从三焦辨证论治结缔组织病相关间质性肺病

Syndrome Differentiation and Treatment of Interstitial Lung Disease Caused by Connective Tissue Disease Based on Triple Energizer

以温病学的三焦辨证理论为基础,探讨三焦与结缔组织病相关间质性肺病(CTD-ILD)的关系,并从上、中、下焦相关脏腑角度辨证论治CTD-ILD:以上焦心、肺症状为主的CTD-ILD可归属于心肺气虚血瘀型,治疗以补益心肺为重点;伴有中焦脾、胃、大肠相关症状的CTD-ILD,在治疗肺系疾患的基础上,应兼顾健脾益气、益胃和中、润肠导滞;出现下焦肾系症状的CTD-ILD,调补肺肾治法应贯穿病程始终。

On basis of the syndrome differentiation of triple energizer theory in epidemic febrile diseases science,the relationship between interstitial lung diseases caused by connective tissue disease（CTD- ILD） and triple energizer is discussed. The syndrome differentiation and treatment of the disease are summarized from the angle of the related viscera in upper,middle and lower energizer. The CTD- ILD mainly with symptoms relating to the upper energizer（heart and lung） belongs to heart- lung Qi deficiency and blood stasis syndrome,so tonifying heart and lung should be emphasized in the treatment. For CTD- ILD accompanied by spleen,stomach and large intestine symptoms,on basis of treating pulmonary disease,reinforcing spleen and strengthening Qi,benefiting stomach and harmonizing the middle energizer,moisturizing intestines and removing stagnation also should be valued. For CTD- ILD with kidney symptoms,strengthening lung and kidney should throughout the whole course of the disease.