“培土生金”法治疗慢性阻塞性肺疾病的现代医学研究

Modern Medical Research on the Treatment of COPD with the Method of“Reinforcing Earth to Generate Metal”

[目的]探讨"培土生金"法治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)的现代医学研究。[方法]以中医学理论为指导,以五行学说及脏腑学说为出发点,选取"培土生金"为关键词进行检索,对相关文献、临床和实验研究的资料进行归纳分析。[结果]"培土生金"的实质是运用甘平、甘凉、甘温等药物,以健运脾脏为核心,通过调补脏腑机能,治疗COPD。"培土生金"法的代表方剂包括甘平之参苓白术散、甘凉之麦门冬汤、甘温之黄芪建中汤。运用"培土生金"法治疗,能够显著改善患者的营养状况相关指标、提高特异性及非特异性免疫功能,增强肺功能,还能缓解情志抑郁的状态。[结论]"培土生金"法治疗COPD科学依据确切,行之有效,值得临床推崇。

[Objective]To explore the modern medical research of"Reinforcing Earth to Generate Metal"in the treatment of chronic obstructive pulmonary disease(COPD).[Methods]Guided by the theory of traditional Chinese medicine,starting from the point of five-elements theory and viscera theory,the relevant literature,clinical and experimental research data were summarized and analyzed based on the key words of"Reinforcing Earth to Generate Metal".[Results]The essence of"Reinforcing Earth to Generate Metal"is to treat COPD by regulating the function of the viscera,taking invigorating the spleen as the core and using the herbs of sweet and flat,sweet and cool,sweet and warm.The representative prescriptions of"Reinforcing Earth to Generate Metal"includes Shenling Baizhu san of sweet and flat,Maimendong decoction of sweet and cool,and Huangqi Jianzhong decoction of sweet and warm.Treatment of COPD by"Reinforcing Earth to Generate Metal"can significantly improve the nutritional status of patients,specifically improve the specific and non-specific immune function,enhance lung function,and alleviate the state of emotional depression.[Conclusion]The scientific basis of"Reinforcing Earth to Generate Metal"of the treatment of COPD is accurate,the method is effective and worthy of promoting.