Asthma is a chronic inflammatory disorder of the airways. Environmental and other factors provoke the airway inflammation in people with asthma. This inflammation is always present to some degree, regardless of the level of asthma severity.
哮喘是呼吸道的慢性炎性疾病。環境等因素會觸發哮喘病人的炎症。這種炎症總是在一定程度存在，無論哮喘的嚴重度。
Asthma is a major public health problem in the United States. The disease affects approximately 13 million people, nearly 5 million of whom are under the age of 18. People with asthma experience well over 100 million days of restricted activity annually, and the total annual costs of the disease are estimated at $6.2 billion. Asthma is the third leading cause of preventable hospitalizations in the United States. There are about 470,000 hospitalizations and more than 5,000 deaths a year from asthma. (National Institutes of Health Publication No. 97-4053)
哮喘是美國一個重要的公共衛生問題。這種疾病影響約1300萬人，近500萬均為18歲以下。哮喘病人無法工作的年度總成本估計為62億。哮喘是美國入院的第三大原因。大約有470,000人住院，每年哮喘病超過5000人死亡。（美國健康學院出版：97-4053）
From a medical perspective, the basic cause of asthma is unknown. Heredity plays some role; asthma often runs in families, especially in families who have a lot of allergies. Asthmatic attacks may be triggered by a wide variety of factors including:
從醫學角度講，哮喘的根本原因是未知的。遺傳起著一定的作用; 哮喘往往運行在家庭，尤其是在有很多過敏人的家庭。哮喘發作可能由多種觸發因素：
Allergens (pollen, mold, house dust/dust mites, cockroaches, certain foods, etc.)
過敏原（花粉，黴菌，屋塵/塵蟎，蟑螂，某些食物等）
Viral Infections
病毒感染
Sinusitis
鼻竇炎
Irritants (strong odors, air pollutants, tobacco smoke, etc.)
刺激物（強烈的氣味，空氣污染物，香煙煙霧等）
Exercise
鍛煉
Gastroespohageal Reflux (heartburn, belching, or spitting up)
胃食管反流（燒心，噯氣，或嘔吐）
Sensitivity to Medications (such as aspirin and sulfites)
敏感性的藥物（例如阿司匹林和亞硫酸鹽）
Emotional Anxiety
情緒焦慮
Standard medical treatment for asthma relies primarily on medications intended to relax the airways and reduce the inflammation and production of mucus in the lungs. Steroids are commonly prescribed for the treatment of asthma.
用於治療哮喘的標準醫療主要依靠藥物，意在放鬆的氣道，減少炎症和產生在肺中的粘液。類固醇是常用的治療哮喘的治療。
Some children "outgrow" the disease as they enter their middle teens. Otherwise, asthma is considered an incurable illness. The condition of a patient's asthma will change depending on the environment, patient activities, management practices, and other factors. Thus, even when patients have their asthma under control, monitoring and treatment are needed to maintain control.
有些孩子進入十幾歲，快速成長有時會壓過疾病。否則，哮喘被認為是一種無法治癒的疾病。患者的哮喘的病情會根據環境的不同、病人的活動、管理規範，以及其他因素的變化。因此，即使當患者控制其哮喘，監測和治療也是必要的，以保持這種控制。
有超過160個凱西解讀涉及哮喘的原因和治療方法。雖然體現在每個人身上的現象和原因不一，但有關病因（因果關係）和治療的模式可以找到。
Pressure on spinal nerve centers was a common etiological factor in the Cayce readings on asthma. In particular, the upper thoracic (dorsal) and lower cervical nerve plexuses were implicated. Nerve supply to the respiratory system is derived from these nerve centers. Impairment to nerve supply can compromise respiratory functioning leading to increased vulnerability to other factors as described below. Disturbed circulation was noted as a factor in asthma. Primarily, increased circulation to the lungs was cited in numerous readings. This was often linked to pressure on the spinal nerve centers which regulate blood flow to the lungs.
