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The wind phlegm QiNi bizu, lung heat to the pathogenesis

2013年08月19日

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To treat infantile cough variant asthma

 

 

The wind phlegm QiNi bizu, lung heat to the pathogenesis

 

 

SiZhenYang Nanjing hospital

 

 

China's traditional Chinese medicine to

 

 

 

        The pathogenesis of infantile cough variant asthma with general both solid, QiNi cough, lung who don't also within the host phlegm and asthma v in the lungs. Its for love in spleen-deficiency cause lung phlegm turbidity, complex due to exogenous pathogenic wind, the heat transfer conditions, pathogenic heat within the lungs, causing wind phlegm bizu, lung hot internal indicates, pulmonary XuanChang loss, its inverse and gas for the disease. The wind phlegm bizu, lung hot QiNi for the pathogenesis of the disease.

 

        Infantile cough variant asthma, cough variant asthma, CVA) is one of the leading causes of chronic cough in children, is regarded as a special type of bronchial asthma, about 30% of children with CVA may develop for clinical typical bronchial asthma. Awareness of the disease etiology and pathogenesis of TCM schools of thought contend, each has his strong point. The author based on pediatric physiological and pathological characteristics of zang-fu organs, the basis of theoretical research and clinical experience for many years, think the wind phlegm QiNi bizu, lung heat for the key pathogenesis of the disease, elaborates on the following.

 

        Due to wind "cough" category

 

        Due to the different understanding of disease of traditional Chinese medicine point of view, also not stick to one pattern for naming form of the disease. But every disease from a certain Angle reflects the highlight the nature of the disease, has a certain diagnosis significance.

 

        Wind "cough" belong to "the theory of pathogenic symptom, cough all syndrome", the theory of one of the ten kinds of cough: "the wind cough, desire language as well, it was also is not allowed." JingYue encyclopedia, cough and cloud: "cough syndrome is more, no more than lung disease." "The wind" the word can represent key disease of sex of the disease. "Cough" word can reflect the disease of disease: beyond the lungs it also and carrots on the lungs. In addition, "" cough without phlegm and audio, rinse" silent and have phlegmy ", therefore, only with cough word can reflect characteristics of the disease symptoms of cough.

 

        In modern medicine, although asthma, but rarely with "palpitations throat singing like the" xiao "shortness of breath and continuous cannot interest" and asthma, and given priority to with cough, so will the disease from asthma, independent into a corresponding with cough variant asthma disease of traditional Chinese medicine, not only has fully tap and develop the theory of value of the ancient name of disease, more conducive to clinical system, in-depth research and practical significance of the disease.

 

        "Wind phlegm bizu, lung hot QiNi" as the key

 

        From the analysis of causes

 

        Zang-fu organs physiological and pathological characteristics and physical factors: the body of children childish Yin childish Yang, pure Yang physiological characteristics and the lung often is insufficient, the spleen is often insufficient, liver is often more than "pathological characteristics, and some of the children because of inadequate natural endowment and the day after tomorrow to cultivate comprehensive caused by improper atopic constitution (allergic constitution), jointly contribute to some easy to suffer from cough variant asthma in children.

 

        Exogenous factors: pediatric viscera and tender, and shape of inert gas, thin skin, cou justified osteoporosis, combined with the cold temperature adjusting, so easily hurt by invaded (including the inhaled allergens such as pollen, paint). If feel the wind, the heat transfer conditions, and ease in lung heat, yu are common in pediatric liver, endogenous wind easy to move, sympathies, and evil, both inside and outside the wind phlegm bizu, lung indicates, lung failure within the XuanChang, its inverse and send for the disease.

 

        Modern inappropriate: pediatric diseases with strong, emotional instability, movability xi, diseases with fu, left lung drop disadvantage, on the inverse and cough, or diseases with ease (due to the improper learning stress, parenting, etc), liver article, poor person, because of hepatic vein cloth threats and note in lungs, diseases with tired lung, send for this disease.

 

        Diet: infantile spleen is often insufficient, and god is not open, I don't know since the day diet, so often hurt by diet. Improper feeding, hunger is not often; Addicted or longitudinal their preferences, diet, eat fatness, spicy taste, or eating hai shan hair content (foodborne allergens) and so on, the function of spleen and stomach are easy to damage the "so-called and refreshing taste more eventually disease". The spleen is not healthy, get wet phlegm, phlegm turbid embodiment, fu in the body, if encounter led touch, phlegm obstruction airway, lung qi, on the inverse as well. Therefore inappropriate diet is also one of the reasons for the disease occurrence, especially infants and young children period diet can lead to the formation of pediatric atopic physique.

 

        The causes of infantile cough variant asthma and varied, unique internal physiological characteristics and physical factors are the main internal causes contributing to disease; And feel invaded, improper diet and modern disorder is important participation and inducing factors, several causes are interwoven with, together constitute the network STD because of the disease, eventually forming the wind phlegm bizu QiNi lung heat, the key of pathogenesis.

 

        From clinical characteristics

 

        Wind: one is the characteristic of infantile cough variant asthma: array cough, dry cough, choke to cough, spasmodic cough, often with pharyngeal itching, eye itching, nasal itching, itching and other symptoms, symptom onset suddenly, with sharp like lightning to faster benma, show the characteristics of paroxysmal, sudden, spasmodic, accord with the wind "benevolence and number", "the wind is still", "the wind sheng Yang", "the wind sheng twin acute" features.

 

Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-08/16/content_76583.htm