熊燕教授治疗慢性支气管炎经验总结

Summary of Professor Xiong Yan’s Experience in Treating Chronic Bronchitis

慢性支气管炎是我国成人呼吸系统组织相关疾病中较为常见及多发的一种慢性病。属中医“咳嗽”范畴。熊燕教授认为该病主要病机不离“正虚、气郁、痰浊、血瘀”,提出本病急性加重期主要表现为气郁痰阻,治以止咳化痰、宣肺清热兼益气为法,其缓解期则主要与正虚、血瘀为主,治疗上以扶正补虚、活血化瘀为法,紧抓该病“正虚、气郁、痰浊、血瘀”的核心病机,临床辨证用药,疗效显著。现简介熊燕教授扶正的思想在慢性支气管炎中的运用,并附病案2则,以飨同道。

Chronic bronchitis is a common and frequent chronic disease in adult respiratory system related diseases in China. It belongs to the category of “cough” in Chinese medicine. Professor Xiong Yan be-lieves that the main pathogenesis of the disease is “positive deficiency, Qi stagnation, phlegm tur-bidity and blood stasis”, and puts forward that the acute exacerbation of the disease is mainly man-ifested as Qi stagnation and phlegm obstruction, and the treatment is to relieve cough and phlegm and dissipate lung heat and benefit Qi as the method, and the remission period is mainly related to positive deficiency and blood stasis, and the treatment is to Fuzheng tonifying deficiency, activating blood stasis as the method, and firmly grasping the core pathogenesis of the disease “positive defi-ciency, Qi stagnation, phlegm turbidity and blood stasis”. Clinical differentiation of the drug, the ef-fect is remarkable. This article briefly introduces the application of Professor Xiong Yan’s righting thought in chronic bronchitis, and provides 2 cases.