谢文 黄青松

    摘要：黄青松教授认为正气虚损为成人难治性哮喘发病的基础，病位主要责于脾、肺、肾三脏。难治性哮喘患者素体本虚、药物耗损、或反复发作，缠绵难愈，耗伤正气，外邪易侵，诱因易动，引触伏痰，痰气相搏，哮喘反复发作。临床上采用分期辨证的方法，序贯治疗，发作期以宣肺化痰为主，攻补兼施，缓解期以健脾补肾益气为基础辨证施治，并结合难治性哮喘患者的症状特点进行个体化治疗，强调补虚贯穿于疾病治疗的始终。

    关键词：难治性哮喘;名医经验;虚证

    中图分类号：R256.12 文献标志码：A 文章编号：1007-2349(2021)05-0001-05

    【Abstract】Professor Huang Qingsong believes that the deficiency of vital qi is the basis for the onset of refractory asthma in adults and the disease location is mainly responsible for spleen， lung and kidney. The patients with refractory asthma are weak in their body， drug depletion or recurrent attacks， lingering and difficult to heal， loss of vital qi， easy invasion of external pathogens， movability of inducement， leading long-standing phlegm， sputum mutual pulsation and recurrent asthma attacks. Clinically， the stage differentiation method and sequential treatment are adopted. During the attack period， the patients are mainly treated through ventilating the lung to resolve phlegm， combination of expelling evil and tonifying qi and in the remission period， the treatment is based on the syndrome differentiation to strengthen the spleen and tonify the kidney and qi. By integrating the characteristics of the symptoms of the patients with refractory asthma ......