中医“窠囊理论”治疗老年支气管扩张合并感染的探讨

Discussion on the treatment of elderly bronchiectasis complicated with infection by"Kenang theory"of traditional Chinese medicine

“窠囊理论”是元代医家朱丹溪明确提出并完善的中医病机理论,对老年支气管扩张的治疗有很重要的临床意义,从“窠囊理论”出发,探讨老年支气管扩张的病因病机,建立相应的治法治则,并以实例展开剖析,提出老年支气管扩张迁延难愈的根本既是肺部窠囊的形成,依据“窠囊理论”进行辨证论治,能有效减少老年支气管扩张患者急性加重次数,缩短加重期的治疗时间,从而提高生活质量。

The"Kenang theory"is a TCM pathogenesis theory clearly proposed and perfected by Zhu Danxi,a doctor in the Yuan Dynasty,which has important clinical significance for the treatment of bronchiectasis in the elderly.Starting from the"Kenang theory",discusses the etiology and pathogenesis of bronchiectasis in the elderly,establishes the corresponding treatment principles,and analyzes with examples.It is proposed that the root cause of prolonged and refractory bronchiectasis in the elderly is the formation of lung cysts,according to the"Kenang theory"syndrome differentiation and treatment can effectively reduce the number of acute exacerbations in elderly patients with bronchiectasis,shorten the treatment time of exacerbation,and improve quality of life.