摘要
对支气管哮喘五种临床表型(过敏性哮喘、咳嗽变异性哮喘、胸闷变异性哮喘、心理应激性哮喘、激素依赖性哮喘)的体-病-证特点进行归纳总结,对辨体-辨病-辨证三维诊疗模式(简称"三辨模式")在支气管哮喘五种临床表型中的应用进行全面阐述.认为支气管哮喘的体质以特禀质为主,常与气虚质、阴虚质、阳虚质、气郁质等相兼为患.治疗当体-病-证兼顾,依其轻重缓急,灵活运用.三辨模式能够更加全面、客观地反映支气管哮喘的实质特征及临床全貌,为其中医药的防治提供有效的干预措施及管理方案.
Abstract
This paper summarized the characteristics of constitution,disease,and syndrome of five different phenotypes of bronchial asthma including allergic asthma,cough variant asthma,chest tightness variant asthma,psy-chological stress asthma,and hormone-dependent asthma,and systematically expounds the application of three-dimensional diagnosis and treatment pattern,that is differentiation of constitution,disease and syndromes in the five phenotypes of bronchial asthma.It is considered that the allergic constitution is the main one of bronchial asthma,which is usually combined with the constitutions of qi-deficiency,yin-deficiency,yang-deficiency,qi-stagnation and others.In the treatment of bronchial asthma,constitution,disease and syndromes should all be taken into account but applied flexibly according to the order of the urgency and priority.The three-dimensional diagnosis and treatment pattern can reflect the essential characteristics and clinical panorama of bronchial asthma more comprehensively and objectively and provide effective intervention measures and management programs for the prevention and treatment by traditional Chinese medicine.