风药治疗咳嗽变异性哮喘探析
Analysis of the Mechanism of Treating Cough Variant Asthma with Wind-expelling Drugs
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摘要: 咳嗽变异性哮喘是引起慢性咳嗽的常见疾病之一,临床以反复发作的刺激性干咳为主要表现。现代医学多运用治疗支气管哮喘的药物控制病情、缓解症状。中医学从风邪伏肺着手,应用风药治疗,取得一定的疗效。综合分析风药的特点,提出风药能够辛散解表、疏风祛邪;升发脾阳、调中益气;引药入经、直达病所;利咽通窍、止咳解痉;搜风透络、祛邪止痉。为临床运用风药治疗咳嗽变异性哮喘提供理论依据。Abstract: Cough Variant Asthma (CVA) is one of the common causes of chronic cough. Recurrent irritating tussiculation is CVA's main clinical manifestation. Modern medicine uses drugs which treat bronchial asthma to control the disease or to relieve symptoms. It is stated that pathogenic-wind-invading-lung is the main factor accounting for the forming of CVA in traditional Chinese medicine. Treating CVA with Chinese herbal medicine such as wind-expelling drugs has achieved certain effects. Based on comprehensive analysis of characteristics of wind-expelling drugs, it is reported that wind-expelling drugs can dispel wind pathogen, rise Spleen Qi introduce drugs into meridians, relieve cough and relieve spasm. The study can provide theoretical basis and feasible methods in clinical practice to treat CVA.
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Key words:
- cough variant asthma /
- wind-expelling drugs /
- mechanism
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[1] 中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2009版)[J].全科医学临床与教育,2009,7(5):453-456. [2] Asthma Group of Respiratory Branch of Chinese Medical Association. Diagnosis and treatment guideline for cough(2009)[J]. Clin Edu General Pract, 2009, 7(5):453-456. [3] 罗社文,李友林,晁恩祥.咳嗽变异性哮喘的中医证候研究[J].北京中医药大学学报:中医临床版,2007,14(3):11-13. [4] Luo SW, Li YL, Chao EX. Research of the sign of cough variant asthma[J]. J Beijing Univ Chin Med:TCM Clinical, 2007,14(3):11-13. [5] 晁恩祥.“风咳”证治探要[J].江苏中医药,2008,40(7):8-9. [6] Chao EX. Patterns and treatment of wind-cough[J]. Jiangsu J Tradit Chin Med, 2008,40(7):8-9. [7] 苗青,樊茂蓉,张燕萍,等.咳嗽变异性哮喘的中医治法探讨[J].时珍国医国药,2009,20(11):2841-2842. [8] Miao Q, Fan MR, Zhang YP, et al. Treatment of cough variant asthma by TCM[J]. Lishizhen Med Mater Med Res, 2009, 20(11):2841-2842. [9] 素问[M].穆俊霞,王平,校注.北京:中国医药出版社,2011:47,67-68. [10] Plain Questions[M]. Checked and annotated by Mu Junxia and Wang ping. Beijing: China medical press, 2011:47, 67-68. [11] 蔡黎.咳嗽变异性哮喘的中西医研究进展[J].辽宁中医杂志,2007,34(9):1338. [12] Cai L. Research progress of cough variant asthma in TCM and western medicine[J]. Liaoning J Tradit Chin Med, 2007, 34(9):1338. [13] 王晋舜.咳嗽变异性哮喘诊治探讨[J].临床肺科杂志,2006,11(3):369-370. [14] Wang JS. Discussion on the diagnosis and treatment of cough variant asthma[J]. J Clin Pulmo Med, 2006, 11(3):369-370. [15] 白凌军.汪受传论治咳嗽变异型哮喘经验[J].中医杂志,2008,49(8):695. [16] Bai LJ. Professor Wang Shouchuan's experience in treating cough-variant asthma[J]. J Tradit Chin Med, 2008, 49(8):695. [17] 黄明进,郭刚,徐立军,等.