从宗气论治慢性阻塞性肺疾病

Treatment of Chronic Obstructive Pulmonary Disease from Pectoral Qi

宗气是一身之气的重要组成部分,在气的层次上高于脏腑之气,其生理功能主要有行气血、资元气、分营卫等,宗气理论起于《黄帝内经》,由张锡纯拓展为完整体系。宗气虚衰贯穿慢性阻塞性肺疾病(以下简称慢阻肺)全过程,以气阳虚为本,痰瘀为标,慢阻肺急性加重及其并发症产生皆与宗气虚衰有关,从宗气论治慢阻肺可以增强机体免疫力,恢复脾肺功能,缓解呼吸肌疲劳,补益宗气的方法主要为补益脾肺,方用补中益气汤,还要兼顾阳气,涤痰祛瘀,危重病症则以益气升陷为首要选择。

Pectoral Qi is an important part of Qi in the whole body,which is higher than that of viscera in the level of Qi.Its physiological functions mainly include promoting Qi and blood,nourishing vitality,and separating Ying and Wei.The theory of pectoral Qi originated from Inner Canon of Huangdi and expanded from ZHANG Xichun to a complete system.Pectoral Qi deficiency failure runs through the whole process of chronic obstructive pulmonary disease(hereinafter referred to as chronic obstructive pulmonary disease).The acute exacerbation of chronic obstructive pulmonary disease(COPD)and its complications are related to the deficiency of Qi.The treatment of chronic obstructive pulmonary disease(COPD)from the perspective of pectoral Qi can enhance the immunity of the body,restore the function of spleen and lung,and relieve Buzhong Yiqi Decoction(补中益气汤),but also take into account Yang Qi,clean phlegm and remove blood stasis,critical illness is raise Yang and lift prolapsed Zangfu organs as the first choice.