夏奔 陈炜

【摘 要】 支气管扩张是呼吸系统常见的一种慢性气道炎症疾病，现代医学对于支气管扩张的治疗仍以抗感染为主，而中医药辨证论治支气管扩张具有独特的优势。陈炜主任临证时善于审时度势，详加辨证论治，灵活化裁，急则治标，缓则治本，常从“风、血、气、痰、热、虚、瘀”七个方面临证施治，疗效确切。

【关键词】 支气管扩张;经验分析;陈炜

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）10-0084-04

Analysis of Chen Weis Experience in Treating Bronchiectasis

XIA Ben1 CHEN Wei2△

1.Anhui University of Traditional Chinese Medicine， Hefei 230038， China;

2.The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine， Hefei 230031， China

Abstract：Bronchiectasis is a common chronic airway inflammatory disease of respiratory system. Modern medicine treats asthma mainly with antibiotics and glucocorticoids， and has many side effects in long-term application. However， traditional Chinese medicine has unique advantages in treating bronchiectasis based on syndrome differentiation. Director Chen Wei， my tutor， has been reading the classics for many years. He has been working in the clinical front line for many years. He is good at judging and seizing the power when he is in the clinical syndrome. In detail， he adds the syndrome differentiation and treatment to be flexible and flexible. If he is urgent， he will treat the symptoms. If he is slow， he will treat the root. For bronchiectasis， it is often treated from four aspects of “wind， phlegm， blood stasis and deficiency”， with definite clinical effect.

Keywords：Bronchiectasis; Empirical Analysis; Chen Wei

支氣管扩张症是由多种原因导致的支气管树的病理性、永久性扩张，可反复发生化脓性感染的气道慢性炎症，临床表现为持续或反复性咳嗽、咳痰，有时伴有咯血，可导致呼吸功能障碍及慢性肺源性心脏病[1]。而其最主要的致病因素为支气管感染包括细菌、病毒，结核感染、麻疹、百日咳也是比较常见的原因[2]。对于支气管扩张的治疗，现代医学常用抗生素、祛痰剂等药物，对患者的症状、病情的进展有一定的减轻和遏制作用，但抗生素随着机体的耐药，其疗效往往不尽人意。陈炜主任医师师从全国名中医韩明向教授，为国家第五批名老中医学术经验继承人，从事临床、科研与教学工作二十载，擅长治疗多种呼吸系统疾病。笔者有幸跟师临证学习，获益匪浅，现将陈炜主任经验整理介绍如下。

1 病因病机

1.1 风为病之主因 风为阳邪，其性轻扬升散，具有升发、向上、向外的特性，所以风邪致病，易于伤人上部，易犯头面、肌表等阳位。风为百病之长，寒、湿、燥、热等邪，往往都与风邪相合而侵犯人体。……