摘要
咳嗽变异性哮喘是一种特殊类型的哮喘,咳嗽是其唯一或主要临床表现,无明显喘息、气促等重要体征,但有气道高反应性。对于本病病因病机的认识大多集中在风、痰、瘀、虚及脏腑功能不调等方面,现根据查阅相关文献及导师多年的临床实践经验,认为风、湿是本病重要的病理因素,风邪主要包括内风与外风,湿邪主要由体质特点和脏腑功能失常,水液运化不及产生的病理产物。故在治疗时针对“风”、“湿”的特点,及肺、肝、脾、肾脏腑的功能进行论治,通过论述小儿CVA因风、湿致咳的理论来源、病因病机、临床表现等,提出风邪、湿邪是小儿CVA发病及缠绵难愈的重要病理基础。根据病理因素在不同的脏腑,可发展为不同的病因病机,故提出祛风散寒、清热利湿、健脾化湿、温肾化气除湿、活血化瘀等治疗方法,以期在治疗与预防儿童CVA上提供新思路,防止迁延,发展为难治的典型支气管哮喘。
Cough variant asthma is a special type of asthma.Cough is its only or main clinical manifestation.There are no important signs such as wheezing and shortness of breath,but there is airway hyperresponsiveness.The understanding of the etiology and pathogenesis of this disease mostly focuses on the aspects of wind,phlegm,blood stasis,deficiency and disharmony of viscera function.Now,according to the years of clinical practice of consulting relevant literature and tutor’s experience,it is considered that wind and dampness are important pathological factors of this disease.Wind evil mainly includes internal wind and external wind.Dampness evil is mainly the pathological product of physical characteristics,abnormal viscera function and insufficient water and fluid transportation.Therefore,the characteristics of“wind”and“dampness”and the functions of lung,liver,spleen and kidney organs are treated during treatment.By discussing the theoretical source,etiology,pathogenesis and clinical manifestations of cough caused by wind and dampness in children with CVA,it is proposed that wind evil and dampness evil are important pathological basis for the pathogenesis and lingering refractory of CVA in children.According to the pathological factors in different viscera,they can develop into different etiologies and pathogenesis.Therefore,some treatment methods are proposed,such as dispelling wind and dispersing cold,clearing heat and dampness,strengthening spleen and removing dampness,warming kidney and removing Qi and dehumidification,promoting blood circulation and removing blood stasis,in order to provide new ideas for the treatment and prevention of CVA in children,prevent delay and develop into refractory typical bronchial asthma.
作者
司秀影
梁嫄
刘洋
刘璐佳
王有鹏
SI Xiuying;LIANG Yuan;LIU Yang;LIU Lujia;WANG Youpeng(Heilongjiang University of traditional Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of traditional Chinese Medicine,Harbin 150001,China)
出处
《辽宁中医杂志》
CAS
2022年第7期58-61,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81874485)
黑龙江中医药大学研究生创新科研项目(2022yjscx006)
作者简介
司秀影(1992-),女,黑龙江绥化人,博士研究生,研究方向:中医药防治小儿呼吸系统疾病;通讯作者:王有鹏(1964-),男,黑龙江哈尔滨人,主任医师,博士生导师,博士,研究方向:中医药防治小儿呼吸系统疾病,E-mail:wangyp8899@163.com。
