蔡宛如教授辨治稳定期慢性阻塞性肺疾病经验

Cai Wanru's Experience on the Treatment of Stable Chronic Obstructive Pulmonary Disease

[目的]总结蔡宛如教授治疗稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)的学术观点和临证经验。[方法]分析蔡宛如教授在治疗稳定期COPD的辨证要点及用药特点,总结蔡教授的临证思路,并例举典型案例,阐述蔡教授治疗稳定期COPD的临证经验。[结果]对于稳定期COPD,蔡宛如教授临证时强调扶正益气,脏腑同治,活血通络,治疗始终抓住"气虚"和"痰瘀"为病,组方灵活,同时中西合参,并且运用"治未病"理论预防本病急性加重,用药配伍严谨,临床疗效颇佳。[结论]蔡宛如教授对稳定期COPD的病理病机有深入研究,对指导临床有实用价值,值得传承推广。

[Objective] To research professor Cai＇s experience in treating stable chronic obstructive pulmonary disease（COPD）. [Method] The paper expounds Professor Cai＇s experience in treating stable chronic obstructive pulmonary disease by analyzing the etiology, pathology, summarizing the clinical thoughts and citing the typical case. [Result] Professor Cai emphasized therapies of strengthening body resistance,replenishing Qi,treating zang and fu together,activating blood,dredging collaterals, treating disease with the theory of Chinese medicine and modern medicine as well as applying the theory of ＂preventive treatment of disease＂ on preventing the exacerbation of COPD. Better clinical effects were acquired. [Conclusion] Professor Cai Wanru always grabs for the treatment of qi deficiency and phlegm, blood stasis of the disease.She is good at prescribing formula. Therefore the treating method has clinical value.