基于“酸甘舒痉”治疗肺系疾病中“气道痉急”证候理论应用探析

Analysis of “Sour and Sweet Relieving Convulsion” in the Treatment of Airway Hyperreactivity

"酸甘舒痉"是以酸味药与甘味药合用治疗以"气道痉急"为主要表现的肺病的治法。"气道痉急"即支气管高反应性(Airway hyperreactivity,AHR)和气道重构导致气道狭窄阻塞的一种表现。通过对"酸甘舒痉"治法的历史沿革,古今医家对酸甘合用的经验总结以及"气道痉急"的证候特点和证候实质,证明"气道痉急"是由肺脾肾三脏功能失调,肝失疏泄导致风痰内扰,气虚血瘀,肺络挛缩痉病产生的肺系证候,而酸甘配伍的方剂具有内敛、沉降、益阴、缓急等功能特性,可用于舒解痉挛,为减轻肺系疾病患者痛苦,改善患者的生活质量提供又一新的治疗方法。

"Sour and sweet relieving convulsion"is a method of treating lung disease with"Airway spasm"as the main manifestation by the combination of sour herbs and sweet herbs."Airway spasm"is a manifestation of airway stenosis and obstruction caused by airway hyperreactivity( AHR) and airway remodeling. This article through the historical evolution of the treatment of"Sour and sweet relieving convulsion",summarizes the experience of the ancient and modern physicians on the combination of sour and sweet herbs,and the syndrome characteristics and essence of"airway spasm". It is proved that the"airway spasm"is caused by the dysfunction of the lung,spleen and kidney,liver dysfunction causes internal disturbance of wind and phlegm,Qi deficiency and blood stasis. Lung system syndrome caused by pulmonary collateral contracture and spasm. The combination of sour herbs and sweet herbs has the functions of introversion,precipitation,nourishing yin and relieving acute symptoms,which can be used to relieve convulsion. It provides another new treatment method for alleviating the suffering of patients with lung diseases and improving the quality of life of patients.