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基于“伏邪”理论探讨儿童闭塞性细支气管炎的分期论治 被引量:1

Staged prevention and treatment of occlusive bronchiectasis in children based on the theory of“Latent Evil”
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摘要 儿童闭塞性细支气管炎是以持续咳嗽、喘息、呼吸困难等为特点的慢性气流阻塞性肺病,在儿童中相对少见且迁延难愈。基于伏邪理论,儿童闭塞性细支气管炎主要病机为伏邪藏内,外邪诱发。急性期表里同病,应驱除外因,并区分内因之伏风、伏痰、伏瘀、伏燥,分别治以祛风邪、涤伏痰、通血络、润肺燥;持续期余邪未清,正气未复,应清解余邪、扶助正气,治以顾护脾胃、补肾益精;缓解期正虚为主,应益气温阳、防止复发。根据临床不同阶段辨证施治,随证加味,行之有效。 Occlusive bronchitis in children is a chronic airflow obstructive lung disease characterized by persistent cough,wheezing and dyspnea,which is relatively rare in children and difficult to be cured.Based on the theory of latent evil,it is believed that the main pathogenesis of occlusive bronchitis in children is that volatile evil hides inside and external evil triggers it.In the acute stage,the external causes should be eliminated,and the internal causes of voodoo wind,voodoo phlegm,voodoo stasis and voodoo dryness should be distinguished,and the treatment should be to dispel the wind evil,clean voodoo phlegm,ventilate blood circulation and moisten lung dryness respectively.According to the different stages of clinical diagnosis and treatment,adding flavors according to the evidence is effective.
作者 郭楠楠 冯刚 李亚伟 常雅新 GUO Nannan;FENG Gang;LI Yawei(School of Pediatrics,Henan University of Chinese Medicine Department of Pediatrics,Zhengzhou Henan 450000,China;The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou Henan 450000,China)
出处 《四川中医》 2023年第10期22-25,共4页 Journal of Sichuan of Traditional Chinese Medicine
基金 河南省中医药科学研究专项课题(编号:20-21ZY2023)
关键词 闭塞性细支气管炎 伏邪 儿童 分期论治 occlusive fine bronchitis latent evil children staged treatment
作者简介 第一作者:郭楠楠,硕士研究生在读,主要研究方向:中医药防治小儿神经系统疾病研究,E-mail:619513928@qq.com;通讯作者:冯刚,博士,副教授,主要研究方向:中医药防治小儿神经系统疾病研究,E-mail:drfenggang036@163.com。
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