verification.

关 键 词：咳嗽变异性哮喘 小儿 临床经验 杨之藻 

分 类 号：R256.12[医药卫生—中医内科学]