Objective: To investigate the characteristics of pattern of syndromes in different using phases of glucocorticoid for treating bronchial asthma by literature study. Methods: To investigate 1944 cases of bronchial asthma (BS) in 37 pertinent literatures from 1994 to 2007 and statistically analyze the characteristics of pattern of syndromes in different using phases of glucocorticoid in treating BS. Results: In the large dosage using phase of glucocorticoid, the major pattern of syndromes of BS was interior harmful retention of wetness and heat (38.34％) and internal heat due to yin deficiency ( 19.50％ ) ,while in the remission phase there are deficiency of both qi and yin (36.11％) and wet resistance due to qi deficiency (32.84％) ,and in the stable phase there are yang deficiency of kidney(40.16％ ) and wet resistance due to qi deficiency (20.19％) and blood stasis may be whin every phase. Conclusion: In the large dosage using phase of glucocorticoid, the major pattern of syndromes of BS was interior harmful retention of wetness and heat and internal heat due to yin deficiency. while in the remission phase there are deficiency of both qi and yin and wet resistance due to qi deficiency and in the stable phase there are yang deficiency of kidney and blood stasis may be within every phase.%目的:探求支气管哮喘患者在应用糖皮质激素(以下简称激素)治疗后不同阶段的中医证型特点,为今后制定相应的中医治疗方案提供依据.方法:对1994年～2007年国内期刊中相关文献37篇共1944例支气管哮喘患者进行回顾性总结.结果:激素使用的首始阶段(大剂量期)湿热内蕴型占38.34%、阴虚内热型占19.50%;减量阶段常见证型气阴两虚型占36.11%、气虚湿阻型占32.84%;维持量阶段常见证型肾阳亏虚型占40.16%、气虚湿阻型占20.19%;血瘀型则在不同阶段都有体现.结论:支气管哮喘患者使用激素的首始阶段,以湿热内蕴型和阴虚内热型为主要证型;撤减阶段,以气阴两虚型和气虚湿阻型为主要证型;维持量阶段,以肾阳亏虚型为主要证型;而血瘀型则在不同阶段都有体现.
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