胸闷变异性哮喘中医辨治思路刍议
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摘要
胸闷变异性哮喘是支气管哮喘的新亚型,新的中医诊治支气管哮喘指南对本病并没有过多论述。中医学上,本病与叶天士《临证指南医案》中所论述的"肺痹"有几分相似,结合《临证指南医案》的论述及临证感悟,从病名、病因病机及辨证论治等方面对本病进行阐述,冀以探讨胸闷变异性哮喘的中医辨治思路。
Chest tightness variant asthma( CTVA) is a new subtype of bronchial asthma. A new guide to diagnosis and treatment of asthma in traditional Chinese medicine has not been discussed too much. CTVA is somewhat similar to Feibi described in YE Tianshi's Linzheng Zhinan Yian. We elaborated traditional Chinese medicine treating in CTVA from the aspects of disease name,etiology and pathogenesis and syndrome differentiation and treatment.
Chest tightness variant asthma( CTVA) is a new subtype of bronchial asthma. A new guide to diagnosis and treatment of asthma in traditional Chinese medicine has not been discussed too much. CTVA is somewhat similar to Feibi described in YE Tianshi's Linzheng Zhinan Yian. We elaborated traditional Chinese medicine treating in CTVA from the aspects of disease name,etiology and pathogenesis and syndrome differentiation and treatment.
引文
[1]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(2016年版)[M].中华结核和呼吸杂志,2016,39(9):1-24.
[2] Hyde DM,Hamid Q,Irvin CG. Anatomy,pathology,and physiology of the tracheobronchial tree:emphasis on the distal airways[J]. J Allergy Clin Immunol,2009,124(6):72-77.
[3]华雯.特殊类型哮喘的诊治[J].诊断学理论与实践,2016,15(3):218-221.
[4]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012,7:83.
[5]中华中医药学会肺系病专业委员会/中华民族医药学会肺病分会.支气管哮喘中医证候诊断标准(2016版)[J].中医杂志,2016,57(22):1978-1980.
[6]武维屏,赵兰才.肺间质纤维化中医证治探析[J].中医杂志,2002,43(5):325-326.
[7]邓勇,王键.叶天士治疗肺痹初探[J].安徽中医学院学报,2010,29(2):6-8.
[8] Shen Huahao,Hua Wen,Wang Pingli,et al. A new phenotype of asthma:chest tightness as the sole presenting manifestation[J]. Ann Allergy Asthma Immunol,2013,111(3):226-227.
[9]王灵甫.史锁芳教授辨治胸闷变异性哮喘经验采撷[J].中国中医急症,2016,25(7):1307-1309.
[10]曹邦卿,薛汉荣.疏利气机法治疗胸闷变异性哮喘的探讨[J].中医药通报,2014,13(5):40-41.
[11]金延强,张伟.从肝肺相关论治胸闷变异性哮喘[J].成都中医药大学学报,2015,38,(9):66-68.
[12]张晶,卢峰.严桂珍教授治疗胸闷变异性哮喘的经验[J].广西中医药大学学报,2016,19(4):35-36.
[13]孙宇鹏,王英,张伟.从五脏七情论治胸闷变异型哮喘[J].辽宁中医药大学学报,2016,18(11):91-93.
[14] Zhong Nanshan. Chest tightness variant asthma:deja vu all over again[J]. J Thorac Dis,2014,6(5):407-408.
[15]刘娜,张伟.从“肺主悲”探讨胸闷变异性哮喘合并抑郁症[J].山东中医杂志,2016,35(5):377-380.
[2] Hyde DM,Hamid Q,Irvin CG. Anatomy,pathology,and physiology of the tracheobronchial tree:emphasis on the distal airways[J]. J Allergy Clin Immunol,2009,124(6):72-77.
[3]华雯.特殊类型哮喘的诊治[J].诊断学理论与实践,2016,15(3):218-221.
[4]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012,7:83.
[5]中华中医药学会肺系病专业委员会/中华民族医药学会肺病分会.支气管哮喘中医证候诊断标准(2016版)[J].中医杂志,2016,57(22):1978-1980.
[6]武维屏,赵兰才.肺间质纤维化中医证治探析[J].中医杂志,2002,43(5):325-326.
[7]邓勇,王键.叶天士治疗肺痹初探[J].安徽中医学院学报,2010,29(2):6-8.
[8] Shen Huahao,Hua Wen,Wang Pingli,et al. A new phenotype of asthma:chest tightness as the sole presenting manifestation[J]. Ann Allergy Asthma Immunol,2013,111(3):226-227.
[9]王灵甫.史锁芳教授辨治胸闷变异性哮喘经验采撷[J].中国中医急症,2016,25(7):1307-1309.
[10]曹邦卿,薛汉荣.疏利气机法治疗胸闷变异性哮喘的探讨[J].中医药通报,2014,13(5):40-41.
[11]金延强,张伟.从肝肺相关论治胸闷变异性哮喘[J].成都中医药大学学报,2015,38,(9):66-68.
[12]张晶,卢峰.严桂珍教授治疗胸闷变异性哮喘的经验[J].广西中医药大学学报,2016,19(4):35-36.
[13]孙宇鹏,王英,张伟.从五脏七情论治胸闷变异型哮喘[J].辽宁中医药大学学报,2016,18(11):91-93.
[14] Zhong Nanshan. Chest tightness variant asthma:deja vu all over again[J]. J Thorac Dis,2014,6(5):407-408.
[15]刘娜,张伟.从“肺主悲”探讨胸闷变异性哮喘合并抑郁症[J].山东中医杂志,2016,35(5):377-380.