脊髓神經中樞的壓力是凱西解讀常見的哮喘病因。特別是在胸（背）上部和頸神經叢下部。負責呼吸系統的神經從這些神經中樞而來。神經供給的損害危及呼吸功能，導致的其脆弱性增加，容易受到如下所述的其他因素的干擾。循環紊亂是哮喘的一個因素。許多解讀提及到肺部的過量血液循環。而這是常與調節血液流向肺部的脊神經中心的壓力有關聯。
Poor eliminations were cited as a causative factor in several readings. Presumably, circulating toxins can irritate the lungs triggering an asthma attack. Specifically, problems with the hepatic system were noted in several readings on asthma. Edgar Cayce's description of the hepatic system includes the liver, heart, and lungs as organs of the "upper hepatic circulation." According to the Cayce readings, the lungs represent one of the channels of elimination by which the liver can eliminate toxins from the system. Thus the lungs may react to increased toxicity resulting in respiratory illness.
排泄能力削弱被幾個解讀列為一個致病因素。無法排出的循環毒素可刺激肺部，引發哮喘發作。肝系統的排毒不暢，出現在關於哮喘幾個解讀裡。凱西描述的肝系統，包括肝臟，心臟和肺這些“肝前循環”的器官。根據凱西解讀，肺部代表排泄的渠道之一，而肝臟可以消除來自系統的毒素。因此，肺部可能對呼吸系統毒性積累進行反應。
Certain foods were emphasized as causative factors. Sugar, starches, and pork were mentioned as contributing to asthma. Generally speaking, acid-producing foods were viewed as problematic.
某些食物可作為致病因素。糖、澱粉和豬肉被解讀提及會觸發哮喘。一般來說，致酸性食物被看作是病患成因的。
Glandular dysfunction was sometimes noted in readings on asthma. The lymphatic system was also occasionally mentioned in cases of asthma.
有時在關於哮喘致因的解讀中提及腺功能障礙。淋巴系統也偶見於哮喘病例解讀。
Environmental factors such as climate, pollen, and pollutants were mentioned as causative factors in numerous readings on asthma. With the increase in environmental pollution, perhaps this factor is even significant for persons who now suffer from asthma.
在許多關於哮喘的解讀裡，提及了環境因素如氣候，花粉和污染物。環境污染的增加這個因素，對現在患有哮喘的人更為顯著。
Psychological factors such as attitudes and emotions were mentioned as contributing causes in some cases of asthma. Heredity was mentioned in one reading on asthma.
心理因素如態度和情緒，解讀說在某些情況下，是造成哮喘的原因。只有一個解讀提到哮喘的遺傳因素。
TREATMENT RECOMMENDATIONS治療建議
From a therapeutic standpoint, Edgar Cayce's treatment recommendations were varied depending upon the unique needs of each individual. However, several therapies stand out as important in the treatment of asthma.
從治療的角度來看，凱西的治療建議對於每個人的獨特需求有不同。然而，一些療法被著重，成為治療哮喘的重要手段。
Osteopathic or chiropractic treatment to relieve pressure on nerve centers in the upper portion of the back was a common therapeutic recommendation. Corrective diet was suggested in many readings for asthma. Restricting sugars and starches, and fried foods while increasing fruits and vegetables were common recommendations. Various formulas for inhalants were commonly recommended as antiseptics for the respiratory system in cases of asthma.
整骨或整脊治療，以減輕對背部的上部神經中樞壓力是凱西解讀裡一種常見的治療建議。正確的飲食建議在許多哮喘解讀裡涉及。限製糖和澱粉，油炸食物的食用，同時增加水果和蔬菜。幾種特別配方的吸入劑通常被推薦為對呼吸系統殺菌手段。
Several medicines were recommended by Edgar Cayce for persons with asthma. Calcidin (calcium iodate) is particularly noteworthy. During Edgar Cayce's era, Calcidin was available as an over-the-counter medicine for the treatment of respiratory problems. Most often, it was prescribed for relief during asthmatic exacerbations. Currently, Calcidin is not generally available and must be prescribed by a doctor.
