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儿童塑型性支气管炎的分期论治

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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.
Staged Treatment of Plastic Bronchitis in Children
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.

Plastic bronchitisChildrenTraditional Chinese medicineStaged treatment

张题培、任佳营、韩慧珍、孙晓敏

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郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院,河南郑州 450018

河南省开封市儿童医院,河南开封 475099

塑型性支气管炎 儿童 中医 分期论治

河南省医学科技攻关计划联合共建项目河南省中医药科学研究专项课题

LHGJ20230574KY-B0357-049

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(10)
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