[1]文思敏,范玉琴,朱建平,等.名中医张震从虚、痰、瘀辨治慢性阻塞性肺疾病经验[J].陕西中医杂志,2024,(4):532-535,540.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.022]
 WEN Simin,FAN Yuqin,ZHU Jianping,et al.Experience of famous traditional Chinese medicine Zhang Zhen differentiates and treats chronic obstructive pulmonary disease from deficiency,phlegm,and stasis[J].,2024,(4):532-535,540.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.022]
点击复制

名中医张震从虚、痰、瘀辨治慢性阻塞性肺疾病经验
分享到:

《陕西中医》杂志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年4期
页码:
532-535,540
栏目:
名中医经验
出版日期:
2024-04-05

文章信息/Info

Title:
Experience of famous traditional Chinese medicine Zhang Zhen differentiates and treats chronic obstructive pulmonary disease from deficiency,phlegm,and stasis
作者:
文思敏1范玉琴1朱建平2田 原3田春洪3
(1.云南中医药大学第一临床医学院老年病科,云南 昆明 650500; 2.普洱市中医医院,云南 普洱 665000; 3.云南省中医中药研究院,云南 昆明 650223)
Author(s):
WEN SiminFAN YuqinZHU JianpingTIAN YuanTIAN Chunhong
(The First Clinical Medicine School of Yunnan University of Traditional Chinese Medicine,Kunming 650500,China)
关键词:
慢性阻塞性肺疾病 张震 肺胀 培本理肺汤 名医经验 虚实夹杂
Keywords:
Chronic obstructive pulmonary disease Zhang Zhen Lung distension Peiben Lifei decoction Famous doctor's experience Mixed with deficiency and substance
分类号:
R 563
DOI:
DOI:10.3969/j.issn.1000-7369.2024.04.022
文献标志码:
A
摘要:
慢性阻塞性肺疾病是一种常见的慢性气道疾病。国医大师张震教授认为慢阻肺病机特点如下:正虚为本,虚实夹杂; 痰为夙根,郁阻气机; 时遇外感,内外失调; 迁延反复,久病夹瘀。虚、痰、瘀三者贯穿慢性阻塞性肺疾病的发展过程,治疗上以“扶正固本,标本兼治”为原则,治法以补肺益肾健脾为核心; 以化痰为关键,配伍清热、健脾除湿及温化之法以助痰消; 外感则速行解表祛邪之法以防邪之深入; 并将行气活血贯穿始末。于此基础上自拟“培本理肺汤”加减化裁用于临床,疗效颇佳。
Abstract:
COPD is a common,chronic airway disease.Professor Zhang Zhen believes that the characteristics of COPD are as follows:positive deficiency as the foundation,mixed with deficiency and substance,phlegm for the root,stagnation block Qi machine; when encountering external sensation,internal and external imbalance; delay repeatedly,long illness clip blood stasis.Deficiency,phlegm and blood stasis run through the development process of chronic obstructive pulmonary disease.The treatment is based on the principle of “strengthening the root cause,treating both symptoms and root causes”.The treatment is centered on supplementing the lung and kidney and strengthening the spleen,and eliminating phlegm is the key,or with clearing heat,invigorating the spleen and dehumidifying and warming the spleen to help eliminate phlegm.The external sensation is quick to remove the superficial evil method to prevent the evil depth.And the circulation of Qi throughout the beginning and end.On this basis,the self-designed Peiben Lifei decoction has been used in clinic for a long time,and the effect is quite good.

参考文献/References:

[1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会.慢性阻塞性肺疾病诊治指南(2021年修订版)[J].中华结核和呼吸杂志,2021,44(3):170-205.
[2] 薛博瑜,吴伟.中医内科学第三版[M].北京:人民卫生出版社,2019:37-42.
[3] 陈凯,姚婧,杨华,等.孟景春教授治疗COPD临床经验[J].陕西中医,2021,42(2):235-238.
[4] 张震.辨证论治新理念与研究心得[M].上海:上海科学技术出版社,2014:83-86.
[5] 姜德友,彭芃,张志刚.哮病源流考[J].中华中医药学刊,2009,27(9):1808-1811.
[6] 孙广仁,郑洪新.中医基础理论[M].北京:中国中医药出版社,2012:7.
[7] 王新,吴建林,石雅馨,等.从“瘀、毒、痰湿”谈子宫内膜异位症之病机与治疗[J].中国中医基础医学杂志,2022,28(7):1160-1163.
[8] 史媛媛,马进.从痰瘀论述不寐[J].实用中医内科杂志,2022,36(5):97-99.
[9] 刘睿,李静,杨文明.从痰瘀致病探讨Wilson病[J].中医药临床杂志,2021,33(11):2064-2067.
[10] 林连美,李云海,刘建忠,等.大承气汤在《金匮要略》中的应用[J].中国中医基础医学杂志,2017,23(8):1065-1066.
[11] 孟静岩,应森林,孙晓霞,等.标本缓急治则的探析及应用[J].天津中医药,2006(2):130-132.
[12] 蔡华珠,洪菲萍,纪立金,等.“正气存内,邪不可干”的内涵及运用探析[J].中华中医药杂志,2015,30(4):987-989.
[13] 李凯文,曹慧雅,刘梦扬,等.药食两用中药防治高尿酸血症的研究进展[J].沈阳药科大学学报,2023,40(8):1124-1132.
[14] 任月红,周青,秦东风.从痰热论治AECOPD初探[J].中国中医药现代远程教育,2020,18(5):29-31.
[15] 胡海,曹云松,胡博,等.孙文垣三焦论痰法学术思想特色探赜[J].陕西中医,2023,44(9):1259-1264.
[16] 田春洪.国医大师张震中医实践领悟与研究心得[M].北京:人民卫生出版社,2020:94-108.
[17] 王安安,孙靖,潘纬榕,等.张天嵩应用动物类药对治疗慢性咳嗽经验[J].中医文献杂志,2023,41(2):79-82.
[18] 余飞,朱月,扈晓宇,等.探讨培土生金法治疗COPD并发痞证[J].光明中医,2023,38(6):1193-1196.
[19] 于冬雪,乔世举.基于中医脾胃学说探讨培土生金法在慢阻肺治疗中的意义[J].中医药临床杂志,2021,33(8):1421-1424.
[20] 狄冠麟,朱振刚,郑延龙.基于中医“四季脾旺不受邪”理论探讨老年慢性阻塞性肺疾病的用药规律[J].中国中医基础医学杂志,2021,27(5):782-785.
[21] 陈仁波,张明明,盖国忠.《金匮要略》对慢病防治的临床意义[J].中国中医基础医学杂志,2016,22(4):450-451.
[22] 肖啸,张琦.张仲景诸“家”代表的痼疾观对慢性复杂性疾病辨治启示[J].中华中医药杂志,2020,35(5):2248-2253.
[23] 张伟,孟芸.肺与六郁的关系[J].浙江中医药大学学报,2012,36(5):479-480.
[24] 朱建平,田原,文思敏,等.国医大师张震论治胸痹心痛经验[J].中国中医急症,2022,31(5):901-903,914.
[25] 黄健华,白舒琳,刘锐.基于“气血”理论探讨中医治疗肺系疾病之思路[J].陕西中医,2023,44(4):483-486.

