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时间理念在咳嗽变异性哮喘诊治运用中的探讨

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咳嗽变异性哮喘(cough variant asthma,CVA)为临床常见疾病,目前诊治过程较欠缺时间观的运用.传统医学中的时间观念体现整体与辨证,对CVA的诊治具有积极意义.通过读文献、查古籍,从时间观念角度再次认识CVA,探讨丰富诊治之法.探讨了农耕火种时代到基因分子时代时间观念在医学领域中的发展与变迁.探讨了CVA发病特征、病理过程中的时间特性,探讨了时间观在现代诊治中的运用.探讨分析了 CVA证候、脏腑、经络的时间特性,拓展辨证与辨时结合的思路.总结了中药采集、修制、煎煮及服用中的时间问题,提出CVA汤剂择时运用的必要性.围绕时间观多方位论述,丰富了 CVA诊治视野.介绍了时间针刺(子午流注)治咳,并举纳甲法针治CVA验案1例.
Application of Time Concept in the Diagnosis and Treatment of Cough Variant Asthma
Cough variant asthma(CVA)is a common clinical disease,and the current diagnosis and treatment process lacks the application of time view.The concept of time in traditional medicine reflects the entirety and syndrome differentiation,which has positive significance for the diagnosis and treatment of CVA.By reading literature and searching ancient books,CVA was understood again from the perspective of time concept,and the methods of diagnosis and treatment were explored.This paper discusses the development and change of time concept in medical field from slash and burn era to gene and molecular era.The characteristics of CVA and the time in the pathological process were discussed,and the application of time view in modern diagnosis and treatment was discussed.The time characteristics of CVA syndromes,zangfu organs and meridians were discussed and analyzed,and the combination of syndrome differentiation and time differentiation was expanded.This paper summarizes the time problems in the collection,preparation,decoction and taking of traditional Chinese medicine,and puts forward the necessity of using CVA decoction at the right time.The multi-directional discussion around the time view enriches the field of diagnosis and treatment of CVA.This paper introduces the time acupuncture(ziwu liuzhu)for cough,and an experimental case of CVA treated with Najia acupuncture.

cough variant asthmatime medicinemeridian flowsymptomsdecoction

吴文超、陈婷、孟泳

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河南中医药大学第二附属医院,河南郑州 450003

陕西中医药大学第一附属医院,陕西咸阳 712000

咳嗽变异性哮喘 时间医学 子午流注 证候 汤剂

河南省中医药科学研究重大专项课题

20-21ZY2200

2024

云南中医学院学报
云南中医学院

云南中医学院学报

影响因子:0.933
ISSN:1000-2723
年,卷(期):2024.47(1)
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