镇万雄治疗结缔组织病合并间质性肺病的经验浅析

ZHEN Wanxiong’s experience for treating connective tissue disease plus interstitial lung disease in TCM

镇万雄主任医师是鄂南知名中医,擅长运用中医药治疗结缔组织病合并间质性肺炎、肺纤维化。镇老认为,结缔组织病并发的间质性肺炎、肺纤维化属于“肺痹、咳嗽、喘病”的范畴。病因病机主要是先天不足,后天失养,调摄不当,入秋复感于风寒湿邪,正虚不能胜邪,尤以肺虚、肾虚、脾虚为主,或有木火刑金而伤肺,不能驱邪,久痹不已,内舍于肺,遂成间质性肺炎,此为咳嗽、喘病阶段。咳嗽喘息久治不愈,失治误治,或因于药毒蓄积,痰阻经髓,瘀阻络脉,而成肺纤维化,此为肺痹阶段。辨证分型为痰饮阻肺、痰热阻肺、阴亏肺燥、肺肾气虚。

Chief Physician ZHEN Wanxiong is a well-known TCM doctor in southern Hubei.He is good at using TCM medicine to treat connective tissue disease plus interstitial pneumonia and pulmonary fibrosis.He believes that the interstitial pneumonia and pulmonary fibrosis associated with connective tissue disease belong to the category of pulmonary paralysis,cough and asthma.The cause and pathogenesis are mainly congenital deficiency,and improper life adjustment.The body is infected with wind-cold and dampness in autumn,manifested as deficiency of lung,kidney,and spleen.If it is not cured for a long time,the pathogenic Qi(气)enters the lungs and forms interstitial pneumonia,clinically manifested as cough.When the cough persists for a long time,stasis is formed,and pulmonary fibrosis is caused,manifested as lung obstruction,including phlegm-drinking obstruction of the lung type,phlegm-heat obstruction of the lung type,Yin(阴)deficiency and lung-dryness type,and lung-kidney Qi deficiency type.