闫慧敏运用调理气机法分型论治儿童胸闷变异性哮喘经验

Professor YAN Huimin's Experience in Pattern Identification and Treatment of Chest Tightness Variant Asthma in Children Based on the Method of Regulating Qi Movement

总结闫慧敏教授运用调理气机法分型论治儿童胸闷变异性哮喘的临证经验。认为儿童胸闷变异性哮喘病位主要在肺,涉及肝、脾,核心病机为气机不利。临证以调理气机为基础分型进行辨治:肺气虚寒、痰饮内伏证,治宜补肺益气、温化痰饮,常用玉屏风散合小青龙汤加减;痰气郁结证,治宜疏肝解郁、化痰散结,常用半夏厚朴汤合金铃子散加减;气虚血瘀证,治宜补虚扶正、行气活血,常用血府逐瘀汤加减。治疗过程应把握疾病发展动态,分型论治,尤其注重气机变化。

To summarize the clinical experience of Professor YAN Huimin in pattern identification and treatment for chest tightness variant asthma in children with the method of regulating qi movement.It is believed that children's chest tightness variant asthma is mainly located in lungs and involves liver and spleen,and the core mechanism of the disease is disturbance of qi movement.On the basis of regulating qi,syndrome differentiation and treatment is con-ducted:for pattern of lung qi deficiency and cold,phlegm-fluid retention,the treatment is appropriate to tonify the lung and benefit qi,and warm phlegm-fluid,which commonly used in modified Yupingfeng Powder(玉屏风散)and Xiaoqinglong Decoction(小青龙汤);for pattern of phlegm and qi binding constraint,the treatment is appropriate to soothe the liver and resolve constraint,and dissolve phlegm and dissipate masses,which commonly used in modified Banxia Houpo Decoction(半夏厚朴汤)and Jinlingzi Powder(金铃子散);for pattern of qi deficiency and blood stasis,the treatment is appropriate to tonify the deficiency to reinforce healthy qi,and move qi to invigorate blood,which commonly used in modified Xuefu Zhuyu Decoction(血府逐瘀汤).It is emphasised that during the treatment process,the developmental dynamics of the disease should be grasped,patterns and treat should be identified,and special attention to the changes of qi movement should be paid.