基于“肾治于里”理论探讨哮喘证治

Discussion on Diagnosis and Treatment of Asthma Based on Theory of “Kidney Governs in Interior”

摘要: 支气管哮喘(简称哮喘)是儿童时期最常见的慢性气道炎症性疾病。目前，西医治疗可有效缓解哮喘症状，但存在长期激素治疗的副作用、易复发等局限性。在中医治疗方面，基于《黄帝内经》“肾治于里”理论，可从“肾精、肾气、肾阳、肾阴”四个维度，强调肾精充养、肾气摄纳、肾阳温煦、肾阴滋养在哮喘治疗过程中的重要作用；在哮喘治疗中应将补肾固本贯穿始终，注重调节肾中阴阳平衡，从而从根本上改善哮喘病情，达到治疗小儿哮喘的目的。

Abstract: Bronchial asthma (asthma for short) is the most common chronic airway inflammatory disease in childhood. Currently, Western medicine treatment can effectively relieve asthma symptoms, but it has limitations such as the side effects of long-term hormone therapy and a tendency to relapse. In terms of traditional Chinese medicine treatment, based on the theory of “Huangdi Neijing”, this paper emphasizes the important roles of the nourishment of kidney essence, the absorption of kidney qi, the warming of kidney yang, and the nourishment of kidney yin in the treatment of asthma, from the four dimensions of “kidney essence, kidney qi, kidney yang, and kidney yin”. In the treatment of asthma, tonifying the kidney and strengthening the foundation should be maintained throughout, with attention paid to regulating the balance of yin and yang in the kidney, so as to fundamentally improve the condition of asthma and achieve the goal of treating pediatric asthma.