小青龙汤加减治疗肺间质纤维化

Xiaoqinglong Decoction in the treatment of pulmonary interstitial fibrosis

小青龙汤的病机特点为表寒外束,水饮内停,内外合邪,两寒相感,而致发病。外感多因风寒,内因多为寒饮,与脾、肺、肾相关。肺间质纤维化病机关键为肺中虚冷,肺络痹阻为其主要病理特点,其形成根本原因在于阳气不足,阳虚体质是寒饮的主要内因,临床以温肺化饮为基本治则,恰合小青龙汤解表散寒、温肺化饮之意。小青龙汤为辛温峻剂,是治疗寒饮咳喘的经典方,但用之不当,可出现变证,因此使用时要求辨证准确,剂量适宜,中病即止。

The characteristics of the pathogenesis of Xiaoqinglong Decoction is performance for in the cold outside the beam, fluid retention, the combination of internal and external evil, two cold phases and pulmonary interstitial fibrosis. Exogenous due to cold, the internal cause for drinking cold, associated with the spleen, lung, kidney. The key pathogenesis of pulmonary interstitial fibrosis is deficiency cold of lung, lung collaterals are blocked the main pathological features, the basic reason lies in the deficiency of Yang, deficiency of Yang constitution is the main cause of cold drink, clinical to warm the lung drink as a basic rule, exactly Xiaoqinglong Decoction solution cold, warm the lung. Using Xiaoqinglong Decoction for Xinwenjun a- gent, is the treatment of cold drink cough classic prescription. However, if improper use, patients condition will become worse transformation. Thus, the using requirement must accurate differentiation, using the optimum dosage and courses.