幾種藥物被凱西推薦給哮喘的人。Calcidin（Calcium Iodate碘酸鈣）是特別值得注意的。在凱西的時代，Calcidin是作為一個對治呼吸問題的非處方藥。大多數情況下，它是在哮喘發作時的急救手段。目前，Calcidin一般不提供，必須由醫生處方。
Improving eliminations to decrease toxicity was recommended in several cases of asthma. Hydrotherapy (such as colonic irrigation) can be used for internal cleansing. Mild exercise was recommended for some individuals with asthma.
改善排泄能力，以減少體內毒性積累。水療（如結腸灌洗）可用於內部清洗。對某些人患有哮喘有適度運動的建議。
Here is a example from the Cayce readings which illustrates how various causative factors can work together to produce asthma. Note that a "subluxation" (pressure on a nerve center) disturbed the circulation through the respiratory system making the individual vulnerable to an infectious disorder which settled in the system. Thereafter, stressors (such as heat or digestive problems) could trigger asthmatic attacks. Also note the diverse therapeutic interventions to address the various aspects of the condition.
下面是從凱西解讀這說明了各種致病因素能工作在一起，產生哮喘的例子。請注意，“半脫位”（在神經中樞的壓力）通過呼吸系統受到干擾的循環使得個體易受感染性疾病。應激壓力源（如過熱或消化問題）可能會引發哮喘發作。解讀還提及到多樣的治療干預。
As to the NERVE SYSTEM, here we find what may be termed the cause or the seat of the disorder. In times back - seventeen, sixteen, seventeen (this winter) - there was a distress that was brought on by a germ, or "flu", or deep cold, that with a subluxation already existent which made a tendency in the direction produced a slowing of the circulation through the bronchi and through the larynx. This, then, through the slowed circulation, tended to make for a plethora there, when there were almost those reactions of a form of pneumonia, or inflammation of the lung itself; but the high temperature, the slow blood supply, formed a lesion or a clot, or a thickening of the tissue in the bronchi itself. Hence we have with excess of heat, or with a pressure from even disagreeing properties for digestion, or that requiring the circulation to be drawn to other portions of the body, that which produces spasmodic asthmatic conditions in the bronchi itself. This makes for a filling of the tubes and a shortening of the breath, and slowing still farther the circulation through the lungs in the lower portions (and upper portion on the right side), and - causing the distresses and the deep circulation in attempting to fill - makes for a breath that makes for panting, requiring that something will allow the passages for the air into the lungs to be excited to such an extent as to reduce this plethora or fullness that is caused there.
When there is an asthmatic spasmodic reaction, we will find that the inhalation of properties combined in this manner would be MOST beneficial:
To 4 ounces of pure grain alcohol, add - in this order and quantity:
Eucalyptol, Oil of.............20 minims,
Rectified Creosote..............3 minims,
Tincture of Benzoin..........15 minims,
Rectified Oil of Turp.........10 minims,
Tincture of Tolu in solution...20 minims.
Keep this in a container at least twice the size of the quantity, or a 6 to 8 ounce container with a glass cork, you see. Inhale the fumes, when this solution is shaken together, deep into the lungs and bronchi 2, 3, 4 times each day. Of course, this - as any condition - might be overdone, but take 3 to 4 deep inhalations whenever it is necessary - 3 to 4 times a day.
We would also take at such periods a grain Calcidin tablet, which will alleviate the lung activity and make for better conditions in the system.
Also at times, not always - but when the condition especially is bad in the evenings, or when there is damp weather, or when there is the tendency or the approach of storms or the like - we would use the pure APPLE brandy; not Apple Jack nor cider, but BRANDY - apple brandy. A small quantity of it. Or, to 4 to 6 ounces of same add 1/2 ounce of Rock Candy. Shake this together until it is dissolved. Do not take at a dose more than a teaspoonful, or a good swallow - which would be 2 teaspoonsful. Never more than that much, and let it go down VERY slowly, see?
