从“脑肠相通”假说探讨肺性脑病辨治

Syndrome Differentiation and Treatment of Pulmonary Encephalopathy Based on the Hypothesis of Connection Between Brain and Intestines

肺性脑病为慢性阻塞性肺疾病后期的严重阶段,此病发展影响到神经系统时,往往出现肠道运动功能异常,或肠道功能异常早于神经系统症状出现。它或者是主要致病机理,或者是病情恶化的主要因素。"脑肠相通"假说为临床预防和辨治肺性脑病提供了新的思维模式,即采取脑病问肠,肠病询脑,脑肠同治措施,从而达到"通腑安脑,脑安腑畅"的目的。

Pulmonary encephalopathy is the most serious late stage of chronic obstructive pulmonary disease（COPD） which can involve the nervous system and then often has the manifestations of intestinal movement disorder and nervous system disorder. Pulmonary encephalopathy can be the pathogenesis of COPD, and can also be the main factor of the aggravation of the disease. The hypothesis of connection between brain and intestines will make it possible to prevent and treat pulmonary encephalopathy by a new mode, which indicates that the encephalopathy can be treated through the intestinal treatment, and pre- sents the traditional Chinese medical thoughts of preventing brain by dredging intestines, brain ensuring the normal movement of intestines.