耐多药结核病30例中医辨证分型探讨

Case Investigation into the TCM Syndrome Differentiation of 30 Cases of MDR-TB

通过对30例耐多药结核病患者的定期观察,发现耐多药结核病的中医症状分型大多偏向于体虚兼夹有湿邪,与中医理论长期认识的结核病的病理机制有别,提出中西医结合治疗耐多药结核病的方法应该是在规范的抗结核基础上,增加中医扶助正气,去除湿邪的方药为妥。

Observing 30 cases of MDR-TB at fixed intervals,the study finds that the TCM（Traditional Chinese Medicine）syndrome differentiation of MDR-TB is more of insufficient of Yang with dampness type,which differs from the usual recognition of MDR-TB to be insufficient of Yin with intrinsic heat type,the study also raises that the pathomechanism of MDR-TB is caused by ‘insufficient of both the spleen and the kidney with dampness,on the basis of conventional anti-TB regimen,the treatment should adopt a method of tempering the kidney,invigorating the spleen,relieving the dampness and eventually healing the pulmo.