李燕宁教授从痰瘀同源论治儿童哮喘慢性持续期经验总结(1)
[摘要] 李燕宁教授认为“痰瘀互结”是儿童哮喘慢性持续期的病机关键，“津血同源”的生理关系必然伴随“痰瘀互结”的病理关系。“痰”是哮喘发病的“宿根”，贯穿哮喘的始终。哮喘慢性持续期以无形之痰为主，当以“涤痰”治之;然“津血同源”“久病多瘀”，痰浊日久，阻滞脉络，阻塞不通而致“瘀”，“瘀”是哮喘慢性持续期的重要病理因素。笔者从痰瘀同源角度，总结李燕宁教授论治儿童哮喘慢性持续期的经验，探讨其独特的病因病机与辨证治疗方法，丰富哮喘治疗理论依据，为临床诊疗提供新思路。
[关键词] 痰瘀同源;津血同源;儿童;哮喘;化瘀涤痰;经验总结
[中图分类号] R249 [文献标识码] A [文章编号] 1673-7210(2020)09(c)-0147-04
Professor Li Yanning′s experience in treating children’s chronic persistent of asthma from the homology of phlegm and blood stasis
WANG Ying1 LI Yanning2
1.The First Clinical Medical College， Shandong University of Traditional Chinese Medicine， Shangdong Province， Ji′nan 250000， China; 2.Department of Pediatrics， the Affiliated Hospital of Shandong University of Traditional Chinese Medicine， Shangdong Province， Ji′nan 250000， China
[Abstract] Professor Li Yanning believes that “intermingled phlegm and blood stasis” is the key to the pathogenesis of children′s chronic persistent of asthma， and the physiological relationship of “homogeny of clear fluid and blood” must be accompanied by the pathological relationship of “intermingled phlegm and blood stasis”. “Phlegm” is the “root” of the onset of asthma and throughout the whole process of asthma. The chronic persistent of asthma is mainly intangible phlegm， which should be treated by “clearing phlegm”. However， “homogeny of clear fluid and blood”， “chronic disease and blood stasis”， phlegm turbid for a long time， blocking the vein and blocked can cause “blood stasis”. “Blood stasis” is an important pathological factor of chronic persistent of asthma. From the perspective of homology of phlegm and blood stasis， the author summarizes Professor Li Yanning′s experience in the treatment of children′s chronic persistent of asthma， discusses its unique etiology， pathogenesis， syndrome differentiation and treatment， enriches the theoretical basis of asthma treatment， and provides new ideas for clinical diagnosis and treatment.
[Key words] Homology of phlegm and blood stasis; Homogy of clear fluid and blood; Children; Asthma; Expelling blood stasis and clearing phlegm; Experiences summarization
李燕寧，山东省中医院主任医师，博士研究生导师，山东省名中医药专家、山东省知名专家、山东省首批高层次优秀中医临床人才，从事中医儿科医、教、研工作近40年，始终坚持中医为主、中西医结合并举的行医宗旨，兼容历代儿科医家之长，师古而不泥古，创新而不叛道，擅长治疗小儿哮喘、癫痫等各类疑难杂症。本文从痰瘀同源角度总结李燕宁教授治疗儿童哮喘慢性持续期经验。
近年来，由于环境、气候、饮食结构等发生变化，我国儿童哮喘的发病率明显上升[1]，严重影响患儿的身心健康，同时也给家庭及社会带来重大的精神负担[2-3]。支气管哮喘(以下简称“哮喘”)是一种由多种细胞及其组分参与所引起的慢性气道炎症和气道高反应性为特征的异质性疾病，以反复发作的喘息、咳嗽、气促、胸闷为主要临床表现，常在夜间和/或凌晨发作或加剧[4]。哮喘慢性持续期是指近3个月内不同程度或频度出现喘息、咳嗽、气促、胸闷等症状[5]。目前，西医对于儿童哮喘慢性持续期的治疗主要以激素治疗为主，需长期用药，费用高，不良反应及复发率高，未针对病因进行治疗[6-7]，有些患儿药物敏感性低[8]。根据全球哮喘防治创议方案，哮喘的控制采用阶梯式的治疗进行管理，哮喘临床缓解期的患儿以防止症状加重和预防复发为主[9]。李燕宁教授强调辨证论治，既辨病又辨证，因人制宜，因病制宜。笔者总结其经验，现报道如下：, 百拇医药(王莹 李燕宁)
