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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (5): 492-496.

• 中医中药 • 上一篇    下一篇

基于“辛开化瘀”辨治难治性哮喘经验采菁

凌天和1, 凌小浩2*   

  1. 1.中山市中医院,广东 中山 528400;

    2.中山市港口医院,广东 中山 528400

  • 收稿日期:2024-09-29 修回日期:2025-03-23 接受日期:2025-05-08 出版日期:2025-05-28 发布日期:2025-07-23
  • 基金资助:

    2024年度中山市第一批社会公益与基础研究项目(2024SYF01)

Experience of Differentiation and Treatment of Refractory Asthma Based on "Pungent Dispersion and Resolving Stasis"

LING Tianhe1, LING Xiaohao2*   

  1. 1.Zhongshan Hospital of Traditional Chinese Medicine Guangdong Zhongshan 528400, China
    2.Zhongshan Port Hospital Guangdong Zhongshan 528400, China
  • Received:2024-09-29 Revised:2025-03-23 Accepted:2025-05-08 Online:2025-05-28 Published:2025-07-23

摘要:

难治性哮喘表现为哮喘经药物治疗后仍控制不佳,严重影响患者生活质量。若仅从 “宿痰伏肺,外邪引动” 角度辨治该病效果欠佳,阐述难治性哮喘多呈现虚实夹杂的病机,体现在误治失治后导致腠理束闭,邪阻肺络,气机不利,血行失畅,伏饮瘀血缠结,搏结气管,发为“难治性哮喘”。凌小浩教授提出以“辛开化瘀” 治疗难治性哮喘的新思路,深入经典,博采众方,针对“难治性哮喘”的病机创立“宣肺化饮祛瘀方”以辛泻宣表、温化伏饮、行气化瘀,取得了较好的疗效。临证用药的经验为辛散泻邪、宣肺通闭勿忘敛肺,辛温行气、助阳化饮勿忘建中,辛性走窜、活血化瘀勿忘养血。本研究通过跟师学习和整理医案,总结凌小浩教授基于“辛开化瘀” 治疗难治性哮喘的学术经验,并提供典型医案一则,分析难治性哮喘患者的诊疗全过程,以期对临床具有一定指导作用。

 

关键词: 难治性哮喘, 辛开化瘀, 临床经验, 医案分析

Abstract:

Refractory asthma is characterized by poor controlled asthma after drug treatment which seriously affects the patient's quality of life. The treatment effect is not satisfactory solely from the perspective of "phlegm stagnation in the lungs and external pathogenic factors". Refractory asthma often presents a pathological mechanism of mixed deficiency and excess which is reflected in the closure of the pores and collaterals obstruction of the lung meridians by pathogenic factors disordered Qi movement obstruction of blood circulation accumulation of stagnant blood and stasis and constriction of the trachea resulting in "refractory asthma". Therefore a new approach of treating refractory asthma with "pungent dispersion and resolving stasis" is proposed. Professor Ling Xiaohao delved into the classics adopted various formulas and created the "Xuanfei Huayin Quyu Formula" to address the pathogenesis of "refractory asthma". The formula aims to promote the circulation of Qi and remove blood stasis and achieved good clinical effects. This study summarized professor Ling Xiaohao's academic experience in treating refractory asthma based on "pungent dispersion and resolving stasis" and provide a typical medical case to analyze the entire diagnosis and treatment process of patients with refractory asthma which has a certain guiding role in clinical practice.


Key words:  , Refractory asthma , Pungent dispersion and resolving stasis , Clinical experience , Medical case analysis

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