摘要
咳嗽变异性哮喘(CVA)是小儿呼吸系统常见病及多发病。近些年来,随着空气污染的加重、生活习惯的变化及社会压力的增大,儿童CVA发病人数逐年增加,对患儿的身心发育及社会活动造成了较大影响。现代医学治疗CVA疗效确切,但用药疗程较长、患儿依从性低,显著增加了副作用。中医治疗具有疗效确切、副作用少的明显优势。秦艳虹教授认为CVA的发生为内外因共同作用的结果,外邪以风邪为主导,内因多责之于小儿肺脾不足,病机关键为风痰内伏、肺气上逆,病理因素以风、痰、气为主,治疗上强调疏风化痰理气,自拟“止咳汤”加减治疗。由于CVA病程较长,不同时期病理侧重不同,临证时强调分期论治,发作期时以祛邪为主,恢复期以补虚祛邪并用,疗效显著,深受家长认可。
Cough-variant asthma(CVA)is a common and frequently occurring respiratory disease in children.In recent years,with the aggravation of air pollution,the change in living habits and the increase in social pressure,the number of CVA cases in children is increasing year by year,which has a great impact on the physical and mental development of children and their social activities.Modern medicine is effective in treating CVA,but the treatment course is long and the compliance of children is low,which significantly increases the side effects.Traditional Chinese medicine treatment has the obvious advantages of definite curative effect and few side effects.Professor Qin Yanhong believes that the occurrence of CVA is the result of internal and external causes:the external evil is dominated by wind evil,and the internal cause is often the deficiency of lung and spleen in children.The key pathogenesis is the internal accumulation of wind sputum and the upward reversal of lung qi,and the pathological factors are mainly wind,sputum and qi,so the treatment emphasizes on dispersing wind,eliminating phlegm and regulating qi,and the self-designed"Zhike decoction"with modification is used to treat the disease.Due to the long course of CVA disease,and because the pathological focus of different periods is different,the treatment by stage is emphasized in clinical practice,the main treatment is to remove the evil during the attack period and to reinforce the deficiency and remove the evil during the recovery period.The effect is significant,and it is well recognized by parents.
作者
张民杰
秦艳虹
张素峰
ZHANG Minjie;QIN Yanhong;ZHANG Sufeng(Department of Pediatrics of Shanxi Hospital of Integrated Traditional Chinese and Western Medicine,Taiyuan 030000,China;Department of Pediatrics of Shanxi University of Traditional Chinese Medicine Affiliated Hospital,Taiyuan 030000,China)
出处
《中国中西医结合儿科学》
2024年第5期455-457,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
咳嗽变异性哮喘
中医
秦艳虹
经验
儿童
Cough-variant asthma
Traditional Chinese medicine
Qin Yanhong
Experience
Child
