马淑霞治疗咳嗽变异性哮喘经验探析

Exploration of Ma Shuxia’s Experience in Treating Cough Variant Asthma

摘要: 咳嗽变异性哮喘归属于“风咳”，风邪留滞肺络是咳嗽变异性哮喘缠绵难愈和反复发作的核心病机。小儿脏腑娇嫩，形气未充，外感贼风，肺卫不固，风邪内陷，停滞于肺，后因引动肺络伏风，或病气侵袭肺脏直中肺络而出现咽痒即咳，缠绵难愈，受风冷及异味刺激加重。马淑霞教授立“宣肺止咳，祛风通络”为治疗大法，创立疏风止嗽散，以蝉蜕、僵蚕、地龙等虫类药作为祛肺系风邪之引，并根据患儿具体情况随证施治，获得了较好的临床疗效。附典型案例1则，以资验证。

Abstract: Cough variant asthma is classified as “wind cough”, and the stagnation of wind evil in the lung channels is the core pathogenesis of cough variant asthma that is difficult to be cured and recurrent. In children, the internal organs are delicate, and the shape is not yet full of qi, so when they feel the wind externally, the lung guard is not solid, and the wind evil is trapped in the lungs, which later leads to the vaporous wind in the lung channels, or the disease invades the lungs and directly hits the lung channels, resulting in itchy throat and cough, which is difficult to be cured, and is aggravated by the cold wind and odor stimulation. Professor Ma Shuxia established the treatment method of “dispelling lung and relieving cough, removing wind and clearing collaterals”, and established Shufeng Zhisou Powder. Using worm medicine such as cicada shedding, stiff silkworm, and dinosaurs as a primer to dispel the wind evil in the lung system. Conducted diagnosis and treatment according to the specific symptoms of patent children, which acquired positive clinical effect. One typical case is included for verification.