The theoretical exploration and clinical application of treating cough variant asthma in children from the aspects of wind,phlegm,stasis and deficiency
Cough variant asthma(CVA),as a special type of asthma with chronic cough as the main clinical manifestation,is less often accompanied by wheezing,shortness of breath,dyspnea and other typical asthma symptoms,and is one of the common pulmonary diseases in children.The disease is recurrent,intermittent,and difficult to be cured.In recent years,the incidence of CVA in children has been increasing year by year,which needs to attract the attention of parents and health departments.Traditional Chinese medicine(TCM)pays more attention to preventing changes or recurrence of existing diseases,and has unique advantages in the treatment of CVA.According to clinical research,treating CVA in TCM can effectively improve lung function,reduce the recurrence rate,and alleviate clinical symptoms,which has become the choice of more and more children and parents.CVA belongs to the category of asthmatic cough,persistent cough and wind cough in TCM,and its related theories have been enriched and developed with the interpretation and play of the disease by medical doctors of later generations.Based on various theories and ancient TCM books,combined with the data mining results of the medication rule of Chinese medicine on CVA in children,it can be seen that the basic pathogenesis of the disease is deficiency in origin and excess in superficiality.The deficiency of lung,spleen and kidney is the main cause of deficiency in origin,while the excess in superficiality is the internal presence of wind,phlegm,and blood stasis.Wind,phlegm,blood stasis,and deficiency are closely related to CVA.This paper explores the theories and academic experiences of various medical practitioners in treating CVA from the four aspects of wind,phlegm,blood stasis,and deficiency,and at the same time combines them with modern medicine,finding that treating CVA by the methods of dispelling wind,exempting phlegm,resolving blood stasis,and tonifying coincides with the concepts of suppressing inflammation,reducing bronchial hyperresponsiveness,regulating immune function,relieving tracheospasm,and delaying bronchial remodeling in modern medicine,which provides a theoretical basis for the treatment of CVA in TCM.The clinical experience of modern medical practitioners in treating this disease from the aspects of wind,phlegm,blood stasis,and deficiency is summarized also,in order to provide ideas for the clinical treatment of CVA in children.
WindPhlegmBlood stasisDeficiencyCough variant asthma in children