王烈教授以风气痰瘀论治小儿哮喘经验

Prof.Wang Lie's Experiences in Treatment of Infantile Asthma Based on the Theory of Wind,Qi,Phlegm and Stasis

王烈教授毕生致力于小儿肺系疾病的防治研究,尤其对小儿哮喘病的防治有独到的见解。尊古创新,首创哮喘三期分治论,并在此理论研究的基础上创立了止哮汤、缓哮汤、防哮汤、固哮汤、哮咳饮等一系列防治哮喘的方剂。王烈教授认为哮喘病反复发作是与先天不足、后天失养,肾亏、脾虚、肺弱以及风、气、痰、瘀有关。哮喘发病过程中自始至终贯穿的病理因素是痰,因此治痰必先理气;痰浊蕴肺,表现为痰瘀互结,因此治痰常兼治血。故王老在三期分治过程中始终贯穿祛风、理气、除痰、化瘀之法。文章从风气痰瘀论治小儿哮喘,认为祛风、化瘀是治标,固肺、脾、肾之气,从而达到化伏痰是治疗哮喘之根本。

Prof.Wang Lie has engaged with his whole life in the study on the prevention and treatment of lung system diseases in children,and has especially accumulated the unique understandings on the prevention and treatment of infantile asthma.Respecting the ancient theory and creating innovation,Prof.Wang established three-stage treatment of asthma,＂asthma seedling stage＂ theory and asthma-cough theory.Based on those theories,a series of formulas for asthma prevention and treatment has been prepared,such as zhi xiao tang,huan xiao tang,fang xiao tang,gu xiao tang and xiao ke yin.Prof.Wang thought that the repeated attack of asthma is related to congenital deficiency,acquired malnutrition,kidney deficiency,spleen deficiency,lung deficiency,wind,qi,phlegm and stasis.Phlegm is the key pathological factor in the entire progression of asthma,and qi regulation is the basis of phlegm removal.Blockage of phlegm in the lung manifested as interaction of phlegm and stagnation.Hence,blood regulation should be considered together with phlegm removal in treatment.In Prof.Wang＇ s three-stage treatment,eliminating wind,regulating qi,resolving phlegm and removing stasis are the general and basic treating principle.In the treatment of infantile asthma in terms of wind,qi,phlegm and stasis,eliminating wind and removing stasis are for relieving the symptoms and strengthening qi of lung,spleen and kidney so that the root cause of asthma can be removed in light of resolving phlegm.