王成祥教授治疗慢性支气管炎经验

Professor WANG Chengxiang's experience in treating chronic bronchitis

关键词:  慢性支气管炎  辨证论治  名医经验  王成祥

Key words:  chronic bronchitis  treatment based on syndrome differentiation  experience of famous doctor  WANG Chengxiang

摘要:

慢性支气管炎是由多种内、外因素引起的气管、支气管黏膜及其周围组织的慢性非特异性炎症，发病率高，易迁延反复，中医称为"咳嗽"。王成祥教授认为本病多为表里相因，虚实夹杂，注重辨分期、辨寒热、辨咳音、辨痰液性质，治疗上采用实则泻之，虚则补之，急性发作期和慢性迁延期以祛邪利肺为主，缓解期以补益肺肾为法。治则中分清邪正虚实，标本缓急，贯穿饮宜温化、气机宜疏调、善用虫药、重视肺肾多方面，使邪去正安，体现了传统中医药辨证论证和病证结合的思想。

Abstract:

Chronic bronchitis is a chronic non-specific inflammation of the trachea,bronchial mucosa and surrounding tissues caused by various internal and external factors,which has a high incidence and is easy to be delayed and repeated,and is called "cough" in traditional Chinese medicine. Professor WANG Chengxiang believes that this disease is mostly caused by both the interior and exterior,with the combination of excess and deficiency. He pays attention to distinguishing stages,cold and heat,cough sounds and sputum properties. He uses the method of purging in reality and supplementing in deficiency in treatment. In acute attack period and chronic prolonged period,he mainly eliminates pathogenic factors and benefits the lung,while in remission period,he uses the method of tonifying the lung and kidney. In the treatment principle,we should distinguish healthy qi and pathogenic factors,the biao and ben,and the drinking should be warmed,the qi machine should be adjusted,the insect medicine should be used well,and the lungs and kidneys should be emphasized,so as to eliminate evil and body safety,which embodies the thought of combining syndrome differentiation and demonstration with disease and syndrome in traditional Chinese medicine.