基于伏邪理论探讨哮喘的病因病机与针灸治疗策略OACSTPCD

The characteristics of asthma onset are similar to those of latent pathogens that reside within the body and launch an attack once triggered.According to the latent pathogen theory,the interaction between healthy qi and latent pathogens runs through the entire process of asthma development.In terms of etiology and pathogenesis,the root cause of asthma is deficiency of healthy qi and the manifestations are due to the latent pathogens of phlegm and blood stasis.Deficiency of lung,spleen,and kidney qi is the internal cause of latent pathogens,and external factors triggering latent pathogens are important inducements for asthma attacks.Latent pathogens of phlegm and blood stasis are not only the main pathological factors for asthma onset and progression,but also important factors that aggravate the deficiency of healthy qi.Acupuncture has unique advantages in preventing and treating asthma.From the angle of latent pathogens,patients with acute asthma attack are mainly affected by latent pathogens of phlegm and blood stasis.Acupoints such as Feishu(BL13),Lieque(LU7),Fenglong(ST40),and Geshu(BL17)can be selected for removing phlegm and blood stasis,and disperse lung qi to alleviate painting.While patients in the remission phase of asthma are mainly affected by deficiency of lung,spleen,and kidney qi.Therefore,acupoints such as Feishu(BL13),Pishu(BL20),Shenshu(BL23),and Gaohuang(BL43)can be selected for tonifying lung,spleen,and kidney qi.This paper proposes acupuncture treatment strategies for asthma based on the latent pathogen theory,aiming to provide new ideas for the treatment of asthma patients in clinic.