黄吉赓治疗痰饮哮喘临床经验

Experience by Professor HUANG Jigeng in Treating Asthma of Phlegm and Rheum Pattern

总结名老中医黄吉赓教授治疗痰饮哮喘的临床经验。黄教授认为痰饮哮喘病机总属“肺脾肾不足,痰饮内生”,“痰饮伏肺”贯穿本病的始终。他吸取多位古代中医学家的学术思想归纳为“痰饮之动主于脾,痰饮之成贮于肺,痰饮之根源于肾”,并结合临床,形成一套完整的辨证论治体系。诊治过程中,要辨清痰饮的不同属性,重视痰饮病机转化和兼夹证;遣方用药上,要寒温并用、宣降兼施,辨证精准随机用药,化痰不忘行气活血,哮喘病久,注重补肾等。临证重视阳虚阴盛痰饮哮喘向阴虚痰饮转变,并提出阴虚痰饮证辨治,临床上灵活运用泽漆汤。附验案1则。

To sum up the experience by Professor HUANG Jigeng in treating asthma of phlegm retention pattern.Professor HUANG holds that the disease mechanism of asthma of phlegm and rheum pattern is“deficiency of lung,spleen and kidney with endogenous of phlegm and rheum”,and“phlegm and rheum retention in the lung”is dormant in the disease development.He has drawn on the academic thoughts of various experts of traditional Chinese medicine(TCM)in the ancient to form a conclusion that“phlegm and rheum retention is produced by the spleen,deposit in the lungs and originated from the kidney”.Based on clinic practice,he has formed a comprehensive system of syndrome differentiation and treatment.During the diagnosis and treatment,the different properties of phlegm and rheum should be distinguished,the transformation of the disease mechanism and accompanied symptoms should be emphasized.On prescription,cold and warm medicines should be applied together,dissemination and descending should be carried out together.Accurate syndrome differentiation should be combined with flexible medication.Resolving phlegm should be combined with moving qi and activating blood,and for the chronic case,kidney should be tonified.In clinic,the conversion from yang deficiency with yin predominance to yin deficiency should be emphasized.Syndrome differentiation and treatment for phlegm and rheum due to yin deficiency pattern is proposed by Professor HUANG.Zeqi Decoction(泽漆汤)should be applied with flexibility.There is one proved case attached.