从卫气理论探讨支气管哮喘缓解期的防治

发布时间：2018-07-07 22:54

本文选题：卫气理论 + 支气管哮喘　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：支气管哮喘是常见病、多发病,其反复发作、迁延不愈的特点,给病人带来了极大痛苦,是临床工作中较为棘手的慢性疾病之一。卫气理论作为中医经典的基础学说,其对于临床实践有着重要的指导意义。本研究即从卫气理论探讨支气管哮喘缓解期的防治。首先,对哮喘与卫气的相关性进行了论证。通过查阅文献发现哮喘具有"发必有外邪诱导"的特点,而卫气的最主要功能在于防御外邪侵袭致病。是以哮喘发作与否与卫气的盛衰有关,保证卫气功能的正常可以减少哮喘的发作。继而,依据《黄帝内经》及相关文献,对卫气相关理论进行了较为详细的归纳。卫出三焦,即卫气根源于肾,由肝升发至中焦,接受水谷之精的充养,经脾升清至上焦,最后经肺宣发,而弥漫三焦,发挥防御、温煦等功能。卫气行于脉外,与营相贯,由络以通;与日月相应,具有昼夜和月节律性;且会主动向邪气定向移动,直至驱邪外出。卫气的病理状态有虚损不足、运行受阻、逆行无端、出入失常,而饮食失调、七情内伤、六淫外侵是导致卫气运行受阻的重要原因。通过对卫气理论探析后,更加明确了卫气与哮喘之间的密切关系。卫气的源出以肾、脾、肺为轴心,而哮喘病位在肺,常累及脾、肾功能,二者之间存在着负相关,此消彼长。保障卫气的"出"和"行"即是防治哮喘。日常摄生对哮喘病人非常重要,畅情志、调饮食、勿劳累、慎起居、避风寒是保障卫气出行的有效措施。药物的治疗需要调补三焦,以健运肺脾肾三脏功能为核心,旁及肝、胃、大肠;而更重要的是畅通三焦,重点在于祛除肺内之顽痰死血和透达肓膜伏邪,从而使卫气达到"出"有根,"行"无碍的状态。卫气理论可用于支气管哮喘缓解期的防治,从卫气防治哮喘能够更好的把握疾病治疗的全局,为临床以及今后实验研究提供了思路和线索。
[Abstract]:Bronchial asthma is a common disease. It is one of the most difficult chronic diseases in clinical work. As the classical basic theory of traditional Chinese medicine, the theory of Wei Qi has important guiding significance for clinical practice. This study is to discuss the prevention and treatment of bronchial asthma in remission period from the theory of Wei Qi. Firstly, the correlation between asthma and Wei qi is demonstrated. It is found that asthma has the characteristic of "external pathogenic induction must exist in the hair", and the main function of Wei Qi is to prevent the invasion of exogenous pathogens. Asthma attack or not is related to the rise and fall of Weiqi, to ensure that the normal Wei Qigong can reduce the asthma attack. Then, according to Huangdi Internal Classic and related literature, the theory of Wei Qi is summarized in detail. Wei out three Jiao, that is, Wei Qi roots in the kidney, from liver hair to medium coke, accept the water valley essence of the charge and nourishment, through the spleen to clear the top coke, and finally through the lung propaganda hair, and diffuse three Jiao, play a defensive, warm and other functions. Wei Qi runs outside the pulse, intersecting with the camp, from collaterals to communication; corresponding to the sun and moon, with circadian and lunar rhythm; and will actively move to evil spirits, until the exorcism goes out. The pathological state of Weiqi is deficient, blocked, retrograde, unprovoked, and out of order, while eating disorders, internal injuries of seven emotions, and six invasion are the important reasons that lead to the obstruction of the operation of Wei Qi. After analyzing the theory of Wei Qi, the close relationship between Wei qi and asthma is more clear. The origin of Wei Qi is the kidney, spleen, lung as the axis, while asthma is located in the lung, often involving the spleen, kidney function, there is a negative correlation between the two. To protect the health-qi "out" and "action" is to prevent and treat asthma. Daily intake is very important for asthmatic patients, unobstructed mood, diet, not tired, careful living, avoiding wind and cold is an effective measure to ensure the travel of Wei Qi. The treatment of the drug needs to regulate and replenish the tri-Jiao, with the function of healthy lung, spleen and kidney as the core, bypassing the liver, stomach, and large intestine; and, more importantly, unblocking the tri-coke, which focuses on removing the stubborn phlegm, blood, dead blood in the lung, and permeating the latent evil of the cecum. So that Wei Qi to achieve "out" root, "line" unhindered state. The theory of Wei Qi can be used in the prevention and treatment of bronchial asthma in remission period. It can better grasp the whole situation of disease treatment from the perspective of Wei Qi to prevent asthma, which provides a clue for clinical and experimental research in the future.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

【参考文献】