刘建秋教授辨证治疗肺不张经验

Professor LIU Jianqiu's experience in treating pulmonary atelectasis

肺不张的病机特点主要为多种原因引起的肺组织萎陷或无气,以致肺脏虚损,津气严重耗伤,最终导致肺叶痿弱不用而成慢性虚损性病变。肺燥津伤、肺气虚冷为其主要致病因素,肺气虚损始终贯穿此病全程。刘建秋教授认为肺气虚损同时会致使津失所布,血行不畅,而生痰浊、瘀血,故在辨证论治肺不张时强调总以补肺生津为原则,对于存在的痰浊、瘀血等实邪,兼以化痰、祛瘀、降浊之法的指导思想,体现了中医思维的灵活性。

Pulmonary atelectasis’s pathogenic characteristics is mainly the collapse of the distal lung or apneumatosis for different reasons,so that lung insufficiency and body fluid and qi consumption,which finally cause lung’s weakness and uselessness leading it to be a chronic weak lesion.Meanwhile,lung dryness and fluid consumption,as well as lung qi weak are the main reasons,lung qi insufficiency will throughout the course of this disease.Professor LIU Jianqiu thinks that lung qi insufficiency will also cause the fluid consumption,blood stasis and phlegm and worse blood stasis.Therefore,he takes moistening lung,deficiency of body fluids as principles when he treats lung qi insufficiency dialectically.For phlegm and blood stasis and many other sthenia pathogenic factors,he takes dissipating phlegm,removing blood stasis down bearing the turbid as guidance,which reflects the flexibly of thinking of Chinese medicine.