文章摘要
陈华教授祛风涤痰法治疗小儿咳嗽变异性哮喘经验浅析
Professor Chen Hua's experience in the treatment of pediatric cough variant asthma by expelling wind and eliminating phlegm
投稿时间:2019-12-11  修订日期:2020-05-20
DOI:
中文关键词: 咳嗽变异性哮喘  祛风涤痰法  风痰伏肺  分期论治  陈华  名医经验  儿科病症
英文关键词: Cough variant asthma  Expelling wind and eliminating phlegm  Chen Hua  Experience of famous doctor
基金项目:浙江省第七批省级名中医工作室建设项目(陈华)(N0.1X11928)
作者单位E-mail
金丹 浙江中医药大学 543279391@qq.com 
杨伟吉 浙江中医药大学  
胡万建 浙江中医药大学  
陈华 浙江中医药大学 chenhuazj@163.com 
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中文摘要:
      [目的]总结陈华教授对小儿咳嗽变异性哮喘的辨治经验。[方法]从病因病机、遣方用药等方面阐释陈华教授治疗小儿咳嗽变异性哮喘的临床经验及方药特色,并通过临床验案加以佐证。[结果] 陈师认为风痰伏肺为咳嗽变异性哮喘的病理基础,针对咳嗽变异性哮喘的不同病机,以祛风涤痰为总则贯穿病程始终,佐以宣肺、清肺、润肺、温肺、补肺等不同的治法,早期祛风为主,中期涤痰为重,后期顾护脾胃,培土生金以杜生痰之源。所举医案辨证为风寒袭肺之咳嗽,治以祛风化痰、宣肺止咳,方用止嗽散合麻黄射干汤加减获得良好疗效。[结论]陈华教授治疗咳嗽变异性哮喘辨证精确、用药精当、疗效显著,对指导临床有较高实用价值。
英文摘要:
      ABSTRACT: [objective] to summarize Professor CHEN Hua's experience in the diagnosis and treatment of pediatric cough variant asthma. [methods] Professor CHEN Hua's clinical experience and prescription characteristics in the treatment of pediatric cough variant asthma are explained from the aspects of etiology and pathogenesis, prescription medication, etc and proved by clinical case. [results] Professor CHEN think that wind-phlegm lying in the lungs is the pathological basis, in view of the different pathogenesis of cough variant asthma, expelling wind and purging phlegm as the general principle throughout the course of the disease, supplemented by different treatment methods, such as expelling the lungs, clearing the lungs, moistening the lungs, warming the lungs, tonifying the lungs, etc. Mainly dispelling wind in the early stage, clearing phlegm in the middle stage, taking care of the spleen and stomach in the later stage, cultivating soil and producing Jin to inhibit the source of phlegm. The medical case characterized by cough with wind chill, treated by dispelling the wind phlegm, lung and cough and using zhisousan and sheganmahuang soup has achieved good curative effect. [conclusion] Professor CHEN Hua has the experience of accurate syndrome differentiation, precise medication and remarkable curative effect in the treatment of cough variant asthma, which has high practical value in guiding clinic.
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