论肺痹肺痿与肺纤维化的证治规律

The law on pulmonary atrophic lung disease and pulmonary fibrosis syndrome

肺痹、肺痿与肺纤维化是严重危害人类健康和生命的疾病,一直是医学研究的难点之一。现代多数学者根据肺纤维化的临床表现及病机变化认为该病归属于中医的肺痿和肺痹,而主张肺痿、肺痹二元论治。文章从肺痹、肺痿与肺纤维化的病名和理论源流上探讨其证的病因病机;并从中医理论辨析肺痹、肺痿与肺纤维化的辨证治疗规律,为临床运用提供参考依据。肺纤维化是多种肺疾病发展到晚期的常见病理变化,其中医病理学特征是气阴亏虚、血络瘀阻。因此,应以养肺活血为基本大法。养肺活血法融补肺、益阴、活血为一体,具有补气养肺、滋阴润燥、行血通络等作用。

Lung paralysis,atrophic lung disease and pulmonary fibrosis is a serious harm to human health and life of the disease,is one of the difficulties in medical research. Modern mathematics according to pulmonary fibrosis of the clinical manifestations and pathological change that the disease belong to TCM atrophic lung disease and pulmonary arthralgia,and advocated treating atrophic lung disease,pulmonary arthralgia dualism. This article from pulmonary arthralgia,atrophic lung disease and pulmonary fibrosis disease and theoretical origin of the etiology and pathogenesis of the syndrome; and from the theory of Traditional Chinese Medicine（ TCM） analysis of pulmonary arthralgia,atrophic lung disease and pulmonary fibrosis syndrome differentiation and treatment rules,for clinical use to provide reference. Pulmonary interstitial fibrosis is a common pathological change of many kinds of pulmonary diseases,which is characterized by the deficiency of Qi Yin deficiency and blood stasis. Therefore,it should be based on the basic law of Yangfeihuoxue. Yangfeihuoxue method is the combination of tonifying the lung and nourishing Yin,promoting blood circulation,as a whole,with Qi,nourishing yin and moistening,blood Tongluo etc..