慢性阻塞性肺疾病痰浊阻肺证辨证要点临床调研

Clinical Research on Key Points of Syndrome Differentiation of Phlegm Obstructing Lung in Chronic Obstructive Pulmonary Disease

通过对慢性阻塞性肺疾病痰浊阻肺证的临床调研,收集住院病历资料并建立数据库,在病历数据分析的基础上归纳出痰浊阻肺证的辨证要点:主症为咳嗽,咳痰,喘憋,痰白,精神萎靡或神疲乏力,苔白腻,口唇紫绀;次症为痰黏,脉滑,舌淡白,纳差,动则加重,睡眠差,胸闷,苔薄白,难以平卧或端坐呼吸,舌淡红;或见症为咽红,气喘,舌暗红,下肢水肿,脉弦滑,脉弦,面暗红,痰鸣。

Through clinical investigations of chronic obstructive pulmonary disease with phlegm turbidity obstructing lung syndrome,medical records were collected and a database was established.Based on the analysis of medical records,the main points of syndrome differentiation of phlegm turbidity obstructing lung syndrome were concluded as following:the main symptom is cough,slightly phlegm,wheezing,white phlegm,listlessness or fatigue,white and greasy tongue coating,cyanosis of the lips,minor symptoms are sticky phlegm,slippery pulse,pale tongue,poor appetite,worsening when moving,poor sleep,chest tightness,thin and white tongue coating,it is difficult to lie down or sit upright to breathe,the tongue is pale red;or the symptoms are red throat,asthma,dark red tongue,edema of lower limbs,slippery and string pulse,string pulse,dark red face.