摘要
刘晓萍教授将小儿咳嗽变异性哮喘的病机归纳为:形寒饮冷使小儿肺、脾、肾三脏之阳受戕,阳虚化气不足,湿瘀乃生,湿瘀成痰,客于肺脉,扰“龙虎回环”,肝肺气乱,气运不顺,上逆为咳。刘晓萍教授将小儿咳嗽变异性哮喘的病程分为四期:外寒寒饮伤肺期(初咳期)、肺脾两伤期(湿瘀交结期)、肝肺不和期(久咳期)、真阳不足期(喘期)。治病先辨期,刘晓萍教授首以舌象辨分期,后以温阳化瘀祛湿、降肺升肝调气为治病大法,定“苓甘五味姜辛汤加柴桂方”为治疗小儿咳嗽变异性哮喘四期的基础方,在根据患儿所处病期不同来定柴胡的用量,同时基于子午流注理论定患儿服药时间,临床应用获得较好疗效。
Professor Liu Xiaoping summarized the pathogenesis of cough variant asthma in children as follows:eating cold food in cold temperature caused the Yang of children’s lungs,spleen and kidney organs to be punished,deficiency of Yang and Qi caused the wet stasis,which generated sputum and settling in the lung vein,disturbed"dragon tiger ring",qi in liver and lung was disrupted,and inversed as cough.Dr.LIU divided the course of children cough variant asthma into four stages:external cold drink injury lung stage(initial cough stage),lung and spleen injury stage(wet stasis stage),liver lung disharmony stage(chronic cough stage),true Yang deficiency stage(asthma stage).In the first stage,Dr LIU distinguished the stages by tongue image,then took warming yang to remove stasis and dampness,descending lung and ascending liver to regulate Qi as the main treatment method,and determined Linggan Wuwei Jiangxin Decoction plus Chaigui Decoction(苓甘五味姜辛汤加柴桂方)as the basic prescription for the treatment of children with cough variant asthma in four stages.According to the different stages of children’s disease,the dosage of Chaigui(Bupleurum)was determined,and the medication time was determined based on the midday-midnight point selection theory.The clinical application achieved good results.
作者
邵华
刘晓萍
张娜
SHAO Hua;LIU Xiao-ping;ZHANG Na(Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712046,China;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712000,China)
出处
《中医药导报》
2021年第6期157-159,163,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
陕西省名中医刘晓萍工作室(陕中医药发[2013]33号)。
关键词
小儿咳嗽变异性哮喘
温阳调气
苓甘五味姜辛汤加柴桂方
子午流注
cough-variant asthma in children
warming yang regulating qi
Linggan Wuwei Jiangxin Decoc-tion plus Chaigui Decoction
midday-midnight point selection
