支气管哮喘中医辨证治疗概要

目的：探讨支气管哮喘证候诊断要点及辨证治疗规律。方法：基于近年来有关中医药诊疗支气管哮喘文献,结合长期的临床实践与研究结果,总结支气管哮喘的临床特点。结果：认为急性发作期的基本病机为伏痰遇感引动,痰气搏结,以实证为主;慢性持续期以虚实兼夹为主,表现为阳虚与饮伏、气虚与痰阻、气阴虚与痰热等;临床缓解期以虚为主,表现为肺、脾、肾气虚。拟订有关证候诊断要点,并总结辨证治疗规律。结论：常见证候为三期十证候,即急性发作期的外寒内饮、痰浊阻肺证、痰热壅肺证、阳气暴脱证,慢性持续期的阳虚饮伏证、气虚痰阻证、气阴虚痰热证,临床缓解期的肺脾气虚证、肺肾气虚证、脾肾阳虚证;血瘀为主要兼证,常兼见于上述证候中。为支气管哮喘的中医药辨证治疗提供了重要依据。

TCM Differentiation Treating Overview of Bronchus Asthma

Objective： To study the diagnostic essentials and dialectical therapy rule of bronchus asthma syndrome.Methods： Based on the recent researches of TCM diagnosis bronchus asthma literature,combined with the long-term clinical practice and research results,summarized the clinical characteristics of bronchial asthma.Results： Considering the basic pathogenesis of acute episode is volts phlegm and phlegm Qi obstructing,give priority to excessive syndrome Chronic duration manifests as deficiency of the lung,spleen and kidney.The lung,spleen and kidney can all be involved,manifesting either as qi deficiency or yang deficiency of the lung,spleen and kidney or yin deficiency of the lung and kidney.Conclusion： Witness for phase syndrome of ten syndromes,namely acute episode exterior cold and interior drink,sputum turbidity obstructing the lung,phlegmy heat obstructing the lung,yangqi suddenly and violently take off.chronic duration including Yang deficiency drink volts,qi obstructive sputum resistance syndrome,qi Yin deficiency sputum heat syndromes,clinical remission including pulmonary spleen-deficiency syndrome,lung kidney qi deficiency syndrome;spleen kidney Yang,deficiency.As the main and blood stasis syndrome often and in the above syndrome.It asthma provides an important basis ror TCM syndrome differentiation and treatment of bronchial.