以升阳益肺、疏肝理脾法辨治良性中央气道狭窄经验

Differentiation of syndrome and treatment by ascending Yang,benefiting lung,draining liver and regulating spleen in the treatment of benign central airway stenosis

随着气管插管、气管切开等急救技术的普及以及肺结核发病率的升高,良性中央气道狭窄越来越常见。梳理古今文献,认为该病病机为肺脾气虚,肝气郁结,清阳不升,寒湿内停,其病位在筋和肉,其相关脏腑为肺、肝、脾胃,治疗以升阳益肺、疏肝理脾为主,在西医介入治疗的基础上,运用中医药治疗可缓解气道狭窄症状,延长手术介入的周期,缓解患者紧张情绪,进而延缓疾病进展。

With the popularization of emergency techniques such as tracheal intubation and tracheotomy and the increase of tuberculosis incidence,benign central airway stenosis is becoming more and more common.By sorting out ancient and modem literature,it is believed that the pathogenesis is lung and spleen qi deficiency,liver qi stagnation,failure of clear yang to ascend,and cold dampness retention interiorly,and its location is in the tendons and flesh,and its related internal organs are lung,liver,spleen and stomach,Therefore,the main treatment should to raise Yang and benefit the lung,and to dredge the liver and regulate the spleen,and on the basis of western medical intervention,the application of traditional Chinese medicine can alleviate the symptoms of airway stenosis,prolong the period of surgical intervention,relieve patients'nervousness,and then delay the progress of the disease.