常青诊治难治性哮喘经验

摘要

[目的]总结常青名老中医诊治难治性哮喘的临床经验。[方法]从病因病机、治则治法等方面论述常青主任中医师治疗难治性哮喘的学术观点和临床经验，对其基本方药配伍及力求速效、灵活化裁的用药特色予以总结，并列举案例予以佐证。[结果]常老认为，对于难治性哮喘，在急则治标的同时，必须力求祛邪务净，主张在急性发作期运用经验方化裁以迅速控制哮喘病情，直至症状消失或明显缓解后，才可以巧妙斟酌调理脾肾以善后，从而减少哮喘复发。所举案例，收效明显。[结论]常老在治疗难治性哮喘方面有丰富临床经验和速效平喘的方法，其临床辨证思维及遣方用药经验值得后学深刻体会与学习。%Aim] To summarize and introduce the clinical experience of Chang Qing in the treatment of refractory asthma. [Method] To analyze the clinical experience and academic views of Chang Qing in the treatment of refractory asthma from the perspective of etiology and pathogenesis; and to discuss his basic prescription compatibility and flexible drug-applying characteristics. [Result] According to Chang Qing's clinical experience, while addressing the symptoms, treating the root is badly needed. He insists that in the period of acute exacerbation the adjustment of traditional Chinese medicine dosage should be used to rapidly bring the asthma under control until the symptoms disappear or obviously ease, then nourishing spleen and kidney to reduce the relapse of asthma. [Conclusion] In the aspect of treating the refractory asthma, Chang Qing has got rich clinical experience and effective. methods to relieve the asthma,his clinical dialectic thinking and the originality of prescription are greatly worth learning.