王洋教授诊治哮喘经验总结  

Professor WANG Yang’s experience in the diagnosis and treatment of asthma

作　　者：董兰东 王洋[1] 陈旭[1] 张罗丹 尚芳[1] 薛晓明[1] DONG Landong

机构地区：[1]山西省中医药研究院,山西太原030012

出　　处：《中医临床研究》2023年第13期137-141,共5页Clinical Journal Of Chinese Medicine

基　　金：省级名中医传承工作室建设项目。

摘　　要：哮喘是一种常见疾病,发作时会出现胸闷、呼吸困难、咳嗽等症状。病情严重的哮喘患者甚至需要随身携带缓解哮喘的药物,以避免危险情况发生。哮喘多属于中医学“哮病”范畴,临床发病率高,多与遗传、过敏等诸多因素相关,严重影响患者生活质量和寿命。哮喘的病理基础为痰瘀伏肺,病机为风盛痰阻、气逆血瘀、正气亏虚。外风引动内邪是哮病发作的始动环节,痰瘀内伏为哮喘发病的主要夙根,气逆是哮喘发作的病机关键,正气亏虚是哮喘发病的内在条件。山西省中医药研究院王洋教授认为,该病患者多属于过敏性体质,外感风邪容易诱发哮喘。治疗选方上采用辨病与辨证相结合的模式,以“急则治其标,缓则治其本”为原则,将哮喘分为发作期、缓解期。根据该病不同时期的特点选取治疗基础方,再根据患者所表现的证候特点辨证选药,临床治疗往往会获得较好的效果。文章结合案例介绍王洋教授治疗哮喘的经验,以期为临床提供参考。Asthma is a common disease with chest tightness,dyspnea,cough and other symptoms.The patients with severe asthma may even need to carry asthma medication to alleviate asthma with them to avoid dangerous situations.Asthma mostly belongs to the category of wheezing in traditional Chinese medicine,with a high clinical incidence.It is mostly related to many factors such as genetics and allergy,and seriously affects the quality of life and longevity of patients.The pathological basis of asthma is phlegm and blood stasis in the lungs,and the pathogenesis is wind pathogens and phlegm obstruction,Qi(气)reversed flow and blood stasis and deficiency of vital Qi.External wind inducing internal pathogen is the inducement of asthma,phlegm and blood stasis is the fundamental cause of asthma,reversed flow of Qi is the key to the pathogenesis of asthma,and deficiency of vital Qi is the internal condition of asthma.Professor WANG Yang believes that the corporeity status of patients with the disease is generally allergic corporeity,and is susceptible to asthma after exposure to wind pathogen.The mode of disease differentiation plus syndrome differentiation is adopted in the treatment and prescription selection.Asthma is divided into acute stage and remission stage.According to the characteristics of the disease in different stages,the basic prescription is selected,and then the medicine is used according to the characteristics of the patients’symptoms.The clinical treatment often obtain better results.In this paper,Professor WANG Yang's the experience in the treatment of asthma is introduced to provide more reference in clinical practice.

关 键 词：哮喘 过敏 风证 痰瘀 

分 类 号：R249[医药卫生—中医临床基础]