赵坤教授“破窠囊，补肾阳”理论在儿童难治性哮喘治疗中应用

Application of Professor ZHAO Kun's theory of “breaking Kenang and replenishing the kidney yang” in the treatment of children's refractory asthma

关键词:  难治性哮喘  破窠囊  补肾阳  名老中医  赵坤

Key words:  refractory asthma  breaking Kenang  replenishing the kidney yang  famous veteran traditional Chinese medicine doctor  ZHAO Kun

摘要:

文章总结赵坤教授诊治儿童难治性哮喘的经验，认为该病反复发作，症情复杂，缠绵难愈的主要原因是痰瘀互结于肺形成窠囊，久病阳气耗损，肾阳不足。故肺有窠囊，肾阳衰惫是本病的病机实质，两者相互影响，互为因果。临床治疗以虚实为纲，注重标本兼治，攻补兼施，提出“破窠囊，补肾阳”的治疗基本法则，组方善用破痰化瘀之青皮、葶苈子、三棱、莪术，以化痰破瘀，疏通肺中经络，促进阳气的输布，补肾阳之附子、鹿茸、阳起石温补肾阳，治病求本，使痰瘀生化无源。通过该法临床治疗儿童难治性哮喘疗效显著。附典型案例1则，以资验证。

Abstract:

This paper summarizes Professor ZHAO Kun's experience in treating refractory asthma in children. This recurrent, complex and lingering disease can mainly attributed to Kenang in the lung, which is formed by intermingled phlegm and blood, and furthermore, a long course of disease consumes yang-qi in the body, eventually leading to kidney-yang deficiency. Therefore, Kenang in the lung and exhausted kidney-yang are the primary pathology for asthma patients, and these two factors are always influenced each other and are reciprocal causation. Regarding to treatment, Professor ZHAO Kun takes "deficiency and excess" as an outline, addresses "both the symptoms and root causes" and put forward the principle of "breaking the Kenang and replenishing kidney-yang". For medicine, Citri Reticulatae Pericarpium Viride, Descurainia Sophia, Sparganii Rhizoma, Curcumae Rhizoma, which aims to remove phlegm and stasis, are selected to dredge the meridians in the lung and promote the spread of yangqi. Additionally, drugs such as Fuzi, Lurong, Yangqishi are used to nourish the kidney yang and eliminate the root of the disease, so that phlegm and stasis lost their source. This therapy has significant efficiency in treating refractory asthma in children. A case is reported to validate its amazing efficiency.