国医大师王烈教授治疗小儿哮喘缓解期四方解析

Analysis of four prescriptions for children with asthma remission stage by TCM master professor WANG Lie

国医大师王烈教授于1988年率先提出小儿哮喘三期分治理论,即发作期、缓解期、稳定期,并将缓解期分为脾虚痰盛证、肺热痰盛证、气阴两伤证、肾虚痰盛证四型,分别采用缓哮方、利肺方、保肺方、哮痰汤治疗。在降气化痰药的基础上,缓哮方偏于健脾化痰,治疗虚痰、寒痰;利肺方偏于清热化痰,治疗实痰、热痰,清热消积之力较强,病情较缓哮方为重;保肺方则重在养肺伤之阴,适用于气阴两伤有热证者;哮痰汤所治之咳、痰较前三方顽固,适用于哮喘缓解期久治无效的患儿。

Professor WANG Lie,a master of TCM,first proposed the theory of three stages therapeutics phased treatment of children with asthma in 1988,namely,attack stage,remission stage,and stable stage. And he divided remission stage into four types,including exuberant phlegm due to spleen-asthenia syndrome,exuberant phlegm due to pulmonary heat syndrome,impairment of qi and yin syndrome and exuberant phlegm due to kidney-asthenia syndrome,each type was respectively treated by Huanxiaofang( 缓哮方),Lifeifang( 利肺方),Baofeifang( 保肺方) and Xiaotan Tang( 哮痰汤). Based on having drugs for descending qi to resolve phlegm in common,Huanxiaofang is partial to invigorating spleen to resolve phlegm,to treat asthenia-phlegm and cold phlegm;Lifeifang is partial to clearing away heat to resolve phlegm,especially to treat sthenia-phlegm and heat phlegm,which has a much stronger effect in clearing away heat to resolve retention,with the patients having more severe illness than those of Huanxiaofang;Baofeifang focuses on nourishing yin due to pulmonary impairment,which applies to heat syndrome patients with impairment of qi and yin;Xiaotan Tang is to treat more intractable cough and phlegm than those of the previous three prescriptions,which applies to the children patients in asthma remission stage with ineffective long-term treatment.