曹世宏教授治疗肺间质纤维化的经验介绍

Prof. CAO Shi - hong's Experience on the Treatment of Interstitial Pulmonary Fibrosis

曹世宏教授认为,先天不足、禀赋薄弱,后天失调、肺脾肾虚及痰凝血瘀是肺纤维化发病的关键;邪热伤肺,气阴两虚,迁延不愈是特发性肺间质纤维化(IPF)的初始原因;阳气亏虚,痰凝血瘀于肺是IPF的后期表现。治疗上主张分期分型论治:肺泡炎性阶段以肺肾两虚、痰热蕴肺证为多见,当以中西医结合治之,优势互补;纤维化期则以补肺健脾益肾、化痰祛瘀通络并用。

Prof. CAO considered that congenital insufficiency with weak constitution, acquired undernourishment, deficiency of lung, spleen and kidney, and stagnation of phlegm and blood - stasis are the key causes of interstitial pulmonary fibrosis(IPF) . The pathogenic heat involving the lung, deficiency of qi and yin are the initial cause of IPF. Insufficiency of yang - qi, phlegm stagnation and blood - stasis in lung are the manifestations in late stage. Its treatment should accord with various syndromes and stages. During the alveolitis stage, deficiency of lung and kidney and phlegm - heat stagnated in the lung are commonly - seen, and should be treated by TCM combined with western medicine(WM) . During the fibrosis stage, it should be treated by invigorating the lung, spleen and kidney, resolving sputum and dredging collateral in combination.