哮病
Alias哮喘
Traditional Chinese Medicine Definition
In traditional Chinese medicine,哮病, also known as asthma, falls under the category of lung-related diseases. According to the "Internal Medicine of Traditional Chinese Medicine," asthma is characterized by a whistling sound in the throat and difficulty in breathing. The etiology is often related to external invasion of wind and cold, internal accumulation of phlegm and fluid, and weakness of lung Qi, with the pathogenesis mainly manifesting as the failure of the lung to promote and descend, leading to the obstruction of phlegm and Qi.
In clinical practice, the core pathogenesis of asthma in traditional Chinese medicine is the failure of the lung to promote and descend, along with the obstruction of phlegm and Qi. Common triggers include external invasion of wind and cold, improper diet, and emotional fluctuations. During the process of differentiation, attention should be paid to the following key points:
1. Cold asthma: characterized by shortness of breath, coughing, rapid breathing, with a whistling sound in the throat and white phlegm.
2. Hot asthma: characterized by rough breathing, with a loud, whistling sound in the throat and yellow, sticky phlegm.
3. Deficient asthma: characterized by shortness of breath, exacerbated by exertion, recurrent attacks, and fatigue.
Overall treatment approach: Traditional Chinese medicine suggests that treatment should be tailored to the specific pattern, with cold asthma focusing on warming the lung and dispelling cold, resolving phlegm, and calming asthma; hot asthma focusing on clearing heat, promoting lung Qi, resolving phlegm, and calming asthma; and deficient asthma focusing on replenishing the lung and kidney, and regulating Qi to calm asthma. During the treatment process, it is also important to adjust the body constitution, enhance the body's ability to resist diseases, and prevent recurrence.
Common Syndrome Types and Key Points of Differentiation
寒哮
Main Manifestations：喘息咳逆，呼吸急促，喉中有痰鸣音，痰白
Management Approach：温肺散寒，化痰平喘
热哮
Main Manifestations：喘而气粗，喉中痰鸣如吼，痰黄黏稠
Management Approach：清热宣肺，化痰定喘
虚哮
Main Manifestations：喘促气短，动则加重，反复发作，神疲乏力
Management Approach：补肺益肾，纳气定喘
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
The physician's insight: In the treatment of asthma, it is essential to pay attention to the regulation of both the lung and kidney organs, while also considering the overall balance of the lung, spleen, and kidney.
— 唐玉兰 中医执业医师（师承）
Related Popular Articles
Guidance for Nearby Treatment
运河商务社区、滨江锦绣之城、小河直街等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)