从“虚-痰瘀互结”论治过敏性哮喘验案一则  

One Case of Treating Allergic Asthma from"Deficiency-Phlegm and Blood Stasis"

作　　者：刘宇 白丽 王盛隆 刘云 张文静 落超 樊康康 陈颖 Liu Yu;Bai Li;Wang Shenglong;Liu Yun;Zhang Wenjing;Luo Chao;Fan Kangkang;Chen Ying(Shanxi University of Chinese Medicine,Taiyuan 030000,China;Shanxi Integrated Traditional Chinese and Western Medicine Hospital,Taiyuan 030013,China)

机构地区：[1]山西中医药大学,山西太原030000 [2]山西省中西医结合医院,山西太原030013

出　　处：《亚太传统医药》2023年第5期107-111,共5页Asia-Pacific Traditional Medicine

基　　金：山西省中医药管理局中医药科研项目(2020ZYYZ025);山西中医药大学“肺病中西医结合临床研究”重点学科建设项目(1006Z3)。

摘　　要：中医认为“痰、瘀、虚”是哮喘发病的重要病理因素。对于支气管哮喘,无论是中医还是西医,均将其分为发作期和缓解期,该病总归邪实证虚之证,发时以邪实为主,未发时以正虚为主;若久发正虚,虚实错杂,当按病程新久及全身症状辨别其主次。通过探讨哮喘与痰、瘀、虚的相关性,提出治疗哮喘发作期当以祛痰化瘀、缓解期当以益气扶正为法则,做到标本兼治,举病案一则以证之,为临床治疗哮喘提供诊治思路。Traditional Chinese medicine believes that"phlegm,blood stasis and deficiency"are important pathological factors of asthma.For bronchial asthma,whether in traditional Chinese medicine or Western medicine,it can be divided into acute exacerbation period and remission period,the disease is always a syndrome of pathogenic excess and positive deficiency,in the acute exacerbation stage,pathogenic excess is the main factor,but in the remission stage,positive deficiency is the main factor;deficiency caused by long illness,deficiency and excess inclusion,we should distinguish the primary and secondary according to the new course of disease and systemic symptoms.By analyzing the correlation between asthma and phlegm,blood stasis and deficiency,and taking case examples,this paper puts forward that asthma should be treated by eliminating phlegm and removing blood stasis in the acute exacerbation stage,benefiting Qi and strengthening body resistance in the remission stage,Treat both symptoms and root causes.providing diagnosis and treatment ideas for clinical treatment of asthma.

关 键 词：过敏性哮喘 痰 瘀 虚 祛痰化瘀 益气扶正 

分 类 号：R256.12[医药卫生—中医内科学]