Now, as to the CORRECTIVE measures that will alleviate the condition:
There should be about ten or twelve chiropractic adjustments made in the cerebrospinal system, especially in the 3rd and 4th dorsal center; and make the adjustment from the RIGHT side. Necessary, of course, that a little massage be given through the cervical area at such an adjustment.
After these treatments; that is, several months afterwards, or until the condition begins to improve; we would use the electrically driven vibrator, using the cup applicator directly on the body over the whole of the cerebrospinal system. Then take the ball or the little hard applicator and apply from the 9th dorsal to the base of the brain on either side of the cerebrospinal system itself. Go down on the one side, then go down on the other; but let these come FROM the head toward the central portion of the body, bearing rather hard - or making a DEEP vibration, see?
Be mindful with the diet, that there are not those things that will tend to make for irritation to the respiratory system or the bronchi itself; that is, never too much of the tuberous nature of vegetables, and no hog meat - save there may be taken a little crisp bacon of mornings at times, but NO hog meat! If meat at all is to be taken, it would be principally fish, fowl, mutton or the like. Never fried meats. If beef is to be taken, let it rather be in the form of the juices of same - that is, with stews and the like, see? More of the leafy vegetables, and not too much of those that are of the too great quantity of starch; though corn may be taken in moderation, especially the roasting ears if they are BOILED - not fried, but boiled! Then the corn may be cut off the cob and prepared in that manner for the body, or it may be eaten off the cob. But the mastication of the food for this body should be the greater principle. Chew any mouthful of food at least fourteen times. Even in drinking water, CHEW it - or masticate it at least three or four times. That is, sip it - let the activity of the glands in the mouth mingle well with the water; not gulping it but sipping it gently.
And this will bring very great relief to the body. With the end of the chiropractic adjustments given in the area specifically as outlined, also begin taking Atomidine; never more than three minims in a glass of water, and sip this water as well as all the other that is taken. This dosage may be taken twice each day, before the morning meal and just before retiring. (595-1)
Based on the causes and treatments discussed above, here are some general therapeutic guidelines for persons suffering from asthma:
基於以上討論的原因和治療方法，這裡列出有患哮喘病的人一些總體治療原則：
SPINAL MANIPULATION AND MASSAGE: Osteopathic or chiropractic treatment is recommended to relieve any pressures on nerves that may be affecting the respiratory system. The upper portion of the spine should receive special attention. If osteopathic or chiropractic treatment is not available, the use of an electric vibrator along the spine may be helpful. Massage may also be helpful in improving circulation and producing relaxation.
脊柱推拿、整骨或整脊治療建議，以減輕對可能影響人的呼吸系統神經的任何壓力。脊柱的上部應該受到特別關注。如果整骨或整脊治療是不可用，則使用一個電動振動器沿脊柱可能會有所幫助。按摩也可改善血液循環及產生鬆弛有幫助。
DIET: The Basic Cayce Diet is intended to improve assimilation and elimination. The diet focuses heavily on keeping a proper alkaline/acid balance while avoiding foods which produce toxicity and drain the system. Essentially, the diet consists mainly of fruits and vegetables while avoiding fried foods and refined carbohydrates ("junk food"). Certain food combinations are emphasized.
飲食：基本凱西飲食的目的是改善消化和消除。飲食側重於保持一個適當的鹼性/酸性平衡，同時避免其產生的毒性和給排泄系統造成壓力的食物。飲食主要由水果和蔬菜，同時避免油炸食品和精製碳水化合物（“垃圾食品”）。某些食物組合被強調。
INTERNAL CLEANSING: Hydrotherapy includes drinking six to eight glasses of pure water daily, using castor oil packs, and colonic irrigation to cleanse the system. Following the diet should also assist with internal cleansing.
