摘要
中医传统上将哮喘分为发作期和缓解期,发作期以"症"分为寒哮、热哮、寒包热哮、风痰哮和虚哮,缓解期以"证"分为肺脾气虚证、肺肾两虚证两型,但这种方法过于简单、笼统,已不能很好地满足当前临床实际辨证的需要,而且与西医的哮喘三期(急性发作期、慢性持续期和临床缓解期)相矛盾。哮喘慢性持续期既有痰瘀内伏未消,又有肺脾肝肾气阴阳不足,乃虚实夹杂之证,可以分为气虚感寒证,阳虚恶寒证,阴虚夹热证,痰瘀阻滞证,其中,气虚、阳虚证可发病为寒哮;阴虚夹热证可发病为热哮;气虚、阳虚合热证可转化为寒包热哮;气虚、阳虚合痰瘀阻滞证可发病为风痰哮;气虚、阴虚、阳虚证可发病为虚哮;慢性持续期时,作为哮喘发作的过渡时期,若控制良好,患者将归于缓解期,若控制不佳,则转入急性发作期,因此慢性持续期是哮喘治疗的黄金时期,辨证准确,施治及时,可减少患者发病几率,改善患者生存质量。
According to TCM,asthma is divided into attack stage and remission stage.It is divided into cold asthma,heat asthma,asthma due to fire wrapped by cold,wind-phlegm asthma,and deficient asthma according to symptoms in the attack stage.In remission stage,it can be divided into lung-spleen qi deficiency,lung-kidney deficiency types.However,this classification method is too simple and general to satisfy the needs of clinical practice at present.It is also inconsistent with the three stages of asthma in Western Medicine（acute attack,chronic duration period and clinical remission stage）.Chronic duration asthma is due to latent phlegm and blood stasis,probably also deficient qi and yin-yang of the lung,the spleen,the liver,and the kidney.In a word,it belongs to intermingled syndrome of deficiency and excess,and can be divided into qi deficiency and cold syndrome,yang deficiency and aversion to cold syndrome,yin deficiency and heat syndrome,phlegm and blood stasis syndrome.Among them,qi deficiency and yang deficiency can cause onset of cold asthma; Yin deficiency and heat syndrome can cause heat asthma; Qi deficiency,yang deficiency and heat syndrome can cause asthma due to fire wrapped by cold; Qi deficiency,yang deficiency and phlegm stagnation can develop into wind-phlegm asthma; Qi deficiency,yang deficiency and yin deficiency can lead to deficient asthma.Chronic duration as the transition period of asthma is the golden age of asthma,because if controlled well,the patient will be in remission; if not,the patient will be into acute stage.Accurate diagnosis and timely treatment can reduce the probability of attack of asthma,and improve the quality of life of patients.
作者
王雪慧
田梓廷
李竹英
WANG Xue-hui;TIAN Zi-ting;LI Zhu-ying(Heilongjiang University of TCM, Harbin, Heilongjiang, China, 150040;The First Hospital Attached to Heilongjiang University of TCM, Harbin, Heilongjiang, China, 150040)
出处
《河南中医》
2018年第4期508-510,共3页
Henan Traditional Chinese Medicine
基金
国家自然科学基金(青年科学基金)项目(编号:81403234)
黑龙江省自然科学基金(面上项目)(编号:D201256
D201481)
黑龙江省普通本科高等学校青年创新人才培养计划(编号:UNPYSCT-2015120)
关键词
支气管哮喘
慢性持续期
气虚感寒证
阳虚恶寒证
阴虚夹热证
痰瘀阻滞证
bronchial asthma
chronic duration
qi deficiency and cold syndrome
yang deficiency and aversion to cold syndrome
yin deficiency and heat syndrome
phlegm and blood stasis syndrome
