王孟清教授从伏痰论治咳嗽变异性哮喘经验

Professor WANG Mengqing's Experience in Treating Cough Variant Asthma from Hidden Phlegm

咳嗽变异性哮喘是儿童慢性咳嗽的常见病因之一,其病程长、反复发作、迁延不愈,部分患儿发展成为典型哮喘,给患儿及家属带来了极大的精神伤害和经济负担。王孟清教授对该病的诊治经验颇丰,且有独到见解,临证时多从伏痰论治,提出以发作期、慢性持续期、缓解期三期辨证治疗的原则。发作期以肺热证多见,治以泻白散加味;慢性持续期寒痰阻肺证方用三拗二陈汤加减,痰热雍肺证方用五虎汤加减;缓解期肺脾气虚证以玉屏风散合人参五味子汤加减,肺肾阴虚者以麦味地黄丸加减。临证中完善了适寒温,节饮食的调护法则。

Cough variant asthma is one of the common causes of chronic cough in children.It has a long course,recurrent episodes,and persistence.Some children develop into typical asthma,which causes great psychological harm and economic burden to children and their families.Professor WANG Mengqing has extensive experience in the diagnosis and treatment of this disease,with unique insights.In clinical treatment,it is often treated from hidden phlegm,and proposes the principle of three stages of syndrome differentiation based on onset stage,chronic persistent stage,and remission stage.Sick children are mainly in lung heat in the onset stage,and will be treated with modified Xiebai Powder.In the chronic persistent stage,the sick children with cold phlegm blocking lung are treated with modified San’ao Erchen Decoction,while those with phlegm heat congesting lung are treated with modified Wuhu Decoction.In the remission stage,the sick children with Qi deficiency of lung and spleen are treated with modified Yupingfeng Powder combined with Renshen Wuweizi Decoction,while those with Yin deficiency of lung and kidney are treated with modified Maiwei Dihuang Pills,which improves the regulation methods of cold and warm adaptation and proper diet.