哮病-喘证-肺胀病因病机辑要  

A Probe Into the Etiology and Pathogenesis of Wheezing Disease-Asthmatic Syndrome-Lung Distension

作　　者：隋秋博 赵克明[2] SUI Qiubo;ZHAO Keming(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第4期26-29,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家重点研发计划项目(2018YFC1704803)。

摘　　要：目的现代医学哮喘-慢性阻塞性肺疾病(COPD)重叠(ACO)临床表现与中医文献哮病、喘证、肺胀等描述较为接近,特征为人群多发、发作更频繁、肺功能下降更快、病理机制不明等,全球哮喘防治创议(GINA)等相关国际医学学术组织长期关注ACO研究,目前诊断标准不统一,治疗手段仍较为局限。中医对于哮喘和慢阻肺的认识源远流长,古代文献中有详细的对哮喘病名、病因病机的记载,据慢阻肺特有的临床症状,发现自秦汉以来对于此病有诸多记载,探求古代文献发现慢阻肺与哮喘虽属不同疾病,但其病因相累,病机相联,均属本虚标实之证,故可相合并病。文章通过古代中医文献梳理哮喘和慢阻肺病因病机,结合现代医家研究成果,整理出ACO病因包括外邪侵袭、七情过用、饮食失宜、体质因素4个方面,病机从肝肾亏虚、痰瘀互结、痰热郁肺方面阐述ACO以期提供诊疗新思路。The clinical manifestations of modern medical asthma chronic obstructive pulmonary disease(COPD)overlap(ACO)are closely related to the descriptions of asthma,asthma syndrome,and lung distension in traditional Chinese medicine literature.Its characteristics include multiple occurrences in the population,more frequent attacks,faster decline in lung func-tion,and unclear pathological mechanisms.International medical academic organizations such as the Global Initiative for Asthma Prevention and Treatment(GINA)have long been paying attention to ACO research.Currently,diagnostic standards are not uni-fied,and treatment methods are still limited.The understanding of asthma and chronic obstructive pulmonary disease in tradition-al Chinese medicine has a long history.Ancient literature has detailed records of the name,etiology,and pathogenesis of asth-ma.Based on the unique clinical symptoms of chronic obstructive pulmonary disease,it has been found that there have been many records of this disease since the Qin and Han dynasties.Exploring ancient literature,it has been found that although chron-ic obstructive pulmonary disease and asthma belong to different diseases,their causes and pathogenesis are interrelated,both of which belong to the syndrome of deficiency and excess,so they can be combined and treated together.The article summarizes the etiology and pathogenesis of asthma and chronic obstructive pulmonary disease(COPD)through ancient Chinese medicine litera-ture,combined with modern medical research results,and summarizes the causes of ACO from four aspects:invasion of external pathogens,overuse of the seven emotions,inappropriate diet,and physical factors.The pathogenesis of ACO is explained from the aspects of liver and kidney deficiency,phlegm stasis,and phlegm heat stagnation in the lungs,in order to provide new diag-nostic and therapeutic ideas.

关 键 词：哮病 喘证 肺胀 支气管哮喘 哮喘-慢性阻塞性肺疾病重叠 慢性阻塞性肺疾病 病因病机 本虚标实 外邪侵袭 七情过用 饮食失宜 体质因素 肺肾亏虚 痰瘀互结 痰热郁肺 文献研究 

分 类 号：R256.1[医药卫生—中医内科学]