抗支糖浆在寒地儿童咳嗽变异性哮喘急性发作期中的应用

Application of Anti-bronchial Syrup in Children with Cough Variant Asthma in Cold Region

探讨寒地儿童咳嗽变异性哮喘急性发作期的发病特点与抗支糖浆在中医诊治中的运用。寒地儿童咳嗽变异性哮喘急性发作期病机特点为风寒束肺、肺失宣降,燥热灼肺、肺失濡润,湿热蕴肺、肺气壅滞。本病急性发作期以咳嗽为主要或唯一症状,无证可辨,当先辨病,在治疗中应紧抓其肺气壅滞,宣降失司的病机特点,以抗支糖浆为基础方宣肺启闭、清热解毒,同时结合寒地风寒、燥热、湿热的发病诱因或发病季节邪气主令特点,分别治以疏风散寒、宣肺降气,润燥清热、养肺滋阴,分消湿热、开肺化滞之法。

To explore the characteristics of cough variant asthma(CVA)in children in cold region and the application of anti-bronchial syrup. This study points out the pathogenesis of CVA in children in cold regions is characterized by wind-cold constricting the lung,and effecting the dispersing and descending of the lung,dry-heat burning the lung and losing the moisturize,damp-heat accumulating in the lung and stagnating lung qi. Cough is the main or only symptom of this disease,and there is no syndrome to be identified. It is necessary to identify the disease first. During the treatment,we should pay attention to the stagnation of lung qi,and disturbance of diffusion and descend. Based on anti-bronchial syrup,it is formulated to disperse the opening and closing of the lungs,clear heat and detoxify,and at the same time combine the pathogenic factors of wind-cold,dry-heat,and dampheat during the onset season. The method of expelling wind and cold pathogens,dispersing lung qi for lowering adverse,moistening dryness and clearing heat,nourishing lung and nourishing yin,eliminating dampness and heat,opening lung and resolving stagnation should be adopted respectively.