基于“肝肺气机升降循环”理论论治胸闷变异性哮喘  

Treating Chest Tightness Variant Asthma Based on the Theory of “Liver-Lung Qi Ascending and Descending Circulation”

作　　者：刘雨鑫 王晶波[2] 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第一医院呼吸科,黑龙江 哈尔滨

出　　处：《临床医学进展》2024年第10期1061-1066,共6页Advances in Clinical Medicine

摘　　要：胸闷变异性哮喘(chest tightness variant asthma, CTVA)为支气管哮喘的特殊类型,因该病临床特征不明显,故极其容易误诊、漏诊,西医认为CTVA的发病可能是气道炎症、肺通气功能障碍、小气道功能障碍以及气道高反应,CTVA的患者呼出一氧化氮水平明显增高,可作为辅助诊断,该病按哮喘治疗有效。文章基于“肝肺气机升降循环”理论,结合现代医学的相关知识共同探讨CTVA的诊治。“肝肺气机升降循环”理论最早来源于《素问·刺禁论》云:“肝生于左,肺生于右。”肝与肺一升一降、一生一杀,肝肺在气机运行方面相互协调、相互制约,肝升肺降如同一个动态回环,上下相召,左升右降,如环首尾,两者功能正常,才能共同维持机体的协调运转。“气机失常,百病由生”,肝肺升降失调可出现气滞、痰瘀及肺卫不固的表现,从而出现胸闷。本文基于CTVA患者的不同体质,辨证施治,总体以调理气机为主,使肝肺气机升降得复,胸闷症状得以减轻或消失,减少发病次数。Chest tightness variant asthma (CTVA) is a special type of bronchial asthma, because the clinical features of the disease are not obvious, therefore, it is extremely easy to misdiagnosis and miss diagnosis. The onset of Western medicine think CTVA may be airway inflammation, may be airway inflammation, lung ventilation dysfunction and airway hyperresponsiveness and small airway dysfunction, the level of exhaled nitric oxide in CTVA patients is significantly increased, which can be used as an auxiliary diagnosis, and the disease is effectively treated by asthma. This paper discusses the diagnosis and treatment of CTVA on the basis of the theory of “liver, lung and qi machinery lifting and circulation”, combined with the relevant knowledge of modern medicine. The theory of the rise and fall cycle of the liver and lung qi machinery was originally derived from the “Plain Question · Thorn Ban” cloud: “The liver is born on

关 键 词：胸闷变异性哮喘 肝肺气机升降 体质 

分 类 号：R56[医药卫生—呼吸系统]