从五脏论治肺性脑病
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摘要
中医认为,肺性脑病(PE)病变在肺,继则影响脾、肾,后期病及于心、脑。肺宣降功能不利,浊痰、血瘀等病理因素错杂交结,上蒙清窍则昏愦。心主血,心血充足化神养神,心神灵敏不惑,则心神清明;肾主藏精,精生髓,髓充脑,脑为髓海,肾精充足,则意识清楚,语言清晰;肺失宣降,水液输布障碍,痰浊内阻,或神昏,或神志错乱;肝主疏泄发挥正常,气机调畅,经络通利,则脑清神聪,若失疏泄,则见中风昏厥;脾胃健旺则不受邪,困遏脾气,痰蒙清窍,则昏迷或谵语等。从五脏论治可丰富肺性脑病中西医结合诊治方法。
Chinese medicine believes that the lesions of lung encephalopathy( PE) is in the lungs first,following the impact of the spleen,kidney,and in the latter part of the heart,brain. Lung function declared down because of pathological factors,for example,turbid phlegm,blood stasis,and so on. Hybrid junction would go to the orifices to appear faint confused. On governance from internal organs,heart produces blood,adequacy of spirit could make sensitive repose,and the mind would be clear and bright; Kidney brings in essence,the essence emerges marrow,marrow fills with brain,sufficient essence causes the conscious and clear language; Lung losts in the function in order to obstacle transmission and distribution of liquid water. Otherwise,phlegm resistance would appear or coma,or consciousness disorder; Liver plays a normal part in metabolism,the regulate flow of qi and the easy and smooth of meridians could keep the brain distinct,or else seeing the stroke fainting;If stomach is healthy and vigorous,it would not be subjected to evil,as his temper is curbed by the storm,the sputum eclipses orifices,such as coma or delirium. Article cures pulmonary encephalopathy to be rich in integrative approach to the diagnosis and treatment from the theory.
Chinese medicine believes that the lesions of lung encephalopathy( PE) is in the lungs first,following the impact of the spleen,kidney,and in the latter part of the heart,brain. Lung function declared down because of pathological factors,for example,turbid phlegm,blood stasis,and so on. Hybrid junction would go to the orifices to appear faint confused. On governance from internal organs,heart produces blood,adequacy of spirit could make sensitive repose,and the mind would be clear and bright; Kidney brings in essence,the essence emerges marrow,marrow fills with brain,sufficient essence causes the conscious and clear language; Lung losts in the function in order to obstacle transmission and distribution of liquid water. Otherwise,phlegm resistance would appear or coma,or consciousness disorder; Liver plays a normal part in metabolism,the regulate flow of qi and the easy and smooth of meridians could keep the brain distinct,or else seeing the stroke fainting;If stomach is healthy and vigorous,it would not be subjected to evil,as his temper is curbed by the storm,the sputum eclipses orifices,such as coma or delirium. Article cures pulmonary encephalopathy to be rich in integrative approach to the diagnosis and treatment from the theory.
引文
[1]陈伟鑫.鼻面罩无创正压通气联用呼吸兴奋剂治疗慢阻肺呼吸衰竭合并肺性脑病患者的疗效[J].中国医药科学,2014,4(21):196-198.
[2]李媛,张勇.醒脑静及依达拉奉联合用药对肺性脑病患者脑神经康复的影响[J].陕西中医,2013,11(11):1515-1517.
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[4]郑雪松,徐黎鸣.肺心病合并肺性脑病及心肌梗死的患者1例[J].临床肺科杂志,2014,19(4):765-766.
[5]温武金,王方剑,吴洁文,等.红细胞内酸碱度改变与COPDⅡ型呼吸衰竭肺性脑病关系的研究[J].河北医学,2014,8(8):1310-1313.
[6]李晓斌,李晓祎,胥丽云.引起AECOPD患者意识障碍原因分析[J].中国现代医生,2012,50(30):149-150.
[7]胡文,黄莉,何岚.肺性脑病精神症状误诊为药物致精神症状1例[J].中国现代药物应用,2012,6(24):99-100.
