通腑法治疗小儿喘息性支气管炎

Research progress of Tongfu Therapy for children with asthmatic bronchitis

喘息性支气管炎的病因有内、外因之分,内因责之于肺脾肾三脏不足,痰饮内伏,外因责之于感受外邪,饮食、情志失调等,外因触动伏痰,痰随气升,气因痰阻,痰气搏结于气道,肺宣发肃降功能失常而出现喘息。主要病位在肺,治疗上以治肺为主。肺与大肠在生理病理上密切相关,肺与大肠互为表里,上下相应,肺气郁滞不降,则大肠腑气不通,肠腑气机壅滞又会进一步影响肺的肃降,因而哮喘急性发作时使用通腑法可较快缓解喘息。根据"肺与大肠相表里"理论,在辨证论治基础上辅助使用通腑法治疗小儿喘息性支气管炎能明显提高疗效。

The etiology of asthmatic bronchitis has internal and external causes. The internal cause may be the deficiencies of lung, spleen and kidney. Phlegm is accumulated in the body. The external causes are exogenous pathogens and disorder of diet and emotions. The extemal causes affect the accumulated phlegm and phlegm rises following Qi. The obstruction of Qi is due to retention of phlegm and phlegm is accumulated in airway. Abnormal lung function results in wheezing. The main disease location concerns lung. The treatment should focus on lung. The lung and the large intestine are closely related in pathophysiology. The stagnation of lung Qi will cause the blocked large intestine Qi. Conversely, the blocked large intestine Qi will affect the stagnation of lung Qi. Therefore, we adopt Tongfu Therapy to ease wheeze when acute asthma attack. According to the theory＂the lung and the large intestine being interior-exteriorly related＂, Tongfu Therapy based on syndrome differentiation for children with asthmatic bronchitis can significantly improve the curative effect.