补中益气汤合血府逐瘀汤治疗慢阻肺稳定期验案举隅

Proved Cases of Buzhong Yiqi Decoction and Xuefu Zhuyu Decoction in the Treatment of Chronic Obstructive Pulmonary Disease

文章诠释补中益气汤合血府逐瘀汤加减治疗慢性阻塞性肺疾病(COPD)稳定期的思路。作者通过跟师侍诊,收集病例,从临床中总结补中益气汤合血府逐瘀汤加减治疗COPD稳定期的思路。COPD稳定期的主要病机责之气虚邪实,其中气虚为本,邪实为血瘀、痰浊。益气祛邪可以作为基本治法,补中益气汤合血府逐瘀汤可以作为基本方药,疗效良好。

The idea of Buzhong Yiqi decoction and Xuefu Zhuyu decoction in the treatment of chronic obstructive pulmonary disease(COPD)in stable stage was interpreted.By consulting with teachers,collecting cases,the ideas of Buzhong Yiqi decoction and Xuefu Zhuyu decoction in the treatment of stable COPD from clinical practice was summarized.The main pathogenesis of COPD in stable stage was qi deficiency and pathogenic excess,among which qi deficiency was the foundation,and the pathogenic factors were blood stasis and phlegm turbidity.Supplementing qi and expelling pathogen can be used as the basic treatment.Buzhong Yiqi decoction and Xuefu Zhuyu decoction can be used as the basic prescription with good curative effect.