The Characteristics of Constitution-Disease-Syndrome of Different Clinical Phenotypes  and the Application of Three-Dimensional  Diagnosis and Treatment Pattern of Bronchial Asthma

CUI Hongsheng; BI Weibo; SHAO Dongmei; YAO Haiqiang; ZHU Jia

doi:10.13288/j.11-2166/r.2024.10.018

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The Characteristics of Constitution-Disease-Syndrome of Different Clinical Phenotypes and the Application of Three-Dimensional Diagnosis and Treatment Pattern of Bronchial Asthma

更新时间：2024-05-13

- The Characteristics of Constitution-Disease-Syndrome of Different Clinical Phenotypes and the Application of Three-Dimensional Diagnosis and Treatment Pattern of Bronchial Asthma
- Journal of Traditional Chinese Medicine Vol. 65, Issue 10, Pages: 1082-1085(2024)
- 作者机构：
  
  1.北京中医药大学第三附属医院，北京市朝阳区安定门外小关街51号，100029
  2.北京中医医院顺义医院
  3.北京中医药大学国家中医体质与治未病研究院
  4.江苏省中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.10.018
  CLC：
- Received：26 September 2023，
  
  Revised：2023-12-15，
  
  Published：17 May 2024
- 稿件说明：
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崔红生,毕伟博,邵冬梅等.支气管哮喘不同临床表型的体-病-证特征及三辨诊疗模式的应用[J].中医杂志,2024,65(10):1082-1085.

CUI Hongsheng,BI Weibo,SHAO Dongmei,et al.The Characteristics of Constitution-Disease-Syndrome of Different Clinical Phenotypes and the Application of Three-Dimensional Diagnosis and Treatment Pattern of Bronchial Asthma[J].Journal of Traditional Chinese Medicine,2024,65(10):1082-1085.
崔红生,毕伟博,邵冬梅等.支气管哮喘不同临床表型的体-病-证特征及三辨诊疗模式的应用[J].中医杂志,2024,65(10):1082-1085. DOI： 10.13288/j.11-2166/r.2024.10.018.

CUI Hongsheng,BI Weibo,SHAO Dongmei,et al.The Characteristics of Constitution-Disease-Syndrome of Different Clinical Phenotypes and the Application of Three-Dimensional Diagnosis and Treatment Pattern of Bronchial Asthma[J].Journal of Traditional Chinese Medicine,2024,65(10):1082-1085. DOI： 10.13288/j.11-2166/r.2024.10.018.

摘要

对支气管哮喘五种临床表型（过敏性哮喘、咳嗽变异性哮喘、胸闷变异性哮喘、心理应激性哮喘、激素依赖性哮喘）的体-病-证特点进行归纳总结，对辨体-辨病-辨证三维诊疗模式（简称“三辨模式”）在支气管哮喘五种临床表型中的应用进行全面阐述。认为支气管哮喘的体质以特禀质为主，常与气虚质、阴虚质、阳虚质、气郁质等相兼为患。治疗当体-病-证兼顾，依其轻重缓急，灵活运用。三辨模式能够更加全面、客观地反映支气管哮喘的实质特征及临床全貌，为其中医药的防治提供有效的干预措施及管理方案。

Abstract

This paper summarized the characteristics of constitution， disease， and syndrome of five different phenotypes of bronchial asthma including allergic asthma， cough variant asthma， chest tightness variant asthma， psychological stress asthma， and hormone-dependent asthma， and systematically expounds the application of three-dimensional diagnosis and treatment pattern， that is differentiation of constitution， disease and syndromes in the five phenotypes of bronchial asthma. It is considered that the allergic constitution is the main one of bronchial asthma， which is usually combined with the constitutions of

-deficiency，

yin

-deficiency，

yang

-deficiency，

-stagnation and others. In the treatment of bronchial asthma， constitution， disease and syndromes should all be taken into account but applied flexibly according to the order of the urgency and priority. The three-dimensional diagnosis and treatment pattern can reflect the essential characteristics and clinical panorama of bronchial asthma more comprehensively and objectively and provide effective intervention measures and management programs for the prevention and treatment by traditional Chinese medicine.

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references

王琦 . 中医体质学［M］. 北京：人民卫生出版社， 2009 .

王振宇，姚海强，王琦 . 辨体-辨病-辨证诊疗模式的临床运用［J］. 中医杂志， 2016 ， 57 （ 22 ）： 1921 - 1924 .

中华医学会呼吸病学分会哮喘学组 . 支气管哮喘防治指南（2020年版）［J］. 中华结核和呼吸杂志， 2020 ， 43 （ 12 ）： 1023 - 1048 .

中华医学会变态反应分会呼吸过敏学组（筹），中华医学会呼吸病学分会哮喘学组 . 中国过敏性哮喘诊治指南（第一版，2019年）［J］. 中华内科杂志， 2019 ， 58 （ 9 ）： 636 - 655 .

高英洁 . 过敏性哮喘患者兼夹体质横断面研究［D］. 北京：北京中医药大学， 2021 .

崔红生，姚海强，王济，等 . 国医大师王琦教授从体-病-证三维角度辨治过敏性哮喘经验［J］. 中华中医药杂志， 2018 ， 33 （ 1 ）： 130 - 132 .

崔红生，张诗瑜，毕伟博，等 . 和调枢机法治疗咳嗽变异性哮喘［J］. 中医杂志， 2022 ， 63 （ 9 ）： 894 - 896 .

崔红生，陈秋仪，毕伟博 . 干咳湿热证钩玄［J］. 中华中医药杂志， 2019 ， 34 （ 2 ）： 535 - 538 .

中华医学会呼吸病学分会哮喘学组 . 胸闷变异性哮喘诊治中国专家共识［J］. 中华医学杂志， 2023 ， 103 （ 34 ）： 2662 - 2673 .

OHNO I . The interrelationship between asthma and brain activities： psychological stress-related asthma as a new asthma phenotype ［J］. Allergy ， 2017 ， 66 （ 3 ）： 153 - 160 .

弓雪峰，崔红生，陈秋仪，等 . 血府逐瘀汤治疗胸闷变异性哮喘的临床运用探析［J］. 中国中医基础医学杂志， 2023 ， 29 （ 4 ）： 660 - 662，671 .

崔红生 . 武维屏辨治肺系疾病思路［J］. 中医杂志， 2013 ， 54 （ 2 ）： 107 - 109 .

LEE H ， RYU J ， NAM E ， et al . Increased mortality in patients with corticosteroid-dependent asthma： a nationwide population-based study ［J］. Eur Respir J ， 2019 ， 54 （ 5 ）： 1900804 .

崔红生，武维屏，任传云，等 . 激素依赖型哮喘撤减激素过程中的证候学变化及其治疗特点［J］. 中医杂志， 2005 ， 46 （ 5 ）： 371 - 373 .

崔红生，徐光勋，任传云，等 . 激素依赖型哮喘撤减激素过程中的证候学变化及三步序贯法临床疗效观察［J］. 中医杂志， 2008 ， 49 （ 10 ）： 886 - 889 .

崔红生，范红玲，武维屏 . 乌梅丸治疗激素依赖型哮喘的疗效机理及临床运用［J］. 北京中医药大学学报， 2000 ， 23 （ 5 ）： 62 - 63 .

黄帅阳，崔红生，陈秋仪，等 . 基于厥阴病机特点探讨乌梅丸在肺系疾病中的运用［J］. 浙江中医药大学学报， 2022 ， 46 （ 9 ）： 990 - 1001 .

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