摘要
本研究认为儿童塑型性支气管炎应分期论治.初期以风、热、痰为主要病理因素,以风热夹痰为主要病机,常用方如银翘散合麻杏石甘汤加减以祛风宣肺、清热化痰;极期以痰、热、毒、瘀为主要病理因素,以痰热夹瘀、毒热夹瘀多见,常用《千金》苇茎汤、麻杏石甘汤、桔梗汤等加减以清热豁痰、凉血解毒、排脓祛瘀;后期以燥、虚、痰、瘀为主要病理因素,以虚热夹痰夹瘀为主要病机,以麦门冬汤合六君子汤加减以益气养阴、化痰祛瘀.痰浊贯穿疾病始终,瘀血存在于疾病中后期.
Abstract
This study proposes a stage-based treatment approach for plastic bronchitis in children.In the early stage,wind,heat and phlegm are the main pathologic factors,and wind-heat combined with phlegm is the main pathologic mechanism;commonly used formula include Yinqiao Powder combined with Maxing Shigan Decoction to dispel wind and promote the lungs,and clear away heat and resolve phlegm.In the extreme stage,phlegm,heat,tox-in and stasis are the main pathological factors,and phlegm-heat and stasis and toxic-heat and stasis are the most common ones;prescriptions such as Qianjin Weijing Decoction,Maxing Shigan Decoction,and Jiegeng Decoction are used to remove heat and exclude phlegm,cool the blood,detoxify toxins and drain the pus and eliminate stasis.In the late stage,dryness,deficiency,phlegm and stasis are the main pathological factors,and deficiency-heat with phlegm and stasis are the main disease mechanism,so Maimendong Decoction combined with Liujunzi Decoction is used to benefit the qi and nourish the yin and to dissolve phlegm and dispel stasis.Phlegm is present through-out the disease,and blood stasis is present in the middle and late stages of the disease.
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20230574)
河南省中医药科学研究专项课题(KY-B0357-049)
NETL
NSTL
万方数据