衰老积损及热毒损肺为老年人肺炎的主要病机

Pathogenic heat injury lung based on pathogen accumulation and damage with aging: main pathogenesis of elderly pneumonia

基于临床研究实践并结合有关研究成果,从衰老正虚、宿疾积损为老年人肺炎发病基础,热毒损肺为发病和进展的关键因素等方面,论述了衰老积损及热毒损肺为老年人肺炎主要病机,其含义是:衰老积损是指衰老宿疾,积损正气,肺卫不固,常兼痰瘀宿积而伤正;热毒损肺是指热毒袭肺,生痰酿毒,伤津耗气,损肺之体用。为临床应用清热解毒扶正(益气养阴)为主要治疗策略提供了理论依据。

Based on the clinical research practice and combined with relevant research results, from the aspect of that the deficiency of vital qi due to aging and accumulation of pathogen and damage due to chronic and stubborn diseases is the pathogenesis basis of senile pneumonia, pathogenic heat damage to the lung is the key factor in onset and deterioration of disease, this paper regards that the accumulation of pathogen and damage due to aging and pathogenic heat damage to the lung is the main pathogenesis of senile pneumonia. The accumulation of pathogen and damage due to aging is caused when the aging and chronic and stubborn diseases cause a loss of vital qi, unconsolidation of the lung with defensive qi, and usually complicated dyspeptic disease is caused by the phlegm and blood stasis. Pathogenic heat damage to the lung means that heat toxicity attacking lung. Consequently, phlegm and toxin occurs and body fluid and qi are consumed, which results in the malfunctions of lung. This study provides the theoretical basis for the main therapeutic strategy of the application of strengthening vital qi and detoxication （supplementing qi and nourishing yin） to clinical application.