基于病证结合理论探讨肺胀的临床辨治模式

Exploring the Clinical Differential Treatment Model of Lung Emphysema Based on the Theory of Integration of Disease and Evidence

慢性阻塞性肺疾病(简称慢阻肺)是一种气道慢性炎性疾病,以气流受限为特征,相当于中医学的“肺胀”,临床以慢性咳嗽、咳痰、气短、呼吸困难为主要表现,病情呈进行性发展。其多因慢性肺系病证迁延失治,久病肺虚,卫表不固,邪气侵害而反复发作。慢阻肺主要症状为“咳、喘、痰、满、悸、肿、瘀”,病位首先在肺脏,继而影响脾脏、肾脏,后期累及心脏。该文作者在临床治疗1例慢阻肺患者过程中发现,经过辨病与辨证结合后应用部分经典方药的临床疗效显著,因此总结治疗过程中的部分经典用方及诊疗思路与诸君共勉。

Chronic obstructive pulmonary disease is a chronic inflammatory disease of the airways,characterized by restricted airflow,which coincides with"lung emphysema"in traditional Chinese medicine.Chronic obstructive pulmonary diseases are characterized by chronic cough,sputum production,shortness of breath and dyspnea in clinical practice,with progressive development.Most of the symptoms are due to chronic lung diseases that have been delayed and not treated,deficiency of the lung in long-term diseases,unconsolidation of defensive exterior,and recurrent attacks of evil qi.The main symptoms of chronic obstructive pulmonary diseases are"cough,asthma,phlegm,fullness,palpitation,swelling and stasis",and the disease is firstly located in the lung,then affects the spleen and kidney,and later involves the heart.In the clinical treatment of a patient with chronic obstructive pulmonary diseases,the author found that some of the classical prescriptions were clinically effective after applying the combination of disease identification and evidence identification,so as to summarize some of the classical prescriptions and treatment ideas in the treatment process,for reference.