从“肺为血脏”论瘀在支气管哮喘中的意义

Treating Bronchial Asthma from“Lung Being the Zang-Organ for Blood”

支气管哮喘是呼吸系统常见病,其发病率呈逐年上升趋势,归属中医学"哮证""喘证"等范畴,纵观各代医家多从气、痰等方面论述哮喘,少有从瘀阐述者。张伟教授认为肺不仅为气脏,亦为血脏,对血液的生成和运行起着重要作用。从肺生血,朝百脉、主治节,气、血、津液三者关系方面论述"肺为血脏",多血即易致瘀,又哮喘常反复发作,病史较长,久病易成瘀,故瘀在支气管哮喘之发生、发展过程中具有重要的意义。治瘀可贯穿于治哮之始终,临床中应灵活运用活血化瘀类药物,辨证施治。

Bronchial asthma is a common disease of the respiratory system,and its incidence is increasing year by year.It belongs to wheezing syndrome and asthma sydrnome in traditional Chinese medicine.The physicians discussed the disease mostly from Qi,phlegm and other aspects of asthma,seldom from the blood stasis.Professor ZHANG Wei believes that the lung is not only the Zang-organs for Qi but also the Zang-organ for blood and plays an important role in the formation and operation of blood.It is discussed from the lung generating blood,relating to vessels and dominating the regulations of Qi,blood and body fluid and the relationship amongQi,blood and body fluid.Excessive blood is easy to cause blood stasis.The asthma is often recurrent and long-term illness is easy to lead to blood stasis.And so blood stasis has important significance in the occurrence and development of bronchial asthma.The treatment of blood stasis can be carried out throughout the treatment,flexibly using drugs for resolving blood stasis and treatment based on syndrome differentiation.