国医大师张志远辨治哮喘经验  

Traditional Chinese medicine master Zhang Zhiyuan's experience in differential treatment of asthma

作　　者：范淑月 孙彤彤 倪钰莹 罗再奕 刘敏[1] FAN Shuyue;SUN Tongtong;NI Yuying;LUO Zaiyi;LIU Min(Bejing University of Chinese Medicine,Bejing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《长春中医药大学学报》2024年第1期30-33,共4页Journal of Changchun University of Chinese Medicine

基　　金：国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]239号);国家中医药管理局第六批全国老中医药专家学术经验继承工作(国中医药人教函[2019]29号);国家中医药管理局中医学术流派传承工作室第二轮建设项目(国中医药人教函[2019]62号)。

摘　　要：哮喘是临床常见病,国医大师张志远认为本病的发生与外寒、内热、痰饮、体弱等因素密切相关,发作期以祛邪为主,缓解期当扶正祛邪。张师辨治哮喘时,注重以人为本,阴阳平衡,先辨外感内伤,注重标本缓急,同时结合虚实寒热。善用经方,药随症转,尤注重药物加减配伍以及特殊药物炮制、剂量选择等,其诊疗思路和用药经验对临床治疗哮喘具有重要的启发和借鉴意义。Asthma is a common disease in the clinic.Traditional Chinese medicine master Zhang Zhiyuan believed that the occurrence of this disease was closely related to factors such as external cold,internal heat,phlegm and fluid retention,and physical weakness;The main treatment approach was to eliminate pathogen during the attack stage and to strengthen vital qi to eliminate pathogenic factor during the remission stage.When conducing differential treatment for asthma,Professor Zhang Zhiyuan emphasized people-oriented approach,and balance of yin and yang;distinguished exogenous internal injuries first,emphasized to treat both the principal and secondary aspects,and combined the concepts of excess and deficiency,and cold and heat.Professor Zhang was skilled in using classic formulas,and changing medicine according to the symptoms.He paid special attention to the combination of drug addition and subtraction,and the processing and appropriate dosage selection of special drugs.Professor Zhang's diagnosis and treatment ideas and medication experience have significant inspirational and reference significance for the clinical treatment of asthma.

关 键 词：哮喘 特色用药 经方 名医经验 张志远 

分 类 号：R256.12[医药卫生—中医内科学]