內部清洗：水療，包括喝六到八杯純淨水，每天，用蓖麻油包和結腸灌洗清洗系統。飲食也可協助內部清洗。
MEDICINE: Atomidine is a medicinal product containing 1% iodine trichloride. Small doses of Atomidine may be helpful in stimulating the glandular system. For symptomatic relief during exacerbations, Calcidin (calcium iodate) may be helpful. CAUTION: ATOMIDINE AND CALCIDIN CONTAIN IODINE. THEY SHOULD ONLY BE TAKEN UNDER THE SUPERVISION OF A PHYSICIAN.
醫藥：原子碘Atomidine是含1％三氯化碘的醫藥產品。小劑量Atomidine可能是在刺激腺體系統有幫助。對於發作期間症狀的緩解，Calcidin（碘酸鈣）可能會有所幫助。注意：ATOMIDINE和CALCIDIN含有碘。他們應該只應採取下的醫師的監督。
ATTITUDES AND EMOTIONS: The mental and emotional aspects of healing are frequently discussed the Cayce readings. Particularly, an attitude of desiring and expecting to be healed is important. A positive mental and emotional attitude and can be created and maintained by focusing on a high purpose (ideal) for being healed.
態度與情緒：癒合的心理和情緒方面經常討論凱西解讀。特別是，渴望和期待得到醫治的態度是很重要的。一個積極的心理和情感態度，為得到完全醫治，可以創建和維護專注於一個崇高的目標（靈性理想）。
Note: The above information is not intended for self-diagnosis or self-treatment. Please consult a qualified health care professional for assistance in applying the information contained in the Cayce Health Database.
註：以上資料不可用來進行自我診斷和治療。在涉及到應用凱西健康資料庫的相關信息時，詳情請諮詢有合格的健康保健醫生以尋求幫助。
原文：http://www.edgarcayce.org/
健康和恢復活力中心H.R.C.(Health & Rejuvenation Center)
探索和領悟協會A.R.E - Association for Research and Enlightenment, Inc.
215 67th Street Virginia Beach, VA 23451-2061
譯文：凱西中國http://www.edgarcayce.org.cn/page1
現代醫學哮喘概述
哮喘（來源於希臘語 ἅσθμα, ásthma，「panting」）是一種常見的氣道的慢性炎症性疾病，主要特徵是多變和復發的症狀、可逆性氣流阻塞，和支氣管痙攣。常見症狀表現為喘息、咳嗽、胸腔緊迫胸悶和氣短。
哮喘普遍認為是由基因和環境因素共同導致的。[4]對哮喘的診斷通常基於症狀的類型、隨時間推移對治療的反應，及呼吸量測定法。醫學上對哮喘的分類依據是發病頻率、一秒內用力呼吸量（FEV1），和呼氣流量峰值。哮喘也可以被分為特應性（外來的）或非特應性（固有的）此處特應性指的是向類別1型超敏性反應發展的傾向。
