罗燕教授治疗支气管扩张急性加重期经验举隅
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摘要
支气管扩张是呼吸系统常见疾病,主要病机为慢性炎症作用于支气管及其周围肺组织,破坏支气管管壁,导致管壁增厚、管腔不可逆性扩张。支气管扩张属中医学"肺痈"、"咳嗽"、"咯血"等范畴,现代医家更多把支气管扩张急性加重期归属于"肺痈"范畴。罗燕教授在治疗支气管扩张尤其是急性加重期方面积累了丰富的经验,发现支气管扩张常反复发作,迁延难愈,认为本病的主要病机为久病咳喘,痰毒内蕴,正气亏虚,无力托毒外出,复感外邪,邪阻肺络,郁而化毒,蕴酿成痈,发而为病,并提出痰毒蕴肺证,治以清肺解毒,化痰消痈,拟定托毒排痰方为主方治疗,疗效确切。
Bronchiectasis is a common disease of the respiratory system. The main pathogenesis is chronic inflammation on the bronchus and its surrounding lung tissue, destroying the bronchial wall, leading to thickening of the wall and irreversible expansion of the lumen. Bronchiectasis belongs to the category of "lung sputum", "cough" and "hemoptysis" in traditional Chinese medicine. Modern medical doctors attribute the acute exacerbation of bronchiectasis to the category of "lung sputum". Professor Luo Yan has accumulated rich experience in the treatment of bronchiectasis, especially in the acute exacerbation period. It is found that bronchiectasis often recurs,and it is difficult to heal. It is believed that the main pathogenesis of this disease is chronic illness, cough, phlegm, and qi deficiency.Virtual, incapable of poisoning out, relapse of external evils, evil resistance to lungs, stagnation and poisoning, sputum into sputum, hair disease, and proposed phlegm and blood stasissyndrome, treatment with clear lung detoxification, phlegm and phlegm The proposed prescription for the treatment of phlegm and blood stasis is the main treatment.
Bronchiectasis is a common disease of the respiratory system. The main pathogenesis is chronic inflammation on the bronchus and its surrounding lung tissue, destroying the bronchial wall, leading to thickening of the wall and irreversible expansion of the lumen. Bronchiectasis belongs to the category of "lung sputum", "cough" and "hemoptysis" in traditional Chinese medicine. Modern medical doctors attribute the acute exacerbation of bronchiectasis to the category of "lung sputum". Professor Luo Yan has accumulated rich experience in the treatment of bronchiectasis, especially in the acute exacerbation period. It is found that bronchiectasis often recurs,and it is difficult to heal. It is believed that the main pathogenesis of this disease is chronic illness, cough, phlegm, and qi deficiency.Virtual, incapable of poisoning out, relapse of external evils, evil resistance to lungs, stagnation and poisoning, sputum into sputum, hair disease, and proposed phlegm and blood stasissyndrome, treatment with clear lung detoxification, phlegm and phlegm The proposed prescription for the treatment of phlegm and blood stasis is the main treatment.
引文
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[3]高媛.支气管扩张症中医治疗研究进展[J].江西中医药,2014,3(45):375.
[4]郭敏.略论中医对支气管扩张的认识[J].中医学报,2012,27(173):1252-1253.
[5]郝福明,李元奎.薛己外科托透法学术特色分析[J].中华中医药学刊,2010,28(6):1283-1284.
[2]O’DonnellAE1,BarkerAF,lowiteJS,et al.Treatmentofidio-pathicbronchie ctasiswithaerosolizedrecombinanthumanDNaseI[J].rhDNaseStudyGroup Chest,1998,113:1329-1334.
[3]高媛.支气管扩张症中医治疗研究进展[J].江西中医药,2014,3(45):375.
[4]郭敏.略论中医对支气管扩张的认识[J].中医学报,2012,27(173):1252-1253.
[5]郝福明,李元奎.薛己外科托透法学术特色分析[J].中华中医药学刊,2010,28(6):1283-1284.