基于“寒热失调”核心病机探讨支气管哮喘的辨治思路  

Exploring treatment approaches for bronchial asthma in light of the core pathogenesis of“imbalance of cold and heat”

作　　者：陈明骏 仝战旗[1,2] CHEN Mingjun;TONG Zhanqi(Department of Traditional Chinese Medicine,The Second Medical Center&National Clinical Research Center for Geriatric Diseases,Beijing 100853,China;Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第二医学中心中医科,北京100853 [2]国家老年疾病临床研究中心,北京100853

出　　处：《天津中医药》2024年第12期1542-1545,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：军队保健专项科研课题(20BJZ31);首都卫生发展科研专项(首发2022-4-5032)。

摘　　要：支气管哮喘(简称哮喘)是一种气道慢性炎症性疾病,其病程长、易反复、治愈困难,严重影响患者生活质量,在临床上受到广泛关注。文章从哮喘的中医病因病机角度分析,指出寒热失调是哮喘的核心病机,正确判断寒热是中医治疗哮喘的关键。因此,在整个哮喘治疗过程中,应贯穿寒热失调这一中医核心要素。只有正确判断宿根伏痰之寒热,明确哮喘寒热之缓急,消除肺部伏痰,才能控制哮喘的发作。Bronchial asthma(asthma)is a chronic airway inflammatory disease.It has a long course,is easy to repeat,and is difficult to cure,which seriously affects the quality of life of patients,and has been widely concerned in clinic.This paper analyzes the etiology and pathogenesis of asthma in traditional Chinese medicine,and points out that the imbalance of cold and heat is the core pathogenesis of asthma in traditional Chinese medicine,and the correct judgment of cold and heat is the key to the treatment of asthma in traditional Chinese medicine.Therefore,in the whole process of asthma treatment,the imbalance of cold and heat,the core element of traditional Chinese medicine,should be penetrated.The clinical differentiation of cold and heat of chronic root phlegm is clear,and finally the phlegm of lung is eliminated,and asthma is controlled and healed.The attack of asthma can be controlled only by correctly judging the cold and heat of the underlying phlegm of the perennial root,clarifying the urgency of the cold and heat of asthma,and eliminating the underlying phlegm in the lungs.

关 键 词：哮喘 痰伏于肺 寒热失调 

分 类 号：R256.12[医药卫生—中医内科学]