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摘要


氣喘是孩童期最常見的慢性疾病,在小孩的發生率爲5-10%。氣喘是一㳽漫性、阻塞性的肺部疾病,與遺傳及過敏性疾病關係密切,病毒性感染、運動後、吸二手菸或暴露冷空氣中等狀況,症狀會更嚴重。造成呼吸道阻塞的因素與平滑肌痙攣,氣喘古代稱「哮證」、「咳逆上氣」、「肺脹」、「喘息」等,大致上可分爲實喘和虛喘,實喘是邪氣盛所致,外感六淫、小飲痰濁,阻塞脈道,治療當以宣肺祛邪爲主。虛喘者無邪,素體虛弱或元氣虧損,賢不納氣,肺失所主,治療當以培本固元,健脾固腎,攝納肺氣爲主。

關鍵字

氣喘 哮喘 支氣管擴張 肺脹 喘息

並列摘要


Asthma is a common chronic illness among children, affecting 5-10 percent of the population. Asthma is a diffuse obstructive pulmonary illness closely related to various inherited and allergic diseases. Viral infections, exercise, second hand smoke or sudden exposure to cold air can aggravate symptoms. Asthma, leading to respiratory pathway obstruction and smooth muscle spasm, was referred to as wheezing pattern (xiao zheng), counterflow qi ascent cough (ke ni shang qi), pulmonary distention (fei zhang) and gasping (chuan xi) in ancient times. Generally speaking asthma can be divided into repletion type and vacuity type asthma. Repletion type asthma is due to exuberance of evil qi, external contraction of the six excesses, and water-rheum, phlegm-turbidity obstructing the vessel pathways. Treatment is primarily based on diffusing the lung and dispelling evil qi. In vacuity asthma there is no evil qi. Rather there is constitutional weakness or depletion of original qi, kidneys failing to grasp the qi or the lung unable to govern qi. Treatment is primarily aimed at banking up the root and securing the origin, fortifying the spleen and securing the kidney and promoting absorption of lung qi.

被引用紀錄


林玉彩(2011)。中醫小兒氣喘試辦計畫對醫療資源耗用差異之研究〔碩士論文,中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822/CTUST.2011.00064
張婉暄(2014)。以臺灣健保資料庫探討小兒門診氣喘病患中西藥處方型態〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2014.02273

延伸閱讀


  • 曾資蓉(2001)。兒童氣喘長庚護理12(3),239-245。https://doi.org/10.6386/CGN.200109_12(3).0007
  • 陳偉鵬(2002)。小兒氣喘及炎性反應臺灣兒童過敏氣喘及免疫學會學會通訊3(1),8-9。https://doi.org/10.7025/HEJ.200202.0009
  • 李國森、王麟殿、楊政謙、張克昌(1999)。小兒喘鳴中華民國耳鼻喉科醫學雜誌34(1),40-44。https://doi.org/10.6286/1999.34.1.40
  • 廖宏才(1993)。小兒氣喘病師友月刊(308),26-26。https://doi.org/10.6437/EM.199302.0026
  • 蔡銘哲、江伯倫(1998)。Atopic Asthma台灣醫學2(5),527-532。https://doi.org/10.6320/FJM.1998.2(5).06

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