基于仲景病证结合模式应用经方治疗慢性阻塞性肺疾病探析

Analysis of Applying Classical Prescription for Chronic Obstructive Pulmonary Disease Based on Zhongjing′s Mode of Combination of Disease and Syndrome

慢性阻塞性肺疾病(COPD)相当于中医学中咳嗽、喘证等多种肺系疾病发展成的肺胀病。中医学认为,肺胀的发生多因久病肺虚,痰瘀潴留,肺不敛降,气还肺间,肺气胀满,复感外邪诱使病情发作或加剧。肺病日久,肺、脾、肾气化功能失调则致痰浊水湿内停,渐而成瘀,终致痰浊、血瘀、水饮错杂为患。该病病程较长,缠绵难愈,虚实夹杂。笔者临床中以仲景病证结合模式为指导,结合临床实践,运用古代经典名方分期治疗慢阻肺,疗效满意。

Chronic obstructive pulmonary disease(COPD) is equivalent to the lung distention developed from various kinds of pulmonary diseases such as cough, dyspnea in Chinese medicine. Chinese medicine holds that the occurrence and exacerbation of lung distention are generally caused by the lung deficiency due to lingering diseases,retention of phlegm and stasis,impaired lung astringing and down-sending,qi returning to the lung,distention and fullness of lung qi,and external pathogen. The lingering lung diseases lead to the dysfunction of qi transformation related to the lung, the spleen and the kidney,thus resulting in the retention of phlegm,turbidity,water and dampness which will gradually turn into stasis and finally form the complex of phlegm and turbidity, blood stasis and water retention. Such disease, marked by deficiencyexcess complex,lasts for a long time and is difficult to be cured. In clinical staging treatment of COPD,the author applied classical prescriptions in antient times with the guidance of Zhongjing’s mode of combination of disease and syndrome and experience from clinical practice,which obtained satisfactory curative effect.