张志远标本兼顾治疗哮喘临床经验

Clinical Experience of ZHANG Zhiyuan in Treating Root and Branch of Asthma Simultaneously

张志远教授对哮喘的治疗有独特见解,认为五脏六腑功能失调累及于肺,均可出现咳喘,但治疗不能仅仅局限于肺,哮喘发生的根本为脾肾亏虚或肝火过旺,标为肺失宣降,故哮喘应标本兼治,除治以宣肺平喘外,还应补肾、健脾、清肝,临床常用陈夏六君汤、肾气丸加小青龙汤、清肝平喘方等加减治疗。

ZHANG Zhiyuan has unique insights in the treatment of asthma,he believes that the visceral dysfunction involving the lung can cause cough with asthma but the treatment is not limited to the lung. The root causes of asthma are the spleen and kidney deficiency or excessive liver-fire,the branch is the impairment of dispersing and descending function of the lung,so the branch and root of asthma should be treated simultaneously. Besides diffusing the lung and relieving asthma,tonifying the kidney,invigorating the spleen and removing heat from the liver are also used. Chenxia Liujun decoction,Shenqi pill,Xiaoqinglong decoction and Qinggan Pingchuan prescription were commonly applied in clinical treatment through adding and subtracting to treat asthma.