摘要
咳嗽变异性哮喘(cough variant asthma,CVA)为临床常见疾病,目前诊治过程较欠缺时间观的运用。传统医学中的时间观念体现整体与辨证,对CVA的诊治具有积极意义。通过读文献、查古籍,从时间观念角度再次认识CVA,探讨丰富诊治之法。探讨了农耕火种时代到基因分子时代时间观念在医学领域中的发展与变迁。探讨了CVA发病特征、病理过程中的时间特性,探讨了时间观在现代诊治中的运用。探讨分析了CVA证候、脏腑、经络的时间特性,拓展辨证与辨时结合的思路。总结了中药采集、修制、煎煮及服用中的时间问题,提出CVA汤剂择时运用的必要性。围绕时间观多方位论述,丰富了CVA诊治视野。介绍了时间针刺(子午流注)治咳,并举纳甲法针治CVA验案1例。
Cough variant asthma(CVA)is a common clinical disease,and the current diagnosis and treatment process lacks the application of time view.The concept of time in traditional medicine reflects the entirety and syndrome differentiation,which has positive significance for the diagnosis and treatment of CVA.By reading literature and searching ancient books,CVA was understood again from the perspective of time concept,and the methods of diagnosis and treatment were explored.This paper discusses the development and change of time concept in medical field from slash and burn era to gene and molecular era.The characteristics of CVA and the time in the pathological process were discussed,and the application of time view in modern diagnosis and treatment was discussed.The time characteristics of CVA syndromes,zangfu organs and meridians were discussed and analyzed,and the combination of syndrome differentiation and time differentiation was expanded.This paper summarizes the time problems in the collection,preparation,decoction and taking of traditional Chinese medicine,and puts forward the necessity of using CVA decoction at the right time.The multi-directional discussion around the time view enriches the field of diagnosis and treatment of CVA.This paper introduces the time acupuncture(ziwu liuzhu)for cough,and an experimental case of CVA treated with Najia acupuncture.
作者
吴文超
陈婷
孟泳
WU Wenchao;CHEN Ting;MENG Yong(The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou450003,China;The First Affiliated Hospital of Shanxi University of Chinese Medicine,Xianyang712000,China)
出处
《云南中医药大学学报》
2024年第1期11-16,共6页
Journal of Yunnan University of Chinese Medicine
基金
河南省中医药科学研究重大专项课题(20-21ZY2200)。
关键词
咳嗽变异性哮喘
时间医学
子午流注
证候
汤剂
cough variant asthma
time medicine
meridian flow
symptoms
decoction
