基于“肺为血脏”论治慢阻肺稳定期临证心得

Clinical Experience of Treating COPD in Stable Phase Based on the Theory of “Lung Is Blood Viscus”

古代医家认为“肺为气之主”、“肺为水之上源”,鲜少提及“肺为血脏”。本人查阅大量文献及对临床病例进行观察,发现肺对于一身之血的生成及运行有决定性作用,因此肺脏不仅仅单纯为气脏,亦为血脏。该文从“肺为血脏”的理论角度浅析慢阻肺“久病必瘀”的致病特点,探讨活血化瘀为其稳定期的治疗原则,选用血府逐瘀汤进行治疗,增加慢阻肺稳定期的临床治疗新思路。

Ancient doctors believed that “the lung is the Lord of gas” and “the lung is the upper source of water”, and rarely mentioned that “the lung is blood viscus”. The author consulted a large quantity of literature and observed clinical cases, and found that the lung played a decisive role in the generation and operation of blood, so the lung is not only gas, but also blood viscus. From the perspective of the theory of “lung is blood viscus”, the paper analyzes the pathogenic characteristics of COPD of “long-term illness will be blood stasis”, discusses the treatment principle of promoting blood circulation and removing blood stasis in its stable period, chooses Xuefu Zhuyu Decoction for treatment, and increases the new idea of clinical treatment of COPD in the stable phrase.