基于气化角度探讨从三焦通调论治慢性阻塞性肺病新思路

New Perspective for Treating Chronic Obstructive Pulmonary Disease from the Method of Treating Triple Energizer Simultaneously

慢性阻塞性肺病常涉及多系统、多脏腑功能障碍,其与三焦关系密切。三焦气化理论认为,上焦受邪,气机壅塞,宣降失司,痰瘀内结;上焦有邪,中焦上输之路不畅,脾胃气机升降失调,气血生化乏源,痰浊内生;上中二焦不和,下焦无以顺接,肾阳虚衰,五脏失养。三焦气化失司,致气滞、气逆、痰瘀阻滞,以致慢性阻塞性肺病反复发作,迁延不愈。治疗上应三焦通调,宣上焦之壅塞,运中焦之升降,温下焦之虚损,通调全身气机,共奏培本通滞之功效。

Chronic obstructive pulmonary disease often involves multiple systems and can lead to dysfunction of multiple organs.The theory of Qi transformation in triple energizer suggests that the upper energizer is affected by external evil,the Qi mechanism is blocked,and Lung Qi is failed to diffuse.There is external evil in the upper energizer,and the pathway of the middle energizer’s upwelling is not smooth.The spleen and stomach Qi mechanisms are dysregulated,and phlegm is generated internally.There is a disharmony between the upper and middle energizer,and there is no proper connection between the lower energizer.There is a disharmony between the upper and middle energizers,and the lower energizers can not connect smoothly,resulting in kidney yang deficiency and failure,leading to the loss of nourishment of the five internal organs.Abnormal gasification of the triple energizer leads to Qi stagnation,Qi in version,and phlegm stasis obstruction,resulting in recurrent and persistent chronic obstructive pulmonary disease.In treatment,it is necessary to treat triple energizer simultaneously,diffuse the obstruction of the upper energizer,promote the rise and fall of the middle energizer,warm the deficiency of the lower energizer,and regulate the whole body’s Qi mechanism,all of which play a role in enhancing the effectiveness of promoting the circulation of energy and promoting stagnation.