老昌辉主任辨治慢性阻塞性肺气肿经验介绍

Differential Treatment of Chronic Obstructive Emphysema:An Introduction to Dr. LAO Changhui's Experience

介绍老昌辉主任医师辨治慢性阻塞性肺气肿经验。老昌辉主任医师认为正气亏虚是内因,外邪侵袭为诱因,正虚邪恋是慢性阻塞性肺气肿的主要发病机理,痰、瘀是病理产物,亦是致病因素。病位在肺、脾、肾,病久及心,为本虚标实之证,本虚为肺脾肾虚,标实为痰、瘀。治疗上强调发时攻邪,缓时扶正固本,理气化痰、活血化瘀或利水贯穿其中。同时注重饮食调理和呼吸肌的锻炼。

The purpose of this study was to introduce Dr. LAO Changhui＇s experience on differential treatment of Chronic obstructive emphysema（COPE）. Dr.LAO thought the internal cause of COPE is deficiency of qi and the external cause is pathogenic qi. Pathogenic mechanism was falling of vital qi and lingering pathogen. Phlegm and static blood are pathological products and factors. Disease located in lung,spleen and kidney,involving heart with long duration. It was believed that COPE result from lung,spleen and kidney deficiency in the root and phlegm,static blood in the tip. The treatment method is attacking pathogen in acute period and in remission period is consolidating basis,regulating qi-flowing for elimination phlegm,promoting blood circulation and removing stasis,inducing diuresis.