1 、 Background and Objective: Bronchial asthma(BA)is a common respiratory disease.Due to its high airway reactivity,it is prone to recurrent attacks,mainly manifested as severe asthma,cough,or chest tightness,and even life-threatening.This disease belongs to the category of asthma and asthma syndrome in ancestral medicine.The textbook states that the lesions of bronchial asthma mainly occur in the small airways.Pathological and nasal lesions can affect the onset of lower airway diseases.The occurrence and development of bronchial asthma are closely related to nasal lesions,and patients with allergic rhinitis who persist for a long time and gradually develop bronchial asthma are common in clinical practice.From the perspective of traditional Chinese medicine,the relationship between the lungs and nose is equally close,and medical experts throughout history have discussed it in terms of physiology,pathology,and clinical practice.After years of standardized treatment and promotion of asthma,significant progress has been made,but the control of bronchial asthma in China is still not ideal,and the incidence rate is still increasing year by year.Therefore,it is necessary to carry forward the characteristics of traditional Chinese medicine,adhere to integrity and innovation,and continuously explore new treatment methods for bronchial asthma.This article summarizes Wan Liling’s experience in treating bronchial asthma using the lung nose combination therapy,thereby expanding new ideas for the prevention and treatment of bronchial asthma and providing new treatment methods for clinical physicians.2、Method: 1.By collecting and reading relevant literature and books from ancient and modern times,understand the origin and development of the theory of lung nose co treatment.At the same time,deeply communicate with the mentor,and combine the mentor’s understanding of the theory to summarize the academic viewpoints of the mentor on lung nose co treatment for bronchial asthma;2.Starting from the clinical medical records of the mentor,by collecting,organizing,and analyzing relevant medical records,we aim to identify the patterns of symptoms,treatment,and prescriptions,and summarize the mentor’s theoretical understanding and clinical experience in using the lung nose combined therapy to treat bronchial asthma.3、Result: 1.In theory,the mentor inherits the academic viewpoint of Chinese medicine master Hong Guangxiang on the treatment of lung and nose diseases,and proposes to attach importance to the obstruction of evil in the nose and orifices during the acute stage of bronchial asthma,the obstruction of evil in the nose and orifices during the persistent stage,and the attachment of evil in the nose and orifices during the remission stage;2.In terms of clinical syndrome differentiation and classification,the acute phase of the attack can be divided into four categories: cold drink attacking lung obstruction syndrome,phlegm heat accumulating lung obstruction syndrome,damp heat accumulating lung obstruction syndrome,and phlegm turbidity accumulating lung obstruction syndrome;The chronic duration can be divided into two types: the syndrome of cold drink accumulating in the lungs and obstructing the orifices and the syndrome of cold drink accumulating in the lungs and obstructing the orifices with weak qi yang deficiency.The clinical remission stage is the syndrome of weak qi yang and evil love for the nose and orifices.In terms of treatment,the lung and nose are treated together with the warming method throughout,and the treatment is divided into stages according to the characteristics of each stage.During the onset period,the main methods are warming the lung to dissipate cold and warming the nose to clear the orifices.During the duration period,the main methods are warming the lung to dissipate cold,warming yang to replenish qi,and warming the nose to clear the orifices.During the remission period,the main methods are warming yang to replenish qi and warming the nose to clear the orifices.The auxiliary therapy is mainly external treatment,mainly including acupoint application and nasal acupuncture therapy;In terms of commonly used formulas,the mentor takes Cang Er Zi San as the basic formula and often uses it in combination with seven formulas: Xiao Qing Long Tang,San Zi Er Chen Tang,Ding Chuan Tang,Ma Huang Lian Qiao Chi Xiao Dou Tang,Gui Zhi Jia Hou Pu Xing Zi Tang,Wen Yang Yi Qi Hu Wei Tang.The commonly used drugs include Cang Er Zi,Xin Yi Hua,Bai Zhi,Qiang Huo,Su Ye,Jing Cai,Huo Xiang,Ge Gen,Zhi Shi,Wu Mei,Chuan Xiong,Lu Lu Tong,and other drugs.4、Conclusion: The mentor inherited the academic viewpoint of Chinese medical master Hong Guangxiang on the treatment of pulmonary diseases with lung and nose,enriched it,and combined it with clinical practice,ultimately formed its unique theoretical understanding and clinical experience of lung and nose treatment in the prevention and treatment of bronchial asthma,expanding new ideas for the prevention and treatment of bronchial asthma. |