薛己温补学说在慢性阻塞性肺疾病中的临床应用

Application Exploration of WenBu’s Theory by Xueji in Chronic Obstructive Pulmonary Disease

慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是一种进行性发展性肺疾病,目前已成为世界第三大死因,COPD降低了患者的生存质量,加重了社会的经济负担。明代医家薛己为温补学派的奠基者,他在临床上重视补益肺脾肾,提出了“滋化源”“补脾不应,责之于肾”“脾肾同治”等思想,深化、明确了肺脾肾之间的关系,是在东垣学说基础上的一次重大突破。COPD稳定期尤其是中晚期患者肺脾肾三脏常见虚象,此时可应用薛己温补学说进行治疗。本文对薛己的主要思想略作梳理,并结合当代医家对COPD的辨治,认为治疗COPD时可借鉴薛氏温补学说,注意补益肺脾肾,可取得良好效果。

Chronic obstructive pulmonary disease(COPD)is a processing and developing lung disease,which has been the third death reason worldwide.Meanwhile,COPD could decline living quality and social economic burden become heavier.Xueji was a doctor in Ming Dynasty,who was creator of theory of WenBu,he paid more attention in tonifying lung,spleen and kidney,and presented the idea o“f benefiting nutrition source”“benefiting kidney if tonifying spleen is no work”“regulating spleen and kidney at the same time”,which clarify the relationship between lung,spleen and kidney,and is a excellent innovation based on the theory of Dongyuan.Deficiency of lung,spleen and didney is common in stabled period especially in mid and late state of COPD,the theory of Xueji could be applied at the moment.This essay encapsulate WenBu’s theory of Xueji,and present the treatment experience of modern doctor,and we think superb treatment effect is accessible by tonifying lung,spleen and kidney in the treatment of COPD.