桂枝加厚朴杏子汤加味治疗肺积发热

Fever due to Lung Retention Treated with Flavored Officinal Magnolia and Semen Armeniacae Amarum Decoction plus Cinnamon Twig

肺癌是一种全身属虚、局部属实的疾病,其病机关键是因虚而病,因虚致实。肺癌的虚以阴虚、气阴两虚为多见,实则不外乎气滞、血瘀、痰凝、毒聚之病理变化。而发热不外乎外感和内伤所致。对于肺积病来说,既有气郁血瘀、气血亏虚、阴阳亏虚等引起的内伤发热,更多患者是内伤夹杂外感引起的发热,并且多存在阳浮阴弱的病理表现。桂枝加厚朴杏子汤出自张仲景《伤寒论》,为历代治疗喘证之要方。临床发现肺积的患者,因体质虚弱,易于感受外邪,多伴有营卫不和的发热及咳、痰、喘等症状。肺积发热患者辨证分型:痰热壅盛证、气阴两虚证、阳气亏虚证、气滞血瘀证。因此,应用桂枝加厚朴杏子汤加减化裁治疗肺积发热,多能收到良好的效果。

Lung cancer is a disease of deficiency of whole body and local excess.The key of its pathogenesis is that deficiency causes disease and excess.The deficiency of lung cancer is mainly manifested as yin deficiency and qi-yin deficiency.In fact,its excess is nothing more than the pathological changes of qi stagnation,blood stasis,phlegm coagulation and toxic accumulation.Its fever is mainly caused by external infection and internal injuryFor lung retention,there are internal injury fever caused by qi stagnation and blood stasis,deficiency of qi and blood,deficiency of yin and yang,but most of patients have fever caused by internal injury and exogenous infection,and there are more pathological manifestations of floating yang and weakening yin.Officinal Magnolia and Semen Armeniacae Amarum Decoction plus Cinnamon Twig originates from Zhang Zhongjing′s Treatise on Cold Damage Diseases,and is the main prescription for treating asthma syndrome in past dynasties.Clinically,patients with lung retention are susceptible to exogenous pathogens due to their weak constitution,and are often accompanied by fever,cough,sputum and asthma.Syndrome differentiations of fever patients with lung retention are as follows:phlegm-heat stagnation syndrome,qi-yin deficiency syndrome,yang-qi deficiency syndrome,qi stagnation and blood stasis syndrome.Therefore,the application of Officinal Magnolia and Semen Armeniacae Amarum Decoction plus Cinnamon Twig has a remarkable efficacy on fever due to lung retention.