王会仍辨治慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停综合征经验探析

Wang Huireng's Experience in Treating Chronic Obstructive Pulmanarg Drisease(COPD) Combined with Obstructive Sleep Apnea Sydrome(OSAS)

[目的]探究国家级名中医王会仍教授治疗慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停综合征经验。[方法]梳理王会仍教授对慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停综合征的病因、病机认识、通过分析典型验案,探析王会仍教授辨治本病证治选方、用药特点。[结果]王会仍教授多从痰湿内阻、痰瘀阻肺、气滞血瘀、肺脾肾亏虚等证论治,证治要点在"痰"、"瘀"、"虚",以化痰畅气、豁痰开窍、扶正固本、活血化瘀等为法,在临床诊治中取得良效。[结论]中西结合双重诊治是治疗慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停综合征的重要手段,王老治疗本病的取得了良好疗效,其经验对临床和科研均具有参考价值。

[Objective]To introduce national prominet TCM doctor Wang Huireng’s experience on treating COPD（chronic obstructive pulmanary disease） combined with OSAS（obstructive sleep apnea syndrome）.[Method]Summarize Professor Wang Huireng ’s viewpiont on TCM pathogenesis and symptom of COPD combined with OSAS. Analyse recipe case to figure out Pro.Wang’s characteristic of using formula and herb on that syndrome.[Results] Pro. Wang points out main TCM pathogenesis of COPD combined with OSAS are interior sputum and dampness stasis ,sputum and blood stasis in lung, blood stasis due to qi deficiency, lung spleen and kidney deficiency. The principle of treatment is diffusing the lung by dispel ing sputum, regulating qi-flowing for eliminating phlegm, strengthening the foundation by tonifying qi, invigorating blood circulation.Sputum,blood stasis, deficiency are the focus of treatment.[Conclusion] Clarifying a dignosis of COPD combined with OSAS and differenciating TCM syndrom are both important. Pro Wang has obtained good effect on dealing with COPD combined with OSAS. His experience has valuable reference for TCM clinical medication and research.