从五脏七情论治胸闷变异型哮喘

Discussion on Treatment of Chest Tightness Variant Asthma According to the Relationship Between Five Zang-organs and Emotions of TCM

胸闷变异性哮喘(Chest Tightness Variant Asthma,CTVA)是一种新的哮喘亚型,是一种以胸闷为唯一临床症状的特殊类型的哮喘病证,存在气道高反应性和可逆性气流受限以及典型的哮喘病理特征,对吸入性皮质类固醇(ICS)或ICS吸入加长效β2受体激动剂(LABA)治疗有效。该文从五脏七情出发,结合现代医学对胸闷变异性哮喘发病的认识,强调舒缓情志、调畅气机对治疗该病的重要性,丰富了CTVA的诊疗思路。

Chest tightness variability asthma is a new type of asthma subtype,which is a special type of asthma symptoms,which is characterized by the unique clinical symptoms of chest tightness,and has the characteristics of airway hyper responsiveness and reversible airflow limitation,as well as the typical characteristics of asthma,which is effective for the treatment of inhaled corticosteroid（ICS）or corticosteroid ICS or long-β2-agonist（LABA）. This article embarks from the five zang-organs and seven emotions,combined with modern medicine understanding of chest tightness variant asthma onset,emphasis on ease of modern,factors on the importance of the treatment of the disease,enriched CTVA diagnosis and treatment.