蓝青强教授治疗慢性支气管炎经验

Professor Lan Qingqiang's experience in the treatment of chronic bronchitis

全国名老中医蓝青强教授基于中医辨证论治理论,认为慢性支气管炎是一种易复发难治性疾病,"五脏六腑节令人咳,非独肺也,"故在治疗咳嗽内伤型时注重整体辨证用药,辨证用药时需辨外感内伤、痰湿之轻重、肺肾两虚;治疗法则遵循扶正祛邪、气血同治原则,注重脏腑、气血功能的恢复。并因势利导,祛邪外出。故提出此病须标本兼治,以止咳平喘祛痰为基础治疗,同时补气活血化瘀贯通于治疗之始终,临证以自拟咳宁方(由麻黄、杏仁、紫菀、款冬花、射干、蝉衣、地龙、太子参、五味子、补骨脂等药物组成)治疗慢性支气管炎,临床疗效显著,值得推广。

Based on the theory of traditional Chinese medicine （TCM） for syndrome differentiation and treatment, Lan Qingqiang, professor of traditional Chinese medicine, suggests that chronic bronchitis is a recurrent refractory disease. Considing the theory of TCM ＂the viscera seasonal cough, not only lung＂, in the treatment of cough, internal injuries should he paid attention to the whole dialectical medication, and distinguish the external or internal disease factors, the severity of phlegm and the lung kidney two empty. The treatment rules should follow Fuzheng Quxie, Qi and blood Tongzhl principle, focus on viscera, Qi and blood function recovery, then making the best use of the situation and driving away pathological factors. It is proposed in the light of its general trend, Quxie must solve the problem of the disease, as antitussive expectorant therapy, with Qi blood circulation in the treatment and always through clinical from keningfang decoction （composed of ephedra, almond, aster, coltsfoot flower, belamcanda chinensis, cicada, earthworm, radix pseudo stellariae, schisandra chinensis and so on） in the treatment of chronic bronchitis, which shows a clinical curative effect, and worthy of using widely.