肾虚痰瘀在老年感染性肺炎中地位及意义
|
摘要
感染性肺炎在老年人中的发病率及病死率较高,诊治存在一定困难,因而本病受到广泛的关注。中医辨证多从邪袭肺卫、痰热蕴肺、气阴两虚、脾肾阳虚、肺肾两虚等方面立论。而在针对老年患者的辨证治疗中,从证候表现、病机演变、老年人体质特点、应用抗生素的不良反应等方面分析,肾虚痰瘀的证型应当受到重视。治疗上应视情况伍以补肾、化痰、祛瘀之法。
The incidence and mortality of infectious pneumonia in the elderly are relatively high,and there are some difficulties in diagnosis and treatment. Chinese medicine dialectics mostly from evil attack lung-Wei,phlegm heat accumulation lung,Qi and Yin deficiency,spleen and kidney Yang deficiency,lung kidney two deficiency and so on. In the dialectical treatment of elderly patients,the syndromes of the syndrome,the evolution of the pathogenesis,the physical characteristics of the elderly,the adverse reaction of the application of antibiotics,etc.,the syndrome type of kidney deficiency and phlegm stasis should be paid attention. Treatment should be based on the situation of kidney,phlegm and blood stasis.
The incidence and mortality of infectious pneumonia in the elderly are relatively high,and there are some difficulties in diagnosis and treatment. Chinese medicine dialectics mostly from evil attack lung-Wei,phlegm heat accumulation lung,Qi and Yin deficiency,spleen and kidney Yang deficiency,lung kidney two deficiency and so on. In the dialectical treatment of elderly patients,the syndromes of the syndrome,the evolution of the pathogenesis,the physical characteristics of the elderly,the adverse reaction of the application of antibiotics,etc.,the syndrome type of kidney deficiency and phlegm stasis should be paid attention. Treatment should be based on the situation of kidney,phlegm and blood stasis.
引文
[1]赵兰青,陈艳芬,谢翠珠.相反相成治疗老年咳嗽证治体会[J].云南中医中药杂志,2009,30(11):76-77.
[2]殷人易,徐红日,李猛,等.从“肺痈”谈老年人肺炎的中医认识[J].中国中医急症,2011,(12):1922-1923,1934.
[3]严兴海,巴吐尔·买买提明,李春燕,等.基于核磁共振的肾虚痰瘀型哮喘患者血浆的代谢组学研究[J].新疆医科大学学报,2010(3):228-233.
[4]卢红蓉,杜松,胡镜清.痰瘀互结证治理论源流考[J].中医杂志,2015(10):811-815.
[5]郭蓉娟,王椿野,赵振武,等.痰瘀致病的新认识[J].环球中医药,2013(2):114-116.
[6]陈刚,郭茂川,张六通,等.肾虚、血瘀、痰浊阻络为衰老的基本病机[J].中国中医基础医学杂志,2001(7):489-491.
[7]张守华,白俊华.100例老年肺炎的首发症状、X线表现及预后分析[J].重庆医药,1991(4):223-224.
[8]李志,王文兵.老年体质研究及其应用初探[J].泸州医学院学报,2000(2):113-114.
[9]雍履平.试述《临证指南医案》老年体质与老年病[J].浙江中医学院学报,1989(3):32-33.
[10]韩明向,周宜轩,李平,等.“虚-瘀-衰老”模式初探[J].安徽中医学院学报,1992,11(3):2.
[11]俞征宙,陈文发,俞宜年,等.从增龄对本虚标实证的影响探讨中医衰老机理[J].中国中西医结合杂志,1992,12(2):80.
[12]中国中西医结合活血化瘀研究所.血瘀证与活血化瘀研究[M].北京:学苑出版社,1990:76-79.
[13]颜德馨.气虚血瘀是人体衰老的主要机制[J].中国医药学报,1989,4(2):10.
[14]田健,晁青.黄柏等几种中草药对葡萄球菌的体外抗菌作用[J].中国现代药物应用,2008,2(15):21-23.
[15]张恩户,赵子剑,张英,等.连翘及其制剂抗菌效价的生物测定法[J].中国中医基础医学杂志,2005,11(10):782-784.
[16]中医研究院.岳美中论文集[M].北京:人民卫生出版社,1976:87.
[17]李务贞,张玲楚.中医辨证使用抗生素的疗效分析[J].广东医学,1996(12):835-836.
[18]黄维俊.过用抗生素与中医寒郁现象[J].河北中医,2005,27(3):190.
[19]吴克瑾,贾谊君.围手术期应用抗生素对凝血功能的影响[J].中国实用外科杂志,2012(11):889-891.
[2]殷人易,徐红日,李猛,等.从“肺痈”谈老年人肺炎的中医认识[J].中国中医急症,2011,(12):1922-1923,1934.
[3]严兴海,巴吐尔·买买提明,李春燕,等.基于核磁共振的肾虚痰瘀型哮喘患者血浆的代谢组学研究[J].新疆医科大学学报,2010(3):228-233.
[4]卢红蓉,杜松,胡镜清.痰瘀互结证治理论源流考[J].中医杂志,2015(10):811-815.
[5]郭蓉娟,王椿野,赵振武,等.痰瘀致病的新认识[J].环球中医药,2013(2):114-116.
[6]陈刚,郭茂川,张六通,等.肾虚、血瘀、痰浊阻络为衰老的基本病机[J].中国中医基础医学杂志,2001(7):489-491.
[7]张守华,白俊华.100例老年肺炎的首发症状、X线表现及预后分析[J].重庆医药,1991(4):223-224.
[8]李志,王文兵.老年体质研究及其应用初探[J].泸州医学院学报,2000(2):113-114.
[9]雍履平.试述《临证指南医案》老年体质与老年病[J].浙江中医学院学报,1989(3):32-33.
[10]韩明向,周宜轩,李平,等.“虚-瘀-衰老”模式初探[J].安徽中医学院学报,1992,11(3):2.
[11]俞征宙,陈文发,俞宜年,等.从增龄对本虚标实证的影响探讨中医衰老机理[J].中国中西医结合杂志,1992,12(2):80.
[12]中国中西医结合活血化瘀研究所.血瘀证与活血化瘀研究[M].北京:学苑出版社,1990:76-79.
[13]颜德馨.气虚血瘀是人体衰老的主要机制[J].中国医药学报,1989,4(2):10.
[14]田健,晁青.黄柏等几种中草药对葡萄球菌的体外抗菌作用[J].中国现代药物应用,2008,2(15):21-23.
[15]张恩户,赵子剑,张英,等.连翘及其制剂抗菌效价的生物测定法[J].中国中医基础医学杂志,2005,11(10):782-784.
[16]中医研究院.岳美中论文集[M].北京:人民卫生出版社,1976:87.
[17]李务贞,张玲楚.中医辨证使用抗生素的疗效分析[J].广东医学,1996(12):835-836.
[18]黄维俊.过用抗生素与中医寒郁现象[J].河北中医,2005,27(3):190.
[19]吴克瑾,贾谊君.围手术期应用抗生素对凝血功能的影响[J].中国实用外科杂志,2012(11):889-891.