正虚积损为慢性阻塞性肺疾病的主要病机

Accumulation of pathogen and damage due to deficiency of vital qi is the main pathogenesis of chronic obstructive pulmonary diseases

基于临床研究实践并结合有关研究成果,从正虚为本、痰瘀结积为疾病进展的主要因素等方面论述正虚积损为慢性阻塞性肺疾病的主要病机,其主要含义是:正虚是指肺脾肾虚损而以肺虚为始、以肾虚为基,以气虚为本、时或及阴阳;积损是指痰瘀及其互结成积、胶痼积蓄难除并日益损伤正气,正气逐渐虚损而积损难复。为临床应用扶正祛积(化痰活血)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 oriented and turbid phlegm and blood stasis is the main factor in disease deterioration,this paper regards that the accumulation of pathogen and damage due to deficiency of vital qi is the main pathogenesis of COPD.The deficiency of vital qi refers to the deficiency of the lung,the spleen and the kidney.beginning with lung deficiency,is based on kidney deficiency and qi deficiency,it also affects Yin-Yang at times.The accumulation of pathogen and damage is caused when the phlegm and blood stasis cause a dyspeptic disease.Consequently,a loss of vital qi occurs,which results in chronic and stubborn diseases.This paper provides the theoretical basis for the main therapeutic strategy of the application of strengthening vital qi and dispelling stasis（Eliminating Phlegm and Promoting Blood Circulation） to clinical application.