基于寒地病因特点探讨儿童哮喘缓解期的中医诊治

Exploration on the TCM diagnosis and treatment of children asthma in its remission period based on the etiological characteristics incold areas

通过分析寒地的概念与寒地地形、气候、起居、饮食特点,指出寒地风、寒、燥热多见的病因特点,探讨寒地儿童哮喘缓解期的中医诊疗方法。指出寒地儿童哮喘缓解期宿根以痰浊内伏为主,治疗应本于伏痰,采用分消走泄法,代表方剂温胆汤为基础方,并根据寒地病因所致伏风、暗瘀、郁火之特点,分别治以搜风剔络、柔肝息风,温阳通络、化痰行瘀,润肺复络,凉燥开郁,以补脏虚,化伏痰,祛留邪。

By analyzing the concept of cold areas and the features of terrain,climate,daily life and diet in those areas,this paper argues for the prevalent etiological features of wind,cold and dryness-heat and probes into the TCM diagnosis and treatment methods for children asthma in the remission stage in cold areas.It points out that the disease is mainly rooted in the latent phlegm and turbidity,and its treatment should be targeted at the latent phlegm by employing the Wendan Decoction as a representative basic prescription for eliminating pathogens through purgation and diuresis.Besides,according to its etiological features of latent wind,dark blood stasis and stagnant fire,the disease should be treated by expelling wind out of collaterals,softening liver for calming wind,warming yang and dredging collaterals,resolving phlegm and blood stasis,moistening lung and activating collaterals,cooling dryness and relieving depression.All the above methods are utilized to achieve the purpose of tonifying viscera deficiency,resolving latent phlegm and dispelling lurking pathogens.