养阴三法治疗Ⅱ型呼吸衰竭的应用

Application of Three Method of Nourishing Yin in the Treatment of Type Ⅱ Respiratory Failure

现代医学认为糖皮质激素在II型呼吸衰竭的治疗过程中主要通过减轻气道粘膜的炎症、水肿以及分泌亢进;上调β2肾上腺受体激动剂的敏感性;降低气道高反应性以及减少气流受限,推迟并发症的产生,延长患者生命等四个方面起作用。大量研究表明在激素治疗初期,患者多无明显副作用,而长期接受激素治疗的II型呼吸衰竭患者多有干咳少痰、口燥咽干、形体消瘦、五心烦热、颧红、舌红少津、脉细数等阴虚症状,原因在于传统中医认为糖皮质激素为纯阳燥热之品,久用易透支阳气,化火伤阴导致阴虚,阴不胜阳则生内热,而致阴虚火旺;病变发展阴损及阳,继而形成以阴虚为主的阴阳两虚病理状态。本文对长期使用激素疗法治疗II型呼吸衰竭所致阴虚症状提出了阴阳同根生,助阳可生阴;营卫需调和,酸甘能化阴;阴血同相求,血充阳必生即"养阴三法"以达阴阳营血平衡帮助疾病恢复,提高治疗效果。

Modern medicine considers the treatment o f glucocorticoids in the treatment of respiratory failure of II, which is mainly through the reduction of inflammation, edema and secretion of airway mucosa, raises regulation of beta 2 adrenergic receptor agonist,reduces airway responsiveness and reduce airflow limitation, delays the generation of complications, and prolongs the life of patients with four aspects. A large number of studies showed that in the early hormone treatment, patients had no obvious side effects, and long-term hormone treatment of type II respiratory failure patients with cough less sputum, dry mouth and throat, emaciation, irritated heat, zygomatic red, mamillata Shaojin, pulse counting and yin deficiency symptoms. The reason is that traditional Chinese medicine that glucocorticoid Chunyang, hot, easy overdraft yang for a long time, and the fire Shangyin lead to deficiency, yin Shengyang health is heat, yin deficiency Huowang, lesion development sinister and yang, then formed mainly to yin deficiency of both yin and yang pathological state. The long-term use of hormone therapy in the treatment of type II respiratory failure caused by yin deficiency symptoms of the yin and yang are born from the same root, helps yang shade, yingwei reconcile, sour and sweet to yin, yin blood and phase, blood filled yang shall be born namely ＂ three method of nourishing yin＂ to achieve the balance of yin and yang of camp blood help the recovery of the disease, and improved therapeutic effect.