CAJ | 학술논문

咳嗽变异性哮喘（CVA）的症状是咳嗽，本质是气道高反应，是呼吸系统过敏，是一种特殊类型的哮喘。咳嗽必有邪实，是否兼正虚则因人而异；哮喘必有正虚，多兼宿根之痰，是否兼它邪，则因人而异；CVA必定虚实夹杂，因为无邪不作咳，久咳邪不去则是因为正虚祛邪无力。CVA发病既与体质因素又与气候、环境因素相关。江西气候特点是湿热、寒湿和燥热；江西CVA常见证型是寒湿蕴肺、湿热郁肺、风燥伤肺、肺气亏虚型，其中风燥伤肺型CVA特征最典型，肺气亏虚贯穿各型。此分类证型的本质也具有普遍性，在其它区域亦类似。扶所虚之正、祛所侵邪是CVA获得良好疗效的中医治疗基本思路。
해수변이성효천（CVA）적증상시해수，본질시기도고반응，시호흡계통과민，시일충특수류형적효천。해수필유사실，시부겸정허칙인인이이；효천필유정허，다겸숙근지담，시부겸타사，칙인인이이；CVA필정허실협잡，인위무사불작해，구해사불거칙시인위정허거사무력。CVA발병기여체질인소우여기후、배경인소상관。강서기후특점시습열、한습화조열；강서CVA상견증형시한습온폐、습열욱폐、풍조상폐、폐기우허형，기중풍조상폐형CVA특정최전형，폐기우허관천각형。차분류증형적본질야구유보편성，재기타구역역유사。부소허지정、거소침사시CVA획득량호료효적중의치료기본사로。
Cough is the only symptom of cough variant asthma (CVA) which the essence is the high reaction of airway, a special allergy of breathing system and a special asthma. The cough must be for pathogenic factors and whether with deficiency of healthy qi depending on the specific disease situation. Asthma must have deficiency of healthy qi and chronic phlegm and whether with pathogenic factors depending on the specific disease situation too. Then CVA is not only deficiency of healthy qi but also pathogenic factors because of no cough without pathogenic factors not being driving out for deficiency of healthy qi. The incidence of CVA is associated with the physical and climate factors. Jiangxi's climate characters are damp hotness, cold dampness and dry heat. Common types of Jiangxi CVA include cold dampness in lungs, damp hotness suffusing lungs, wind dryness damaging lungs and deficiency of lung qi. The wind dryness damaging lungs is the most typical CVA type and deficiency of lung qi is also in the other three types. The essence of this classification of syndromes is also common in other area. The basic idea of CVA treated by traditional Chinese medicine is to increase the healthy qi having been weak and remove the pathogenic factors having invaded for the good curative effect.