运用麻黄升麻汤治疗支气管扩张症经验  

Experience of Treating Bronchiectasis by Using Mahuang Shengma Decoction(麻黄升麻汤)

作　　者：刘俨熠 夏坤 赵鹏飞 李光熙[1] LIU Yanyi;XIA Kun;ZHAO Pengfei;LI Guangxi(Guang´anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053;Beijing University of Chinese Medicine;The 4th People´s Hospital of Qinghai Province)

机构地区：[1]中国中医科学院广安门医院,北京市100053 [2]北京中医药大学 [3]青海省第四人民医院

出　　处：《中医杂志》2023年第20期2138-2141,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局医政司慢性病治未病干预方案制定项目(ZYZB-2020-196)。

摘　　要：总结运用麻黄升麻汤治疗支气管扩张症的经验。认为支气管扩张症病机以肺脾气虚为本,痰热壅肺为标,调治要点在于改善机体“痰、热、虚”的内环境。根据临床经验认为麻黄升麻汤功擅升阳散火、清上温下,正切中支气管扩张症的病机。临证治疗支气管扩张症以麻黄升麻汤为基础,根据患者寒热病机之侧重,调整方中清热与温中药物的偏重,同时根据患者症状有所加减。重视麻黄的应用,强调根据患者邪气郁闭的程度灵活调整麻黄的剂量,共达宣发郁热、培土生金,寒热同调、标本同治之功效。This paper summarized the experience in treating bronchiectasis with Mahuang Shengma Decoction(麻黄升麻汤).The pathogenesis of bronchiectasis is“lung-spleen qi deficiency”as the root,and“phlegm-heat obstructing the lung”as the branch.The key point of treatment is to improve the internal environment of phlegm,heat,and deficiency.According to clinical experience,Mahuang Shengma Decoction is good at raising the yang qi to dissipate fire,clearing the upper and warming the lower,which is in accord with the pathogenesis of bronchiectasis.In clinical practice,Mahuang Shengma Decoction is usually used as the basic formula,and the heat-clearing medici⁃nals and center-warming medicinals of the formula will be adjusted according to the abnormal exuberance of heat or cold of the pathogenesis;and the formula can also be modified in accordance with the symptoms.At the same time,importance should be attached to the application of Mahuang(Herba Ephedrae),and its dosage should be flexibly adjusted according to the constraint degree of the pathogenic qi,so as to expel the constraint fire,bank up earth to generate metal,regulate heat and cold simultaneously,and treat both the root and the branch.

关 键 词：支气管扩张症 麻黄升麻汤 寒热同调 

分 类 号：R259[医药卫生—中西医结合]