Analysis of the Diagnostic and Treatment Approach for Cough Variant Asthma Based on the Concept of "Wind Medicinal Opening Sweat Pores"

ZHOU Xiaoqing; CHEN Jialing; ZHOU Linshui; WANG Zhen

doi:10.13288/j.11-2166/r.2025.08.008

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Analysis of the Diagnostic and Treatment Approach for Cough Variant Asthma Based on the Concept of "Wind Medicinal Opening Sweat Pores"

更新时间：2025-04-14

- Analysis of the Diagnostic and Treatment Approach for Cough Variant Asthma Based on the Concept of "Wind Medicinal Opening Sweat Pores"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 8, Pages: 800-803(2025)
- 作者机构：
  
  1.浙江中医药大学第一临床医学院，浙江省杭州市滨江区滨文路548号，310053
  2.浙江中医药大学附属第一医院/浙江省中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.08.008
  CLC：
- Received：18 October 2024，
  
  Revised：2025-03-27，
  
  Published：17 April 2025
- 稿件说明：
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周晓青,陈佳玲,周林水等.从“风药开玄”探析咳嗽变异型哮喘的辨治思路[J].中医杂志,2025,66(08):800-803.

ZHOU Xiaoqing,CHEN Jialing,ZHOU Linshui,et al.Analysis of the Diagnostic and Treatment Approach for Cough Variant Asthma Based on the Concept of "Wind Medicinal Opening Sweat Pores"[J].Journal of Traditional Chinese Medicine,2025,66(08):800-803.
周晓青,陈佳玲,周林水等.从“风药开玄”探析咳嗽变异型哮喘的辨治思路[J].中医杂志,2025,66(08):800-803. DOI： 10.13288/j.11-2166/r.2025.08.008.

ZHOU Xiaoqing,CHEN Jialing,ZHOU Linshui,et al.Analysis of the Diagnostic and Treatment Approach for Cough Variant Asthma Based on the Concept of "Wind Medicinal Opening Sweat Pores"[J].Journal of Traditional Chinese Medicine,2025,66(08):800-803. DOI： 10.13288/j.11-2166/r.2025.08.008.

摘要

玄府乃气机升降出入、精血津液流通、脏腑得以濡养的总司，贵在畅通，忌于壅滞。咳嗽变异型哮喘属中医“风咳”范畴，玄府开阖升降失司贯穿其发病全程。聚焦于咳嗽变异型哮喘病程演变中玄府失司的动态变化，归纳为玄府失枢、玄府失通、玄府失养三阶段。治疗上以“风药开玄”为核心，始动期以启玄祛风，宣肺理气；进展期以畅玄散风，肃肺消滞；转归期以养玄御风，补肺固本分以施治，以期为咳嗽变异型哮喘临床诊治提供思路。

Abstract

Sweat pore serves as the central regulator for ascending， descending， exiting and entering of

movement， the circulation of essence， blood， and body fluids， and the nourishment of

zang

organs. Its proper function depends on maintaining smooth flow and avoiding stagnation. Cough variant asthma （CVA）， in traditional Chinese medicine， falls under the "wind cough" category. The dysfunction of sweat pores' opening， closing， ascending， and descending is integral to the pathogenesis of CVA. This article focused on the dynamic changes in sweat pores' dysfunction throughout the progression of CVA， categorized into three stages，i.e. loss of pivot function， blockage of sweat pores， and lack of nourishment. The treatment approach centers on "wind medicinal opening sweat pores"， so for the initial stage， the focus is on activating sweat pores and dispelling wind， diffusing the lungs and rectifying

； for the progression stage， the strategy shifts to unblocking sweat pores and dispersing wind， clearing lung stagnation and resolving obstructions； for the resolution stage， the emphasis is on nourishing sweat pores and defending against wind， strengthening the lungs and consolidating the body's foundation. This approach provides a systematic approach to the clinical diagnosis and treatment of C

VA.

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references

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