中西医治疗咳嗽变异性哮喘研究进展

Research Progress of Chinese and Western Medicine for Cough Variant Asthma

目的:探讨中医药治疗咳嗽变异性哮喘的研究进展,总结中医治疗本病的优势和不足。方法查阅相关文献,探讨近年来中西医治疗咳嗽变异性哮喘的方法、机制和规律的研究进展,分析其疗效,总结优势和不足。结果西医研究认为咳嗽变异性哮喘若诊断明确,应停止应用抗生素,避免过敏原,治疗原则同支气管哮喘。中医治疗多在祛邪止咳的同时扶正补虚,兼顾肺脾肾三脏。结论西药治疗咳嗽变异性哮喘效果较好,且见效快,但停药后再次遇到致敏源多会复发。中医治以'扶正、祛邪',疗效亦较满意,且不易复发。

Objective This paper is to evaluate the progress of medicine and Chinese medicine treatment of cough variant asthma(CVA)and summarize the advantages and disadvantages of treatment of this disease.Methods The relevant reports on treatment of CVA in the rule of syndrome differentiation and treatmen,progress effect mechanism were investigated,the effect and advantage and summarized,and the problems in clinical study evaluation were also analyzed.Results Master the principles of western medicine treating CVA was same as bronchial asthma,stopping antibiotics and avoiding allergen after confirmed diagnosis.Master the principles of Chinese medicine treating CVA was eliminating evil and tonifying deficiency,and based on the perspective of the lung,spleen and kidney.Conclusion CVA could get effective treatment using Western medicine,but recurrence rate after ceasing of treatment was high.Curative effects of tonifying deficiency and eliminating evil for CVA were proved,and clinical studies showed obvious advantages and is not easy recrudesce.