Bushen Xiao Fang Pill, Guben Fangchuan Capsule (see "What about recurrent bronchial asthma?" Chinese medicine is a good way to tonify the kidney! "), which is developed by referring to the experience of all parts of the country and summarizing through clinical observation, has the effects of tonifying kidney and warming yang, invigorating qi and strengthening spleen, astringing sweat and consolidating exterior, eliminating phlegm, promoting blood circulation and removing blood stasis, and has a good effect on controlling the recurrence of asthma.
Most patients with bronchial asthma (including chronic bronchitis) have hypothalamus-pituitary-adrenal cortex dysfunction and immune dysfunction ... After taking Guben Fangchuan Capsule and other prescriptions, endocrine function is improved and immune function is obviously enhanced (serum immunoglobulin, complement C3, LTT and E-RFT are obviously improved compared with before treatment).
Clinically, it is found that after children take Guben Fangchuan Capsule for a long time, their physique is obviously improved, and the number of colds and asthma attacks is gradually reduced until they are completely eliminated.
Through immunological research, Shen Shi and others found that Wenyangcan method inhibited the seasonal increase of serum IgE and improved the function of inhibiting T cells (TS). At the same time, the correlation between TS and serum IgE was observed before and after treatment. It was found that there was a significant negative correlation between IgE and ST before and after treatment in Wenyang method group (P < 0.05), but there was no significant linear correlation in control group.
It is suggested that warming yang method may prevent asthma recurrence through immunomodulation.
In addition, the further study of Xu's book shows that warming yang method may alleviate or stop the seasonal attack of asthma by inhibiting the seasonal increase of total IgE and specific IgE and reducing the release of allergic mediators such as histamine.
But there are many products that benefit kidney and warm yang. Which drugs are more suitable for the prevention and treatment of asthma?
Through repeated clinical screening, it was found that Epimedium, Morinda officinalis, Psoralea corylifolia, Astragalus membranaceus and Cuscuta chinensis were the first choice drugs, which not only had obvious curative effect, but also had no toxic and side effects.
Drone pupa is also one of the effective drugs to prevent and treat the disease, especially for children.
Bronchial asthma is a chronic disease with recurrent attacks, coexistence of cold and heat, and mixture of excess and deficiency. If you choose products that are too warm and dry (such as attached tablets), taking them for a long time will inevitably hurt body fluid and consume gas (especially children), which is not good for your illness, so attached tablets and dried ginger are generally used less; Even if used, the amount should not be large.
The author emphasizes that tonifying kidney and warming yang has a positive effect on the prevention and treatment of bronchial asthma, but it does not mean that it only keeps warming kidney and does not cooperate with other treatments.
It should be noted that yin and yang in the body are always in a relatively balanced and coordinated state. Because of the principle that yin and yang are mutually rooted, it is necessary to properly nourish yin when replenishing yang, so as to hide yin. Therefore, Rehmannia glutinosa and Cornus officinalis can be selected in the prescription at the right time. That's the reason.
In addition, the deficiency of lung, spleen and kidney in remission is only the key to kidney deficiency. Warming kidney and strengthening yang is of course important, and it is also essential to replenish qi, spleen and lung.
In recent years, it has been reported many times that drugs such as Astragalus membranaceus and Pseudostellaria heterophylla have good effects on regulating the immune function of the body, especially Astragalus membranaceus, which is used blindly in large quantities and has strong effects and no toxic side effects.
Sufficient temper, turning health into qi, can enhance disease resistance, prevent colds, and thus reduce the recurrence of asthma. Supplementing congenital nature is beneficial to improve the prevention and treatment effect of this disease.
For some hormone-dependent patients, due to the deficiency of kidney yin and yang, it is appropriate to supplement both yin and yang, mainly Liuwei Dihuang Pill, plus Psoralea corylifolia, Epimedium and Astragalus. We found that some patients can gradually remove hormones if they insist on taking medicine.
To control the recurrence of asthma, in addition to the above drugs, we also emphasize that the disease should be prevented and treated early (that is, the disease should be treated in a timely and comprehensive manner as soon as it occurs in childhood); Allergic patients should try to find out allergens and avoid contact again.
If children are allergic to eggs, milk, fish and shrimp, they should eat less or fast; Allergic to drugs, pollen, paint, coatings, industrial dust, etc. , contact should be minimized; Timely treatment of allergic rhinitis, urticaria, eczema, chronic pharyngitis and other diseases, and elimination of hidden lesions that may cause recurrent asthma;
At ordinary times, we should pay attention to strengthening physical exercise, eliminating the stimulation of harmful gases and smoke, and preventing and treating upper respiratory tract infections in time. Only in this way can the recurrence of this disease be effectively controlled.
In addition, Chinese medicine ointment is used to treat winter diseases and summer diseases in various places in dog days, and the effect is quite good.
In recent years, western medicine has made great progress in the study of this disease from the foundation to the prevention and treatment methods.
For example, the classification and grading of asthma severity, the treatment of escalation;
Reasonable selection of various drugs (including glucocorticoid, β2 receptor agonist, theophylline, anticholinergic drugs, leukotriene modulators, antihistamines, etc.). ), especially the reasonable selection of various aerosols, has greatly improved the clinical prevention and treatment effect of the disease and obviously alleviated the pain of patients.
The combination of traditional Chinese and western medicine can learn from each other's strengths and further improve the curative effect.
Therefore, the author thinks that western medicine should be the main treatment in acute attack and chronic duration, and the treatment standard of combining traditional Chinese and western medicine should be adopted. In the remission period, Chinese medicine should be given priority to, so as to strengthen the physique of patients and prevent the recurrence of diseases, which is called "treating the disease at the root and treating it slowly". I think this idea of prevention and control will not change much at least in the near future.
The article is extracted from the Collection of Traditional Chinese Medicine of Ke Xinqiao published by China Medical Science and Technology Publishing House.