摘要
总结周兆山教授运用渗湿法分期治疗支气管哮喘(简称哮喘)的经验。认为湿邪是哮喘发病的关键病理因素。湿聚为水,积水成饮,饮凝为痰,内伏于肺,外邪引触伏痰,以致痰气互结,气道闭塞,升降失常,肺气上逆,发为哮喘。治疗强调分期论治,急性发作期以寒湿阻肺证、湿热蕴肺证及少阳郁热证为主,寒湿阻肺证予自拟温肺渗湿汤以温肺散寒、渗湿平喘,湿热蕴肺证予自拟清肺渗湿汤以清肺泄热、渗湿平喘,少阳郁热证予自拟柴胡渗湿汤以和解少阳、清热渗湿;缓解期立足肾虚体质,以补肾渗湿为法,自拟补肾渗湿汤以补肾渗湿、纳气平喘。
This paper summarized Professor ZHOU Zhaoshan's clinical experience in treating bronchial asthma(abbreviated as asthma)by stages with dampness-draining method.It is believed that pathogenic dampness is the key pathological factor in the onset of asthma.Dampness accumulates into water,which gathers into rheum;the condensed rheum forms phlegm,which lingers in the lungs.When external pathogens trigger the latent phlegm,phlegm and qi become mutually obstructed,leading to airway obstruction,disrupted qi movement,and upward reversal of lung qi,thereby resulting in asthma attacks.The treatment emphasizes a stage-based approach.During acute attacks,the main syndromes include cold-damp obstructing the lungs,damp-heat accumulating in the lungs,and shaoyang(少阳)constraint with heat.For the syndrome of cold-damp obstructing the lungs,a self-formulated Wenfei Shenshi Decoction(温肺渗湿汤)is used to warm the lungs and disperse cold,drain dampness and relieve panting;for the syndrome of damp-heat accumulating in the lungs,a self-formulated Qingfei Shenshi Decoction(清肺渗湿汤)is employed to clear the lungs and expel heat,drain dampness and relieve asthma;and for the syndrome of shaoyang constraint with heat,a self-formulated Chaihu Shenshi Decoction(柴胡渗湿汤)is administered to harmonize the shaoyang,clear heat and drain dampness.During the remission stage,treatment is based on the underlying kidney-deficiency constitution,and a self-formulated Bushen Shenshi Decoction(补肾渗湿汤)is formulated to tonify the kidneys and drain dampness,improve qi reception and relieve panting.
作者
王浩然
孙英
刘娜
王凤婵
韩萍
李鹏
赵国静
胡海波
陆学超
周兆山(指导)
WANG Haoran;SUN Ying;LIU Na;WANG Fengchan;HAN Ping;LI Peng;ZHAO Guojing;HU Haibo;LU Xuechao(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Jinan,250014;Qingdao Traditional Chinese Medicine Hospital)
出处
《中医杂志》
北大核心
2025年第23期2416-2420,共5页
Journal of Traditional Chinese Medicine
基金
山东省医学会临床科研专项资金(YXH2022ZX03228)
青岛市医药科研指导计划(2020-WJZD053)
青岛市中医药科技项目(2021-zyyq03)。
关键词
支气管哮喘
湿邪
渗湿法
名医经验
周兆山
bronchial asthma
pathogenic dampness
dampness-draining method
experience of famous doctors
ZHOU Zhaoshan
