肺心病急性发作期中医治法比较研究

Comparison Study of Various TCM Therapy in Acute Phase of Cor Pulmonal

本文将419例肺心病急性发作期的患者,按其不同时期所用中医治法的不同分为:清肺利痰、清肺益气活血、清肺益气养阴和清肺养阴益气活血四组进行回顾比较。通过对临床疗效和血气分析的比较,发现清肺养阴益气活血法的疗效最好,并根椐该法中各单元治法即清热、养阴、益气、活血诸法的现代药理研究与肺心病急性发作期病理变化的关系,讨论了清肺养阴益气活血法取得较好疗效的原因,即该法能全面照顾肺心病急性发作期的各种改变。

Thisarticle is a retrospective summary of 419 cases of acute phase of cor pumonal from 1978 to 1989.These patients were divided into 4 groups by various TCM therapy,as a part of whole treatment combining TCM with the western medicine.They were (1) clearing the lung heat and eliminating the phlegm;(2) clearing the lung heat,tonifying the Qi(气)and activating the blood;(3) clearing the lung heat,tonifying the Qi and nourishing the Yin(阴);(4) clearing the lung heat, nourishing the Yin,tonifying the Qi and activating the blood.Under a similar condition,comparing the effets-of the 4 various therapies in clinical efficacy and blood gas analysis,the authors found that the 4th therapy was the best among the 4 groups.According to the relation of modern pharmacology study of each single therapy,the authors explored the principle of clearing the lung heat,nourishing the Yin,tonifying the Qi and activating the blood therapy.The authors held that the therapy is a better one to treat many pathological changes in acute phase of cor pulmonal.