辨证分型治疗儿童哮喘50例临床观察

目的]观察辨证分型治疗儿童哮喘疗效。方法]采用前瞻性设计50例门诊患者,寒性(炙麻黄2~4g,桂枝3~5g,细辛1~2g,干姜2~4g,炙半夏3~6g,白芍3~5g,五味子1.5~3g,甘草2~5g;咳嗽加紫箢,款冬瓜,旋覆花;哮吼甚加射干,地龙,僵蚕;外寒不甚,寒饮阻肺射干麻黄汤),1剂/d,水煎20~50mL,1次/d;热性(麻黄炙2~5g,甘草4~5g,紫苏子、款冬炙各3~6g,杏仁2~6g,桑白皮3~8g,黄芩3~6g,蝉衣4~10g,僵蚕3~6g,白果2~5g,连翘3~6g,石膏10~20g;喘急加地龙;痰多加胆南星、竹沥;咳甚加百部炙、冬花炙;热重加栀子、虎杖、鱼腥草;表证不著,喘息咳嗽,痰鸣,痰色微黄选定喘汤),1剂/d,水煎20~50mL,1次/d。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。结果]显效35例,有效13例,无效2例,总有效率96.00%。结论]辨证分型治疗儿童哮喘效果显著,值得推广。

Differentiation and Treatment of 50 Cases of Childhood Asthma Clinical Observation

Objective ] To observe the curative effect on childhood asthma. Methods ] Out-patients cold sex in 50 cases （Zhimahuang2 - 4g, Guizhi 3 - 5g, Xixinl - 2g, Ganjiang2 - 4g, Zhibanxia3 - 6g, Baishao 3 - 5g, Wuweizil.5 - 3g, Gancao2 - 5g, cough with Ziyuan, Kuandonghua, Xuanfuhua; blackberry add Shegan, Dilong, Jiangchan, would be very cold outside, cold drink obstructie pulmonary shoot dry ephedra soup; l/d, water frying 20 - 50ml, 1/d ）; Hot sex （ Zhimahuang2 - 5g, Gancao 4 -5 g, Zisuzi, Zhikuandong every 3- 6g, Xingren2 - 6g, Sangbaipi 3 - 8g, Huangqi3 - 6g, Chanyi 4 -10g, Jiangchan 3 -6g, Baiguo 2 - 5g, Lianqiao 3 - 6g, Shigaol0 - 20g; gypsum for urgent lumbricus; phlegm more Dannanxing, Zhuli; cough very add Zhibaibu, Zhidonghua; thermogravimetric gardeniaZhizi, Huzhang, Yuxingcao, table card no, wheezing cough, phlegm, sputum color yellow and selected for soup ） ; 1/d, water frying 20 - 50ml, 1/d. Continuous treatment of 7d for 1 course of treatment.Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. Results ] 35 cases were markedly effective, effective 13 cases, 2 had no effect, the total effective rate was 96.00%. Conclusion ] Type differentiation and treatment of childhood asthma effect is remarkable, is worth promoting.