夏永良分阶段防治咳嗽变异性哮喘经验介绍
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R249;R256.12

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陈意全国名中医传承工作室建设项目(国中医药办人教函〔2022〕245号);陈意全国名老中医传承工作室建设项目(国中医药人教 发〔2011〕41号);浙江省陈意国医名师传承工作室建设项目(浙中医药〔2020〕12号)。


Introduction of XIA Yongliang's Experience in Preventing and Treating Cough Variant Asthma by Stages
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    摘要:

    总结介绍夏永良主任中医师治疗咳嗽变异性哮喘的临床经验。夏永良认为,咳嗽变异性哮喘病机 根本在于“邪正”二气斗争结果,临证不应只着眼于具体症状,而应该把握各阶段的疾病特点及正邪相争情 况,灵活调整治疗方案。初期或久病新发之时,以扶正为主,做到“未病先防”;发作期,则重祛邪,兼以扶 正,防止进一步发展,即“既病防变”;缓解期,病势暂缓,再行巩固,减少复发,即“瘥后防复”。紧扣“邪 正盛衰”这一核心,根据不同阶段的病机特点辨证施治,使治疗体系化,故收效颇佳。

    Abstract:

    Abstract: Objective: This paper summarizes and introduces Chinese medicine chief physician XIA Yongliang's clinical experience in treating cough variant asthma. He holds that the pathogenesis of cough variant asthma lies in the result of struggle between “the pathogenic qi and healthy qi” and that in clinical practice,we should not only focus on specific symptoms,but also grasp the characteristics of the disease in each stage and the struggle between the healthy qi and pathogenic qi,and flexibly adjust the treatment plan. In the early stage or at the time of new onset of chronic disease,it is mainly to reinforce the healthy qi to “prevent disease before it occurs”;in the attack stage,the emphasis is on eliminating the pathogenic factors, supplemented with reinforcement of the healthy qi to prevent further development, that is, “preventing further changes of existing disease”; in the remission stage, the degree of seriousness of disease is temporarily mitigated,and then the curative effect should be consolidated to reduce recurrence, that is,“preventing recurrence after the symptoms disappear”. With focus on the core of “exuberance and debilitation of the healthy qi or pathogenic qi, the treatment is given by syndrome differentiation according to the characteristics of pathogenesis in different stages so that the treatment is systematic with sound curative effect.

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王学文,洪玮,杨泽,裘宗华,指导:夏永良.夏永良分阶段防治咳嗽变异性哮喘经验介绍[J].新中医,2024,56(2):200-203

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  • 在线发布日期: 2024-01-25
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