Professor Zhang Shunan Summarized His Clinical Experience In Treating Asthma Based On The Theory Of Blood Stasis

Objective:Gasp for breath in medicine usually means shortness of breath.Gasp syndrome is a common clinical disease with shortness of breath,difficulty in breathing,even open mouth and shrugging shoulder,shake of the nose,and inability to lie down.It is a general term for a variety of dyspnea syndromes,could be exist in a multiple of acute diseases and the process of chronic diseases.With the development and progress of modern medicine,the treatment methods are becoming more and more comprehensive,the level of diagnosis and treatment is gradually improved,the survival time of the sick people is obviously prolonged,but the symptoms of "asthma" appear more and more common during this period.However western medicine does not separate gasp as an important clinical manifestation,but conclude this into the concept of dyspnea.In recent years,with the deepening of the research on the Gasp syndrome of Chinese medicine practitioners,life quality of people who survived with this disease has improved,and the advantages of using traditional Chinese medicine to treat Gasp syndrome have gradually become prominent.Professor Zhang Shunan has been engaged in the clinical work of traditional Chinese medicine for 30 years,and has accumulated rich experience in the diagnosis and treatment of respiratory diseases by Chinese medicine and Integrative Chinese and Western medicine,and has unique insights into treatment of various respiratory diseases with the traditional Chinese medicine theory.As for the treatment of Gasp syndrome,professor Zhang attaches importance to invigorate the circulation of blood and remove stasis.This article mainly analyzes professor Zhang's understanding of Gasp syndrome,summarizes his clinical experience with the method of promoting blood circulation to treat Gasp syndrome,and provides more ideas for the treatment of Gasp syndrome.Methods:This paper mainly includes two major parts.The first part is the literature review.Through the methods of collecting literature and reading,analyze and summarize the historical evolution about the terminology of Gasp syndrome,sort out the discussion of the Gasp syndrome in the ancient books of traditional Chinese medicine transcripts,and list the perspectives on pathogenesis and treatment about the Gasp syndrome from traditional Chinese medicine doctors of various dynasties,combing and analyzed he source of treating Gasp syndrome with the theory on stasis.At the same time,review the modern medical research about the Gasp syndrome,and summarize the modern pharmacology research about the traditional Chinese medicine which could invigorate circulation.The second part is the experience summary.After reading the professor's literature about the Gasp syndrome,the author review the knowledge of the Gasp syndrome given by professor Zhang,and arrange the medical records of the professor's outpatient treatment for Gasp syndrome.Moreover,the author summarize and analyze the record.At the same time,the author comb and induce professor Zhang's understanding on the etiology and pathogenesis of Gasp syndrome,the rule and law of treatment,as well as medication rule and summed up the clinical experience of professor Zhang when treating Gasp syndrome,and selected two clinical typical cases through retrospective analysis to introduce the professor's experience on treating Gasp syndrome with the theory on stasis.Results:Professor Zhang study the traditional Chinese medicine ancient literature and referred to the research of modern western medicine on Gasp syndrome,and start by analyzing the etiology,pathogenesis,clinical symptoms and syndrome differentiation of Gasp syndrome,and deem that the cause of Gasp syndrome can be divided into internal reason,external reason and stubborn causes.The pathogenesis of this disease is mainly the intrinsic deficiency and rich surface,more deficiency and more stasis.As for treatment of Gasp syndrome and its differentiatio,professor Zhang emphasizes the use of deficiency and excess as the leading principles,the identification of the danger or safety,urgency or gentleness,the combination of syndrome differentiation and diagnosis to guide treatment,and attach importance to discharge sputum and broke the stasis,and cooperate with oxygen therapy,physiotherapy,acupuncture application and other treatments.Based on self-made Huoxue Yiqi Dingchuan Decoction:Astragalus and Cornus officinalis are used to supplement lung and kidney.Twig of Cinnamomum cassia coordinate Paeonia lactiflora reconciliation Ying and Wei.Pinellia and seed of Perilla frutescens broke phlegm and drop Qi.Sparganium stoloniferum,Curcuma phaeocaulis,seed of Prunus persica,Carthamus,Panax powder common together to activating blood circulation and drive stasisi out.Amomum villosum,Glycyrrhiza uralensis,dried Zingiber cooperate to warming and strong the spleen.Change by add and subtraction with the addition of the disease.Conclusions:Gasp syndrome is a common clinical disease characterized by breath urgently and dyspnea as the main symptoms.It is widely present in lots of stages of various clinical diseases.Professor Zhang Shunan believes that the basic pathogenesis of this disease is based on the intrinsic deficiency and rich surface,more deficiency and more stasis.The pathological factors of blood stasis always run through multiple stages of Gasp syndrome.As for the treatment of Gasp syndrome,the professor stressed that it is necessary to distinguish deficiency or excess as the basic principle,distinguish the danger or safety,urgency or gentleness,identify the cold and hot,examine the symptom and seek the source,give appropriate symptomatic treatment.In general,the main treat method is to activating blood circulation to remove stasis,regulating and supplement lung and kidney,and strengthening spleen and dispel phlegm.The self-made Huoxue Yiqi Dingchuan Decoction has good clinical effect.