| 张镜人,巫协宁,杨虎天,严佩贞,张蓓莉.补肾益肺法在哮喘持续状态抢救中的应用[J].中国中西医结合杂志,1983,(1):8-9,2 |
| 补肾益肺法在哮喘持续状态抢救中的应用 |
| Strengthen the Lung by Way of Tonifying the Kidney in the Management of Status Asthmaticus |
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| DOI： |
| 中文关键词: 哮喘持续状态 补肾益肺 支气管哮喘 胡桃肉 人参 哮喘性支气管炎 治疗后 呼吸衰竭 抢救 地塞米松 |
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| 中文摘要: |
| 哮喘持续状态是常见急症和治疗棘手的疾患,严重者可引起呼吸衰竭危及生命。我院应用补肾益肺法(方用参蚧散或人参胡桃肉汤)配合西医西药,于哮喘持续状态患者的抢救中,取得了显著的疗效。临床资料一、治疗对象:为临床确诊的支气管哮喘9例,哮喘性支气管炎3例。此次发作剧烈而 |
| 英文摘要: |
| The mortality rate of status asthmaticus documented in the medical literature is 9-38%.Twelve patients with 16 attacks including one case of respiratory arrest all survived after the use of Ginseng-Gecko powder(参蛤散)and Ginseng-Walnut decoction(人参胡桃肉汤)in combination with steroids,bronchodilators and antibiotics. Among the group,there were 7 females and 5 males,aged 18-59 years,course of illness averaging 13.4 years.The attacks persisted from 24 hours to 7 days,having a mean of 4.2 days.They all exhibited severe dyspnea,marked cyanosis and profuse sweating,and one had transient respiratory arrest.After the use of hydrocortisone averaging 220mg/day(11 occasions),dexamethasone averaging 9mg/day(5 occasions),ACTH 25u/day(7 occasions),and large doses of bronchodilators and antibiotics failed to bring about any remission,medicinal herbs were added Differentiation of symptom-complexes in TCM:revealed 7 cases of cold asthmatics and 5 cases of hot asthmatics,all of which exhibited varying degrees of deficiency in the vital function of the kidney(肾阳虚). Prescription:(1)Ginseng 10gm and a pair of gecko detected and administered once daily;(2)Ginseng-Walnut decoction,10gm for each ingredient once daily.Other herbs wese given in addition for the enhancement of anti-heat, antiasthmatic and expectorant effects,in accordance with the symptom-complex manifested in each patient.Results: 56% were brought under control,19% markedly improved and 19% improved,making a total effective rate of 94%. The effectiveness was apparent in 1-4 days.Concomitantly,the general status also appeared markedly improved. According to the theory of TCM,the development of asthma is initiated as the vital function of the lung,spleen and kidney is deteriorating.If it lasts persistently and sufficiently long,all patients would show deficiency of vital energy of the kidney.Ginseng restores the vital energy,enhances the resistance to stresses,modulates the function of central nervous system,relieves excess stimulation from neurotransmitters released during the attack and eventually restores the normal response of the organism.Gecko and walnut both have the action of warming the kidney and reinforcing its vital function.The authors highly advocate its use in combination with the steroids in achieving remission of status asthmaticus. |
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