从肺苦欲补泻理论探讨林季文治疗儿童支气管哮喘用药特点
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R249;R272

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广东省中医院中医学术流派传承工作室建设项目(中医二院〔2013〕233号);广州市科技局市院联合资助项目(2023A03J0750)


Discussion of LIN Jiwen's Medication Features in Treating Childhood Bronchial Asthma Referring to the Theory of Nourishing or Dispersing Based on Preference or Dislike of Lung
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    摘要:

    支气管哮喘是儿童常见的慢性呼吸系统疾病,其反复发作,迁延难愈,严重影响着儿童身心健康。本文以《黄帝内经》中“苦欲补泻”理论为核心,认为哮喘病位主要在肺,气机失调、肺气上逆贯穿哮喘的始终。林季文主任结合儿童生理、病理特点,认为哮喘属本虚标实,在急性阶段,首当治其标实(肺),缓解后标本兼治,在治疗中注重对气的调护,运用苦味、酸味、辛味药物以降逆敛肺,体现了“苦欲补泻”理论思想。

    Abstract:

    Abstract:Bronchial asthma is a common respiratory disease in children,with recurrent relapses and a protracted course, severely impacting children's physical and mental health. This paper centers on the theory of "nourishing or dispersing based on preference or dislike of lung" in Huang Di Nei Jing (The Yellow Emperor's Inner Classic),which posits that the main pathogenesis of asthma is located in the lung,with disordered qi movement and upward-reversed lung qi being a consistent feature throughout the whole process. Director LIN Jiwen,based on children's physiological and pathological characteristics,views asthma as a condition with deficiency in the root and excess in the manifestation. During the acute phase,the manifestation of lung should be treated first. Once the symptoms alleviated,both root and manifestation should be treated concurrently. Throughout the therapeutic process, LIN emphasizes the importance of regulating qi dynamics,using bitter,sour,and pungent medicines to descend and consolidate lung qi. This approach embodies the theoretical principles of "nourishing or dispersing based on preference or dislike of lung".

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龙欣瑶,翁泽林.从肺苦欲补泻理论探讨林季文治疗儿童支气管哮喘用药特点[J].新中医,2026,58(9):123-128

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  • 在线发布日期: 2026-05-13
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