[8]刘兵,谭鹤龙.COPD急性期合并意识障碍65例原因分析[J].辽宁医学院学报,2012,33(3):235-236.
[9]江涛,高冰,张江,等.加味宣白承气汤联合机械通气治疗AECOPD并发肺性脑病临床观察[J].中国中医急症,2013,22(4):663-664.
[10]王惠芳,王惠民.慢性阻塞性肺疾病合并肺性脑病危险因素分析[J].深圳中西医结合杂志,2014,24(7):116-118.
[11]穆丽雅.探究慢性肺源性心脏病合并消化道出血的诊治[J].中国现代药物应用,2014,8(22):133-134.
[12]KEATINGS V M,JATAKANON A,WORSDELL Y M,et al.Effects of inhaled and oral glucocorticoids on inflammatory indices in asthma and COPD[J].American Journal of Respiratory and Critical Care Medicine,1997,155(2):542-548.
[13]张伟,孙璐璐.从“脑肠相通”假说探讨肺性脑病辨治[J].新中医,2012,11(11):6-8.
[14]王晓平.肺心病合并呼吸衰竭营养支持治疗[J].中国实用医药,2013,8(1):35-36.
[15]周媛媛,曾凡军,熊晓琦,等.COPD合并肺性脑病患者脑脊液β-GBA、Atg7、p62水平变化及意义[J].山东医药,2015,4(4):78-79.
[16]李海燕.老年昏迷急诊患者82例临床分析[J].中国医药指南,2013,11(25):104-105.
[2]李媛,张勇.醒脑静及依达拉奉联合用药对肺性脑病患者脑神经康复的影响[J].陕西中医,2013,11(11):1515-1517.
[3]李积军,赵君伟.痰热清联合醒脑静注射液治疗肺性脑病疗效观察[J].陕西中医,2013,34(2):175-176.
[4]郑雪松,徐黎鸣.肺心病合并肺性脑病及心肌梗死的患者1例[J].临床肺科杂志,2014,19(4):765-766.
[5]温武金,王方剑,吴洁文,等.红细胞内酸碱度改变与COPDⅡ型呼吸衰竭肺性脑病关系的研究[J].河北医学,2014,8(8):1310-1313.
[6]李晓斌,李晓祎,胥丽云.引起AECOPD患者意识障碍原因分析[J].中国现代医生,2012,50(30):149-150.
[7]胡文,黄莉,何岚.肺性脑病精神症状误诊为药物致精神症状1例[J].中国现代药物应用,2012,6(24):99-100.
[8]刘兵,谭鹤龙.COPD急性期合并意识障碍65例原因分析[J].辽宁医学院学报,2012,33(3):235-236.
[9]江涛,高冰,张江,等.加味宣白承气汤联合机械通气治疗AECOPD并发肺性脑病临床观察[J].中国中医急症,2013,22(4):663-664.
[10]王惠芳,王惠民.慢性阻塞性肺疾病合并肺性脑病危险因素分析[J].深圳中西医结合杂志,2014,24(7):116-118.
[11]穆丽雅.探究慢性肺源性心脏病合并消化道出血的诊治[J].中国现代药物应用,2014,8(22):133-134.
[12]KEATINGS V M,JATAKANON A,WORSDELL Y M,et al.Effects of inhaled and oral glucocorticoids on inflammatory indices in asthma and COPD[J].American Journal of Respiratory and Critical Care Medicine,1997,155(2):542-548.
[13]张伟,孙璐璐.从“脑肠相通”假说探讨肺性脑病辨治[J].新中医,2012,11(11):6-8.
[14]王晓平.肺心病合并呼吸衰竭营养支持治疗[J].中国实用医药,2013,8(1):35-36.
[15]周媛媛,曾凡军,熊晓琦,等.COPD合并肺性脑病患者脑脊液β-GBA、Atg7、p62水平变化及意义[J].山东医药,2015,4(4):78-79.
[16]李海燕.老年昏迷急诊患者82例临床分析[J].中国医药指南,2013,11(25):104-105.