相似文献/References:

[1]杨栓柱,王 文 △,李 猛,等.千金苇茎汤合瓜蒌薤白杏仁汤治疗 慢性阻塞性肺疾病急性加重期临床研究*[J].陕西中医杂志,2019,(5):600.
[2]王 敏,陈 阁.清热化痰祛瘀方联合西药治疗慢性阻塞性肺疾病急性 加重期患者的临床研究[J].陕西中医杂志,2019,(5):610.
 WANG Min,CHEN Ge..Clinical study of Qingre Huatan Quyu prescription combined with western medicine in the treatment of acute exacerbation of chronic obstructive pulmonary disease[J].,2019,(4):610.
[3]李天浩,韩晨旭,王惠琴,等.基于EGFR-MUC5AC信号通路探讨参鱼化痰口服液干预慢性阻塞性肺疾病大鼠气道黏液高分泌的机制*[J].陕西中医杂志,2019,(8):995.
 LI Tianhao,HAN Chenxu,WANG Huiqin,et al.Based on EGFR-MUC5AC signaling pathway to explore the mechanism of Shenyu Huatan oral liquid in intervention of airway mucus high secretion in COPD rats[J].,2019,(4):995.
[4]王珊珊,谭光波△.补肺汤对慢性阻塞性肺疾病肺气肿大鼠血清IFNγ、IL4表达水平影响研究*[J].陕西中医杂志,2019,(11):1491.
 WANG Shanshan,TAN Guangbo..Effect of Bufei decoction on the expression of IFNγ and IL4 in serum of rats with chronic obstructive pulmonary disease and emphysema[J].,2019,(4):1491.
[5]任英杰,王 起,陈秋生.黄芪汤加减治疗急性加重期慢性阻塞性肺疾病疗效研究[J].陕西中医杂志,2020,(1):57.
 REN Yingjie,WANG Qi,CHEN Qiusheng..Observation on the curative effect of Huangqi decoction in the treatment ofacute exacerbation of chronic obstructive pulmonary disease[J].,2020,(4):57.
[6]聂清华,范伏元△.射干麻黄汤联合沙丁胺醇对慢性阻塞性肺疾病患者肺功能、生活质量的影响[J].陕西中医杂志,2020,(2):180.
 NIE Qinghua,FAN Fuyuan..Effects of Shegan Mahuang decoction and albuterol on pulmonary function and quality of life in patients with COPD[J].,2020,(4):180.
[7]刘新平,王展儒.理肺化痰通脉方治疗慢性阻塞性肺疾病急性加重期临床研究[J].陕西中医杂志,2020,(4):484.
[8]杜沂岚,唐 敏,陈朝晖△,等.经肺腧穴中药离子导入联合振动排痰治疗慢性阻塞性肺疾病急性加重期临床疗效*[J].陕西中医杂志,2020,(4):534.
 DU Yilan,TANG Min,CHEN Zhaohui,et al.Clinical efficacy of Chinese medicine iontophoresis via Feishu point combined with vibration sputum discarding in the treatment of AECOPD[J].,2020,(4):534.
[9]唐颖丽,谢 珊,余清萍,等.子午流注法治疗慢性阻塞性肺疾病加重期痰浊阻肺证疗效研究*[J].陕西中医杂志,2020,(9):1311.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.039]
 TANG Yingli,XIE Shan,YU Qingping,et al.Curative effect of midnight-noon ebb-flow method on chronic obstructive pulmonary disease exacerbation with syndrome of Tanzhuo Zufei[J].,2020,(4):1311.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.039]
[10]蔡东林,孙钟和,赵益庆.慢性阻塞性肺疾病稳定期BODE指数、IL-8、TNF-α水平与肺肾气虚证相关性研究*[J].陕西中医杂志,2020,(11):1573.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.015]

备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2018YFC1704100,2018YFC1704104)
更新日期/Last Update: 2024-04-10