江柏华教授用益气平喘汤加减治疗支气管哮喘慢性持续期(肺虚型)的临床医案分析

Clinical Case Analysis of Professor Jiang Baihua’s Modified Yiqi Pingchuan Decoction in Treating Chronic Persistent Stage of Bronchial Asthma (Lung Deficiency Type)

摘要: 支气管哮喘在中医学多属于“哮病”“喘证”等范畴，是一种常见的肺系疾病。江柏华教授在深入研究中医理论知识的基础上，通过三十余年的临床实践，依据支气管哮喘的病症及临床分型，深入研究其病因病机特点，对于辨证为肺虚型的支气管哮喘慢性持续期患者，认为支气管哮喘患者发病时间长，久病则肺虚，故以补肺益气、化痰平喘为治则，自拟益气平喘汤治疗，取得了显著的临床疗效，值得临床工作者和广大学者进行深入地探讨和研究。本文从支气管哮喘的病名、病因病机及专证专方进行论述，详述江师的经验。

Abstract: Bronchial asthma is commonly categorized under “wheezing disease” or “panting syndrome” in Traditional Chinese Medicine (TCM) and is a frequent pulmonary disorder. Based on in-depth theoretical research and over thirty years of clinical practice, Professor Jiang Baihua has thoroughly investigated the etiology and pathogenesis of bronchial asthma according to its clinical manifestations and subtypes. For patients in the chronic persistent phase diagnosed with lung deficiency syndrome, he posits that prolonged illness leads to lung deficiency, advocating the treatment principles of tonifying the lung, replenishing qi, resolving phlegm, and relieving wheezing. He has developed the “Yiqi Pingchuan Decoction” (Qi-Boosting and Wheezing-Relieving Decoction), achieving remarkable clinical efficacy, which warrants further exploration and study by clinicians and researchers. This article elaborates on the nomenclature, etiology, pathogenesis, and syndrome-specific prescriptions of bronchial asthma, detailing Professor Jiang’s clinical experience.