董氏儿科运用杜痰法治疗小儿哮喘缓解期经验

Clinical experiences of treating stable asthmatic children with the sputum extermination method in DONG's pediatrics

"杜痰",就是杜绝其生痰之源。"董氏儿科"认为小儿哮喘缓解期的基本病机为:病久肺脾肾三脏不足,水液运行障碍不化精微反酿浊饮,且"正不存内,易致邪凑"。故以"痰之本源于肾,痰之动主于脾,痰之成贮于肺"作为理法依据,临床在哮喘缓解期以杜痰为主,灵活施治,适量用药,治疗获效良多。

The significance of ＇sputum extermination＇ consists in exterminating the sources of eliciting sputum. ＇DONG＇s pediatrics＇ deems the fundamental pathogenesis of children＇s stable asthma lies in the deficiency of lung, spleen and kidney after long disease, the disturbance of aqueous liquid which leads to turbid phlegm instead of digesting essence, and ＇the inexistence of vital qi to resist the evil＇. Therefore, based on the prescription principle that ＇the origination of sputum is in kidneys, the moving of sputum is governed by spleen, and the forming of sputum is in lungs＇, the clinical treatment of stable asthma which mainly lies in exterminating sputum, together with flexible treatment and proper medication, has achieved remarkable effect.