解表药药性与挥发油成分相关性研究[J].北京中医药大学学报,2009,32(2):102-103. [18] Huang MJ, Guo G, Xu LJ, et al. Correlation between properties of exterior-releasing herbs and their volatile constituents[J]. J Beijing Univ Chin Med, 2009, 32(2):102-103. [19] 李东垣.内外伤辨惑论[M].北京:中国医药出版社,2011:16. [20] Li DH. Clarifying Doubts about Damage from Internal and External Causes[M]. Beijing: China medical science press, 2011: 16. [21] 李东垣.兰室秘藏[M].北京:中国医药出版社,2011:35. [22] Li DH. Secrets from the Orchid Chamber[M]. Beijing: China medical science press, 2011:35. [23] 宋璟,曹勇,李可馨.风药在咳嗽变异型哮喘中的应用探讨[J].新中医,2011,43(8):1-2. [24] Song J, Cao Y, Li KX. The application of wind-expelling drugs in cough variant asthma[J]. New J Tradit Chin Med, 2011, 43(8):1-2. [25] 李军晖.荆芥挥发油对炎症介质白三烯拮抗作用的研究[D].成都:成都中医药大学,2004. [26] Li JH. Research on the Antagonism of Schizonepeta Volatile Oil on Leukotrienes[D].Chengdu: Chengdu University of TCM, 2004. [27] 唐智芳.锥叶柴胡化学成分和质量研究[D].北京:北京中医药大学,2010. [28] Tang ZF. Chemical Component and Quality of Bupleurum Bicaule[D]. Beijing: Beijing University of Chinese Medicine, 2010. [29] 杨璐,李国玉,王金辉.蝉蜕化学成分和药理作用的研究现状[J].农垦医学,2011,33(2):184-186. [30] Yang L, Li GY, Wang JH. Chemical component and pharmacological effects of periostracum cicada[J]. J Agricul Reclam med, 2011, 33(2):184-186. [31] 梁呈元,李维林,张涵庆,等.薄荷化学成分及其药理作用研究进展[J].中国野生植物资源,2003,22(3):10-11. [32] Liang CY, Li WL, Zhang HQ, et al. Research on chemical component and pharmacological effects of mint[J]. Chin Wild Plant Resour, 2003, 22(3):10-11. [33] 叶天士.临证指南医案[M].北京:中国中医药出版社,2008:171,70. [34] Ye TS. Case Records as a Guide to Clinical Practice[M]. Beijing: China medical science press, 2008: 171, 70. [35] 史磊,张天锡,杜聪颖,等.中药全蝎活性成分、药理作用及临床应用研究进展[J].辽宁中医药大学学报,2015,17(4):89-91. [36] Shi L, Zhang TX, Du CY, et al. Research progress of the clinical application of active ingredients and pharmacological action of scorpio[J]. J Liaoning Univ Tradit Chin Med, 2015, 17(4):89-91. [37] 刘文雅,王曙东.地龙药理作用研究进展[J].中国中西医结合杂志,2013,33(2):283. [38] Liu WY, Wang SD. Research progress of the pharmacological action of earthworm[J]. Chin J Integr Tradit West Med, 2013, 33(2):283. [39] 王辛秋,张洪春,陈燕.晁恩祥辨治“风咳”经验介绍[J].北京中医药,2010,29(9):667-668. [40] Wang XQ, Zhang HC, Chen Y. Chao Enxiang's experience in differentiating and treating wind cough[J]. Beijing J Tradit Chin Med, 2010, 29(9):667-668. [41] 壮健.祛风定喘汤[J].江苏中医药,2010,43(5):13. [42] Zhuang J. Qufeng Dingchuan decoction[J]. Jiangsu J Tradit Chin Med, 2010, 43(5):13. [43] 石文丽,徐荣谦.徐荣谦教授治疗咳嗽变异性哮喘临床经验集萃[J].中国中西医结合儿科学,2015,7(2):168-169. [44] Shi WL, Xu RQ. Professor Xu Rongqian's experience in treating cough variant asthma[J]. Chin J Integr Tradit West Med Pediatr, 2015, 7(2):168-169.
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