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Discussion on professor Wang Youpeng′s experience in treating cough variant asthma from the perspective of treatment before symptoms arising |
LIU Lujia1 QI Xiaoyu1 JING Weichao1 WANG Youpeng2 |
1.The Second Clinical Medical College, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Department of Pediatrics, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150001, China |
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Abstract Cough variant asthma is a common clinical disease in pediatrics at present. Its pathogenesis is complex, rapid evolution, long course of disease and lingering, which requires the timeliness and effectiveness of clinical treatment. The theory of “treatment based on syndrome differentiation” is initiated in Neijing, which inspired us to give predictive prevention and treatment on the basis of traditional Chinese medicine syndrome differentiation and treatment. Professor Wang Youpeng, starting from the theory of “syndrome first and treatment first”, thinks that the focus of the occurrence and development of the disease lies in the pathological factors throughout the disease-wind, phlegm and blood stasis. In the treatment, Professor Wang Youpeng advocates that the syndrome should be recognized before the syndrome, and the medicine should be given before the syndrome. It is suggested that we should master the objective factors of the disease, grasp the regular progress of the disease after it acts on the body, deduce its transmission and transformation, make active discovery and prediction, achieve early intervention and control, strengthen the traditional Chinese medicine which is conducive to cutting off the development of pathogenic factors, do the treatment before the disease and medicine before syndrome, which provides a new idea for the treatment of cough variant asthma.
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[1] Tang W,Zhou J,Miao L,et al. Clinical features in patients of cough variant asthma with normal and high level of exhaled fractional nitric oxide [J]. Clin Respir J,2018,12(2):595-600.
[2] Lai K,Chen R,Lin J,et al. A prospective,multicenter survey on causes of chornic cough in China [J]. Chest,2013,143(3):613-620.
[3] 庄明凤,马敬斌,殷汝昌,等.孟鲁司特咀嚼片对咳嗽变异性哮喘肺功能的影响[J].临床肺科杂志,2017,22(1):89-92.
[4] Fujimura M,Hara J,Myou S. Change in bronchial responsiveness and cough reflex -sensitivity in patients with cough variant asthma effect of inhaled corticosteroids [J]. Cough,2005,25(1):5.
[5] Fujimura M,Ogawa H,Nishizawa Y,et al. Comparison of atopic cough with cough variant asthma:is atopic cough a precursor of asthma [J]. Thorax,2003,58(1):14-18.
[6] 杜松,曹洪欣.“截断扭转”疗法对温病理论的继承与发展[J].中国中医基础医学杂志,2007,13(5):340-341.
[7] 彭草云,吴宇峰.截断疗法在温病中的应用[J].中医杂志,2014,55(11):972-974.
[8] 陈志斌.晁恩祥教授辨治风咳学术经验及临证特色[J].福建中医药,2017,48(4):53-54,62.
[9] 胡丽萍,薛飞,刘竹云.儿童咳嗽变异性哮喘的中医诊治进展[J].中医儿科杂志,2018,14(6):91-94.
[10] 施益农,高艳.儿童咳嗽变异性哮喘中医病机病名之探讨[J].中医儿科杂志,2012,8(4):3-4.
[11] 郑秀丽,吴文军,郭尹玲,等,张之文辨治咳嗽变异性哮喘的经验[J].中华中医药杂志,2016,31(7):2633-2635.
[12] 王青,黄甡.黄甡治疗小儿咳嗽变异性哮喘经验[J].河南中医,2018,38(6):828-831.
[13] 李香玉,王永吉,王烈.王烈教授以风气痰瘀论治小儿哮喘经验[J].世界中西医结合杂志,2014,9(9):921-922,926.
[14] 胡锦丽.养阴祛风法治疗小儿肺阴亏虚型咳嗽变异性哮喘临床疗效观察[J].世界中医药,2017,12(3):582-586.
[15] 李桂荣,李晗怡.冬病夏治穴位贴敷治疗儿童咳嗽变异性哮喘83例[J].西部中医药,2017,30(12):94-96.
[16] 施国善,曲婉莹,王有鹏.风药在小儿咳嗽变异性哮喘中的应用探析[J].中国中医急症,2017,26(3):437-439.
[17] 张盼盼,邓金钗,郑小伟.郑小伟治疗咳嗽变异性哮喘经验撷菁[J].上海中医药杂志,2017,51(8):25-26.
[18] 薛明,达春水,刘佳淳子,等.冬病夏治穴位贴敷联合中医辨证治疗儿童咳嗽变异性哮喘的临床疗效[J].世界中医药,2018,13(1):166-169.
[19] 吴尚华,沈玉鹏,杨志华,等.自拟宣肺定喘汤对咳嗽变异性哮喘模型大鼠血清IFN-γ和IL-4水平的影响[J].西部中医药,2017,30(1):14-16.
[20] 施国善.基于NF-κB信号通路的抗支糖浆抑制咳嗽变异性哮喘气道重塑的作用及机制研究[D].哈尔滨:黑龙江中医药大学,2017.
[21] 王谦.祛风宣肺方治疗CVA的疗效观察及其对气道神经源性炎症调控作用的研究[D].北京:北京中医药大学,2017:31-32.
[22] 姜凤朝,朱伟,郑淑香.布地奈德联合孟鲁司特钠治疗CVA患儿的效果及对FeNO hs-CRP水平的影响[J].河北医学,2017,23(5):783-786.
[23] 肖红,王响.中医药治疗儿童咳嗽变异性哮喘概况[J].中医杂志,2013,54(2):167-180.
[24] 宋苹,张溪,张瞳,等.祛风解痉汤治疗咳嗽变异性哮喘的药理作用[J].中国医药导报,2018,15(22):14-17.
[25] 李康,秦晓华.金沸草散加减联合西药治疗咳嗽变异型哮喘42例[J].中医杂志,2014,55(2):161-163.
[26] 黄芳,张纯,卢肖霞,等.中药热奄包治疗咳嗽变异性哮喘的效果观察[J].中国医药科学,2018,8(23):45-47, 74.
[27] 黎志义.中西医结合治疗咳嗽变异性哮喘临床效果观察[J].中医临床研究,2013,5(21):67-68. |
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