基于“络病学说”探析儿童闭塞性细支气管炎的经验探析

Analysis of the experience in children's bronchiolitis obliterans based on the theory of collateral diseases

儿童闭塞性细支气管炎是一种不可逆的阻塞性肺疾病,临床上本病迁延难愈,预后较差,中医对该病的治疗具有独特的优势。文章以络脉理论为基础,先就该病的疾病特点与络病的相关性进行探讨,认为该病具有络病特点。基于络病学理论探析该病的病因病机,认为本病为本虚标实,正虚是发病的根本原因,为其本,痰瘀毒既是致病因素又是病理产物,为其标,而肺络郁痹是其基本病机。因此,该病的治疗原则应遵循通补兼施,标本兼顾的原则。

Bronchiolitis obliterans in children is a kind of irreversible obstructive pulmonary disease.Clinically the disease is difficult to be cured and the prognosis is poor.Traditional Chinese medicine has its unique advantage in the treatment of this disease.Based on the theory of collaterals,this paper first discusses the relationship between the disease characteristics and collateral disease and concludes that the disease has the characteristics of collateral disease.Based on the theory of collateral diseases,the etiology and pathogenesis of the disease are analyzed.It is believed that the positive deficiency is the root cause of the disease.The phlegm stasis toxin is both the pathogenic factor and the pathological product,and the lung pulmonary collateral depression and numbness is the basic pathogenesis.Therefore,the treatment for this disease should follow the principle of a comprehensive treatment,giving consideration to both causes and symptoms.