急性症狀的治療通常是通過β2激動藥（例如沙丁胺醇）和口服皮質類固醇。在極其嚴重的病例中，才可能需要靜脈注射糖皮質激素、硫酸鎂和住院治療。症狀可以通過避免觸發物來阻止，如過敏源和刺激物，和吸入皮質激素的使用以及引用吸入皮質激素。在哮喘症狀得不到控制的情況下，也可以使用長效β2激動藥（LABA）或白三烯拮抗藥作為對吸入皮質激素的補充。自20世紀70年代以後，哮喘病已經廣泛的流行。到2011年，全球有2.35億至3億人受到影響，大約25萬人因此失去生命。
原因
哮喘是由複雜的及尚未不完全理解的環境和基因互作的組合相互作用而導致的。這些因素同時影響其嚴重性和對治療的反應。我們相信近期哮喘病症的增長幅度是由於不斷變化的後生的（遺傳的因素導致的，而不是由DNA 序列相關因素）和不斷變化的環境導致的。
預防
採取的措施以預防哮喘發展措施的有效性的證據目前還很薄弱。有些成功的希望的措施包括：控制對煙的吸入，不論是在子宮內，還是在出生後，母乳餵養、及在日托中心或大家庭中，控制在有煙環境中更多的暴露，但還沒有足夠的證據支持此觀點。早期與對寵物的暴露接觸可能有用處。而在其它時期接觸對寵物的暴露的結果，在有些情況下也卻是不確定的，並且只是建議如果有人對所說該寵物有出現過敏症狀時，要把應把寵物送走。懷孕期間的飲食限制或發現母乳餵養沒有效，因此並不作推薦。減少或消除工作場所中為人們所知的化合物可能會有效果。
預後
大多數接受恰當治療的患者一生都可以保持正常或者近乎正常的肺功能。早期開始吸入皮質激素能否延緩肺功能的下降，尚有爭議。 預後不良的危險因素：
吸菸
需要大劑量用藥
控制不佳，頻繁急性發作，甚至需要收入ICU
FEV1低
直接死於哮喘的病例較少，而且，隨著治療技術的進步，死亡率進一步下降。主要的死亡風險包括：
既往有嚴重哮喘發作
未接受皮質激素治療
哮喘控制不佳，需要頻繁吸入緩解發作藥
治療
治療的目標是哮喘完全控制（見非急性發作期的分度）。
目前已有許多研究證明益生菌可以應用在過敏疾病的預防及輔助治療。過敏體質的人，嬰幼兒時期多以異位性濕疹表現，在長大過程中大多數會改善，但哮喘及過敏性鼻炎則逐漸明顯，出現久咳或流鼻水等症狀。乳酸菌在預防方面的應用，研究指出對過敏高危險群孕婦及其新生兒在週產期給口服乳酸菌（例如：嗜酸乳酸桿菌(Lactobacillus acidophilus)[155]及副乾酪乳桿菌），可將寶寶濕疹的比率從46％減少到23％。研究追蹤更發現，這群小孩在四歲時哮喘及過敏性鼻炎的發生率也明顯下降。
避免誘因
過去認為避免接觸誘因是治療手段之一，新近的觀點則認為如果接觸誘因之後可以引發哮喘發作，說明患者的哮喘控制不良，需要加強控制發作藥（controller）的劑量，而不是讓患者避免接觸該種誘因。某些特殊的情況另當別論：
儘量避免所有類型的β阻滯藥，包括選擇性β2阻滯藥、β阻滯藥的外用製劑等。
對於職業性哮喘，在症狀出現後的頭6個月內，如能徹底避免暴露職業性因素，甚至有望完全康復。
患者教育
建立合理的預期，令患者明白雖然哮喘無法根治，但是經過長期恰當的治療，絕大多數人可以獲得有效控制。
教會患者識別誘因。
教會患者哮喘的先兆、症狀、自我監測和自救。
確保患者正確掌握吸入製劑的用法。
幫助患者理解緩解發作藥和控制發作藥的區別。由於控制發作藥無法迅速解除患者的症狀，很多不知情的患者對控制藥的依從性很差。患者教育可顯著提高控制藥的依從性。
良好的患者教育有助於減少住院率和死亡率。
藥物治療
治療哮喘的藥物可分為「控制發作藥」（controller）和「緩解發作藥」（reliever）。控制發作藥具有抗炎作用，也稱「抗炎藥」，規律應用後可以控制氣道慢性炎症，減少乃至避免哮喘急性發作，控制哮喘發展，穩定肺功能。緩解發作藥具有支氣管舒張作用，因此，也稱「支氣管舒張藥」，通常是在哮喘急性發作時按需使用。
部分藥物既可通過口服或注射達到全身給藥，也可以通過吸入達到局部給藥。氣道給藥技術的進步，使得氣道局部有很高的藥物濃度，而全身作用降低，在提高療效的同時，也明顯地降低全身副作用。
資料：維基百科
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