首页|期刊导航|中医临床研究|基于"风药胜湿"理论探讨祛风药在气道黏液高分泌疾病中的应用

基于"风药胜湿"理论探讨祛风药在气道黏液高分泌疾病中的应用OA

Exploration of the application of wind-dispelling Chinese herbs in airway mucus hypersecretion based on the"wind-dispelling herbs conquering dampness"theory

中文摘要英文摘要

基于"风药胜湿"理论探讨祛风药在气道黏液高分泌疾病中的应用.首先,解析风药、祛风药的概念与功效,阐明其升提、发散、开透之性及现代药理作用;其次,分析风邪与湿邪的特性及关系,指出风为百病之长,而湿邪黏滞趋下,二者合邪可致气道痰饮凝聚.结合《黄帝内经》中"风胜湿"理论渊源及历代医家实践,揭示风药通过宣肺、健脾、通三焦等机制除湿的核心内涵.临床应用部分以支气管哮喘、慢性阻塞性肺疾病等为例,论证祛风药在改善气道黏液高分泌中的疗效,并以一典型病案体现"急则治标、缓则治本"的治则.研究表明,风药胜湿理论为气道黏液高分泌疾病提供了"调气机、化伏痰"的新治法,彰显中医整体论治特色.

Based on the theory of"wind-dispelling herbs conquering dampness"in traditional Chinese medicine(TCM),this paper discusses the application of wind dispelling medicine in airway mucus hypersecretion.Firstly,the concept and efficacy of wind medicine and wind-dispelling herbs were analyzed,and their uplifting,divergent and penetrating properties of wind-dispelling herbs and modern pharmacological effects were clarified.Then,the characteristics and relationship between wind evil and damp evil were analyzed,and it was pointed out that wind is the chief of all diseases,and the sticky nature of damp evil tends to descent,and the combination of the two evils can cause the accumulation of airway phlegm-fluid retention.Combined with the theoretical origin of"wind conquers dampness"in Huangdi Neijing(《黄帝内经》)and the clinical practices of physicians in successive dynasties,this study reveals the core connotation of wind-dispelling herbs eliminating dampness through mechanisms such as dispersing lung Qi(气),invigorating the spleen,and unblocking the triple energizer.Taking the clinical application in bronchial asthma,chronic obstructive pulmonary disease,and other conditions as examples,this paper demonstrates the efficacy of wind-dispelling herbs in improving airway mucus hypersecretion,and illustrates the therapeutic principle of"treating the acute symptoms first in acute stages and addressing the root cause in chronic phases"through a typical medical case.Research shows that the theory of"wind-dispelling herbs conquering dampness"provides a novel therapeutic approach of"regulating Qi movement and resolving latent phlegm"for diseases characterized by airway mucus hypersecretion,highlighting the distinctive feature of holistic treatment in traditional Chinese medicine.

杨忠对;何成诗;王艳梅;杨露川

成都中医药大学临床医学院,四川 成都,610000成都中医药大学附属医院,四川 成都,610000四川省中医药科学院中医临床信息与基础研究所,四川 成都,610000四川省第二中医医院,四川 成都,610000

医药卫生

风药祛风药风药胜湿气道黏液高分泌

Wind medicineWind-dispelling herbsWind-dispelling herbs conquering dampnessHypersecretion of airway mucus

《中医临床研究》 2026 (5)

88-92,5

四川省中医药管理局科学技术研究专项课题(2020JC0089、2024MS152)四川省中医药管理局重大临床研究项目(25ZSIZX017)成都市卫生健康委员会 成都中医药大学委校联合创新基金(WXLH202403156).

10.3969/j.issn.1674-7860.2026.05.012

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