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[目的]观察辨证分型治疗儿童哮喘疗效。[方法]采用前瞻性设计50例门诊患者,寒性(炙麻黄2~4g,桂枝3~5g,细辛1~2g,干姜2~4g,炙半夏3~6g,白芍3~5g,五味子1.5~3g,甘草2~5g;咳嗽加紫箢,款冬瓜,旋覆花;哮吼甚加射干,地龙,僵蚕;外寒不甚,寒饮阻肺射干麻黄汤),1剂/d,水煎20~50mL,1次/d;热性(麻黄炙2~5g,甘草4~5g,紫苏子、款冬炙各3~6g,杏仁2~6g,桑白皮3~8g,黄芩3~6g,蝉衣4~10g,僵蚕3~6g,白果2~5g,连翘3~6g,石膏10~20g;喘急加地龙;痰多加胆南星、竹沥;咳甚加百部炙、冬花炙;热重加栀子、虎杖、鱼腥草;表证不著,喘息咳嗽,痰鸣,痰色微黄选定喘汤),1剂/d,水煎20~50mL,1次/d。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]显效35例,有效13例,无效2例,总有效率96.00%。[结论]辨证分型治疗儿童哮喘效果显著,值得推广。
[Objective] To observe the syndrome differentiation and treatment of children with asthma efficacy. [Methods] Fifty outpatients were prospectively designed. Cold (2 ~ 4g of burlap, 3 ~ 5g of cassia twig, 1 ~ 2g of asarum, 2 ~ 4g of ginger, 3 ~ 6g of Sunbath, 5g, Schisandra 1.5 ~ 3g, licorice 2 ~ 5g; cough with Aster, melon, Inula; calamus is very dry, to the dragon, silkworm; 1 / d, decoction 20 ~ 50mL, 1 / d; heat (Ephedra Sunburn 2 ~ 5g, licorice 4 ~ 5g, perilla, winter sunburn each 3 ~ 6g, almonds 2 ~ 6g, Morus alba 3 ~ 8g, Scutellaria 3 ~ 6g, Chan Yi 4 ~ 10g, silkworm 3 ~ 6g, ginkgo 2 ~ 5g, Forsythia 3 ~ 6g, gypsum 10 ~ 20g; Even add one hundred copies of Sunburn, winter flowers Sunburn; heat weight plus Gardenia, Polygonum cuspidatum, Houttuynia; table card does not, wheezing cough, sputum, sputum yellow slightly selected asthma), 1 / d, 50mL, 1 time / d. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] 35 cases were markedly effective, 13 cases were effective, 2 cases were ineffective and the total effective rate was 96.00%. [Conclusion] The syndrome differentiation has a significant effect in treating children with asthma and is worthy of promotion.