摘要
国医大师洪广祥教授深耕肺系疾病五十余年,创新性提出“哮病以痰瘀为宿根,气机壅塞为病机关键”的学术观点,主张“治痰治瘀以治气为先”,并创立经验方剂蠲哮汤(葶苈子、青皮、大黄等),以“泻肺除壅、利气平喘、涤痰祛瘀”为核心治法。本文基于洪教授学术思想,系统构建“气-痰-瘀”动态病机模型,提出小气道功能障碍治疗需以“调气为先”贯穿全程:首重疏利肺气以解气道挛急,辅以通腑降浊促进痰瘀分消,佐以活血通络改善微循环障碍。为小气道功能障碍提供中医诊疗方案。
Professor Hong Guangxiang,a renowned master of traditional Chinese medicine,dedicated over five decades to researching pulmonary diseases.He innovatively proposed the academic theory that"phlegm-stasis serves as the root cause of asthma,with qi stagnation as the pivotal pathological mechanism."Advocating the principle of"Treating phlegm and blood stasis first by treating qi",and he developed the classic formula Juanxiao Decoction(composed of Descurainiae Semen,Citri Reticulatae Pericarpium Viride,Rhei Radix et Rhizoma,etc.)with core therapeutic strategies of"purging lung stagnation,regulating qi to relieve asthma,and eliminating phlegm-stasis."Based on professor Hong's academic philosophy,this paper systematically constructs a dynamic"Qi-Phlegm-Stasis"pathogenesis model,proposing that treating small airway dysfunction should consistently prioritize"qi regulation"throughout the therapeutic process:primarily focusing on dispersing lung qi to relieve airway constriction,supplemented by unblocking the intestines and reducing turbid substances to promote the separation and elimination of phlegm and blood stasis,and assisted by activating blood circulation to improve microcirculatory disorders.This provides a comprehensive TCM diagnostic and therapeutic approach for small airway dysfunction.
作者
阙际汀
张蕊
危佳敏
刘宗林
王蒙
兰智慧
李少峰
QUE Jiting;ZHANG Rui;WEI Jiamin;LIU Zonglin;WANG Meng;LAN Zhihui;LI Shaofeng(Jiangxi University of Traditional Chinese Medicine,Nanchang 330004,China;The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China)
出处
《四川中医》
2025年第9期1-6,共6页
Journal of Sichuan of Traditional Chinese Medicine
基金
国家自然科学基金资助项目(82060841)。
关键词
洪广祥
小气道功能障碍
治痰治瘀以治气为先
Hong Guangxiang
Small airway dysfunction
Treating phlegm and blood stasis first by treating qi
