秦东风海贝平喘汤治疗慢阻肺急性加重期经验

The Experience of Qin Dongfeng in Treating Acute Exacerbation Chronic Obstructive Pulmonary Disease with Haibei Pingchuan Decoction

秦东风主任医师认为慢性阻塞性肺疾病平素痰瘀阻络,急性加重多表现为痰热蕴肺证。慢阻肺急性加重期(AECOPD)痰热蕴肺证多为感受外邪所致,所以初期治疗应以清宣为主,日久热重可用清肺泄肺药物,期间均要配伍清热化痰药物,清热化痰的同时要兼顾气阴亏虚、肝郁气滞、瘀血阻络等常兼证候,治疗总的原则是清热化痰,利肺平喘,恢复肺的宣发肃降功能。应用海贝平喘汤加减治疗AECOPD能较好地改善患者喘憋症状,具有较好临床疗效。

Chief Physician Qin Dongfeng thinks that stable phase chronic obstructive pulmonary disease(COPD)usually takes the form of phlegm and blood stasis and that acute exacerbation chronic obstructive pulmonary disease AECOPD usually take the form of the syndrome of phlegm heat accumulating in lung.The syndrome of phlegm-heat accumlating in lung of AECOPD is mainly caused by feeling,so the early treatment should be given priority to with clearing stagnated heat,day-to-day fever can be used to lung drainage drugs while antipyretic and expectorant can be used.While clearing heat and eliminating phlegm,we should take into account qi yin deficiency,liver depression,qi stagnation,blood stasis and collaterals.The general principle of treatment is to clear heat and dispel phlegm,to benefit the lung and relieve asthma,and to restore the function of the lung.The application of Haibei Pingchuan decoction in the treatment of AECOPD can better improve the patient’s symptoms of wheezing and holding back,and has a good clinical effect.