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目的观察中医辨证治疗小儿支气管哮喘的临床疗效。方法中医辨证小儿哮喘为小儿肺、脾、肾三脏不足、表里不固、痰湿内盛;气候转变、饮食不节以及某些过敏物质等均可触动伏痰,以致痰阻气道,肺气上逆,失于肃降发为哮喘。急性发作期为内外合邪、本虚标实之候;治以宣肺平喘,佐以健脾化痰,方用三拗汤加健脾化痰之品。缓解期余邪未必清彻,且多有痰湿留恋;故以培土固元,清透余邪,驱逐伏痰,基本方以参苓白术散因症加减;结果随访2年,90例中治愈71例,占79%;13例好转,占14.4%;无效6例,占6.6%;总有效率为93.4%。结论中医辨证治疗小儿支气管哮喘具有较好的临床疗效。
Objective To observe the clinical efficacy of syndrome differentiation of traditional Chinese medicine in treating bronchial asthma in children. Methods Syndrome Differentiation Pediatric asthma in children with lung, spleen and kidney less than three organs, the table is not solid, phlegm inside; climate change, diet and some allergic substances can be touched V sputum, sputum obstruction, Emphysema, loss of supine to asthma. Acute exacerbation of both internal and external evil, the virtual reality of this; governance to Xuanfei asthma, accompanied by the spleen and phlegm, side with three bend soup plus spleen phlegm products. The remission of evil may not be clear, and more wet nostalgia; Therefore, solid earth Guzhuan, clearing away evil, expulsion of phlegm, the basic side of Shenling Atractylodes due to addition and subtraction; Results Follow-up 2 years, 90 cases were cured 71 cases, accounting for 79%; 13 cases improved, accounting for 14.4%; ineffective in 6 cases, accounting for 6.6%; the total effective rate was 93.4%. Conclusion Syndrome Differentiation of children with bronchial asthma has a good clinical effect.