名老中醫臨床治療小兒氣喘經驗彙整

The Clinical Experience of Famous Traditional Chinese Medical Doctor in Treating Pediatrics Patients with Asthma

兒童氣喘為臺灣幼童好發的過敏性疾病之一，根據2009年衛生福利部國民健康局的國民健康訪問調查，發現未滿12歲兒童經醫師診斷氣喘的比率為6.7%，以此推估國內目前約有19萬2千多位未滿12歲兒童患有氣喘，其中0至6歲有7萬6千多人（盛行率為5.6%），7至11歲有11萬5千多人（盛行率為8.0%）。此外，因臺灣地處亞熱帶地區，氣候環境潮濕，塵容易孳生，以及不時有空氣品質不良，懸浮微粒（PM10/PM2.5）濃度過高等因素，造成氣喘兒童容易發作。如何使氣喘兒童急性期減少發作次數、降低緊急就醫醫療成本；緩解期改善過敏體質、調整免疫反應，為刻不容緩的議題。在此，彙整大陸上海復旦大學屬兒科醫院中西醫結合科名老醫家－時毓民教授的臨床相關治療經驗，給予國內中醫師治療氣喘兒童之臨床參考。

Asthma is one of the common allergic diseases in Taiwan. According to the investigation conducted by the Health Promotion Administration, Ministry of Health and Welfare in 2009, the children under the age of 12 diagnosed with asthma are 6.7% in population. At the proportion of this rate, there are more than 192,000 children under the age of 12 suffering from asthma. Among these children, there are 76,000 people under the age of 6 (the prevalence rate is 5.6%), and 115,000 people are between 7 to 11 years old (the prevalence rate is 8.0%). Besides, our country is located in subtropical area and the weather is very humid. The dust mites grow quickly and easily in such environment. Otherwise, the air pollution and particle matter (PM10/PM2.5) are sometimes exceeded the national standard. Because of these reasons, asthma in pediatrics recurs easily. How to reduce the recurrent rate of the asthma attack, decreasing the cost of emergent medical treatment, improving the allergic symptom, and accommodating the immune reaction are important issues. In this article, we collect and integrate the related papers and clinical experience of famous physician Dr. Yu-Min Shi of Department of Traditional Chinese Medicine, Children's Hospital of Fu-Dan University. Hoping this review paper can provide clinical references for Chinese medicine doctors in treating asthma patients.