[关键词] 痰瘀同源;津血同源;儿童;哮喘;化瘀涤痰;经验总结
[中图分类号] R249 [文献标识码] A [文章编号] 1673-7210(2020)09(c)-0147-04
Professor Li Yanning′s experience in treating children’s chronic persistent of asthma from the homology of phlegm and blood stasis
WANG Ying1 LI Yanning2
1.The First Clinical Medical College， Shandong University of Traditional Chinese Medicine， Shangdong Province， Ji′nan 250000， China; 2.Department of Pediatrics， the Affiliated Hospital of Shandong University of Traditional Chinese Medicine， Shangdong Province， Ji′nan 250000， China
[Abstract] Professor Li Yanning believes that “intermingled phlegm and blood stasis” is the key to the pathogenesis of children′s chronic persistent of asthma， and the physiological relationship of “homogeny of clear fluid and blood” must be accompanied by the pathological relationship of “intermingled phlegm and blood stasis”. “Phlegm” is the “root” of the onset of asthma and throughout the whole process of asthma. The chronic persistent of asthma is mainly intangible phlegm， which should be treated by “clearing phlegm”. However， “homogeny of clear fluid and blood”， “chronic disease and blood stasis”， phlegm turbid for a long time， blocking the vein and blocked can cause “blood stasis”. “Blood stasis” is an important pathological factor of chronic persistent of asthma. From the perspective of homology of phlegm and blood stasis， the author summarizes Professor Li Yanning′s experience in the treatment of children′s chronic persistent of asthma， discusses its unique etiology， pathogenesis， syndrome differentiation and treatment， enriches the theoretical basis of asthma treatment， and provides new ideas for clinical diagnosis and treatment.
[Key words] Homology of phlegm and blood stasis; Homogy of clear fluid and blood; Children; Asthma; Expelling blood stasis and clearing phlegm; Experiences summarization
李燕寧，山东省中医院主任医师，博士研究生导师，山东省名中医药专家、山东省知名专家、山东省首批高层次优秀中医临床人才，从事中医儿科医、教、研工作近40年，始终坚持中医为主、中西医结合并举的行医宗旨，兼容历代儿科医家之长，师古而不泥古，创新而不叛道，擅长治疗小儿哮喘、癫痫等各类疑难杂症。本文从痰瘀同源角度总结李燕宁教授治疗儿童哮喘慢性持续期经验。
近年来，由于环境、气候、饮食结构等发生变化，我国儿童哮喘的发病率明显上升[1]，严重影响患儿的身心健康，同时也给家庭及社会带来重大的精神负担[2-3]。支气管哮喘(以下简称“哮喘”)是一种由多种细胞及其组分参与所引起的慢性气道炎症和气道高反应性为特征的异质性疾病，以反复发作的喘息、咳嗽、气促、胸闷为主要临床表现，常在夜间和/或凌晨发作或加剧[4]。哮喘慢性持续期是指近3个月内不同程度或频度出现喘息、咳嗽、气促、胸闷等症状[5]。目前，西医对于儿童哮喘慢性持续期的治疗主要以激素治疗为主，需长期用药，费用高，不良反应及复发率高，未针对病因进行治疗[6-7]，有些患儿药物敏感性低[8]。根据全球哮喘防治创议方案，哮喘的控制采用阶梯式的治疗进行管理，哮喘临床缓解期的患儿以防止症状加重和预防复发为主[9]。李燕宁教授强调辨证论治，既辨病又辨证，因人制宜，因病制宜。笔者总结其经验，现报道如下：, 百拇医药(王莹 李燕宁)