摘要
咳嗽变异性哮喘(CVA)合并胃食管反流(GER)在慢性咳嗽患者中所占比例较高,二者常相互影响、恶性循环。文章从临床角度出发,提出此病核心病机为脏腑失和、枢机不利,与肝肺脾胃密切相关。治疗上应将和调枢机贯穿始终,调肝理肺、清热利湿、扶正运枢、燮理阴阳等皆为常用治法,使枢机和调,气血和畅,脏腑合和,升降如常,则咳逆自平。
The combination of cough variant asthma(CVA)and gastroesophageal reflux(GER)shows a high percentage of chronic cough,they influence with each other and lead to vicious circle.In the view of clinic,the core pathogenesis of CVA with GER is the obstruction of cardinalate and the disharmony of zang-fu organs,especially related to the liver,the lung,the spleen and the stomach.Important for the treatment,adjusting and balancing the qi-axis are the main principles,which includes regulating the liver and the lung,clearing the damp-heat,strengthening and balancing the qi-axis and yin-yang.If the qi and blood are harmonized,with the consequence of zang-fu organs resumed,the cough will be cured.
作者
吕明圣
崔红生
刘圣康
任培中
弓雪峰
LYU Ming-sheng;CUI Hong-sheng;LIU Sheng-kang;REN Pei-zhong;GONG Xue-feng(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第8期4789-4792,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
咳嗽变异性哮喘
胃食管反流
和调枢机
思路
Cough variant asthma
Gastroesophageal reflux
Adjusting the qi-axis
Thinking