芳香中药在支气管哮喘治疗中的医理认识及运用现状
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国家自然科学基金项目(NSFC:82060884);云南省基础研究计划重点项目(202401AS070809);云南省兴滇英才支持计划-医疗卫生人才专项(XDYC-YLWS-2023-0092);云南省万人计划青年拔尖人才专项(YNWR-QNBJ-2019-196);云南省高层次中医药人才项目(学科带头人-中医儿科学);国家中医药管理局高水平中医药重点学科(中医儿科学)建设项目(ZYYZDXK-2023190);国家中医药管理局熊磊全国名老中医药专家传承工作室建设项目


Utilization of Aromatic Traditional Chinese Medicine in the Treatment of Bronchial Asthma and Current Status of Medical Understanding and Application
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    摘要:

    支气管哮喘是儿科最常见的慢性气道疾病,具有反复发作,难以根治的特点,对儿童健康构成严重威胁。中医学认为,哮喘的发生与脾肾的功能失调密不可分,痰湿、瘀血、气滞是哮喘发生的关键致病因素。芳香中药是指以挥发性物质为主要成分,具有芳香气味的中药,因这类药物有疏散走窜之性,而具芳香解表、理气化痰、散瘀通络、增免扶正、辟秽开窍、净洁环境等功效。芳香中药在哮喘治疗中的运用历史悠久且优势独特,通过梳理芳香中药从发现期到成熟期所经历的漫长探索和实践历程,探索主要功效与核心性能的关系,并从“芳香化湿对应哮喘痰湿”“芳香理气对应哮喘气滞”“芳香通络对应哮喘瘀血”“芳香中药内外合治有殊途同归之旨”等探析香药治哮可能的内在医理,列举芳香中药防治哮喘的现代研究概况以及目前运用现状,以期为今后更好地在临床运用芳香中药及中医芳香疗法,研发治疗哮喘的芳香中药新制剂提供思路及参考。

    Abstract:

    As the most common chronic airway disease in pediatrics,bronchial asthma is characterized by recurrent attacks and difficult cures,thus posing a serious threat to children's health.In traditional Chinese medicine(TCM),it is believed that the occurrence of asthma is closely related to the dysfunction of the spleen and kidneys.Phlegm dampness,extravasated blood,and qi stagnation are key pathogenic factors in the occurrence of asthma.Aromatic Chinese medicine refers to the Chinese medicine that is mainly composed of volatile substances and has an aromatic odor.Due to the channeling ability,this type of medicine has the effects of aromatic surface relief,regulating qi and expelling phlegm,dispersing blood stasis and dredging channels,enhancing immunity and strengthening vital qi,repelling foulness and promoting resuscitation,and purifying the environment.The application of aromatic TCM in the treatment of asthma has a long history and unique advantages.By summarizing the long exploration and practical process of aromatic TCM from discovery to maturity,this paper explored the relationship between the main efficacy and core performance of TCM.From the perspectives of “resolving dampness with aromatics to deal with asthma phlegm dampness”,“regulating qi for asthma qi stagnation”,“dredging channels with aromatics for asthma blood stasis”,and “internal and external treatment of aromatic TCM with the same goal”,it explored the possible underlying medical principles of aromatic medicine in the treatment of asthma and listed the modern research overview of aromatic TCM in the prevention and treatment of asthma,and the current application status.As a result,ideas and references can be provided for better clinical application of aromatic TCM and TCM aromatherapy,and the development of new aromatic TCM preparations for the treatment of asthma in the future.

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卢盈竹,喻星竹,王天资,郑佳琳,李卓群,司曼真,黄会惠,贺喜盈,张馨元,付佳乐,余治鸿,明溪.芳香中药在支气管哮喘治疗中的医理认识及运用现状[J].世界中医药,2025,(07).

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  • 收稿日期:2024-09-28
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  • 在线发布日期: 2025-06-11
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