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徐升从"络病理论"辨治慢性阻塞性肺病经验拾萃

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慢性阻塞性肺病(简称慢阻肺)是以胸闷气喘、咳嗽、咳痰为主要临床表现的一种常见的呼吸道疾病,其病情迁延难愈,严重时可并发呼吸困难,严重影响患者的生活及身心健康.徐升主任认为此病乃久病不愈导致肺络亏虚,肺宣发肃降功能受损,气、血、津液运行不畅而内生痰饮、瘀血,痰瘀互结,阻塞肺络.治疗上应注重补肺通络,化痰祛瘀,标本兼治,疗效极佳.文章分析了络病理论与肺胀病因病机的相关性,在络病理论基础上,结合临床医案,总结徐主任从"络病理论"辨证论治慢性阻塞性肺疾病的临证经验,从而为肺胀疾患的预防和诊治提供新思路.
XU Sheng's Experience in Differential Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease from"Collateral Disease Theory"
Chronic obstructive pulmonary disease(COPD),also known as chronic bronchitis,is a common respira-tory disease characterized by dyspnea,cough,and sputum production.The disease is chronic and difficult to cure,and can lead to respiratory distress,seriously affecting patients'quality of life and physical and mental health.Dr.Xu Sheng believes that this disease is caused by chronic illness that leads to deficiency of lung qi and blood,impairment of lung's function of expelling dampness and clearing heat,and impeded flow of qi,blood,and body fluids,resulting in the formation of phlegm and blood stasis.The treatment should focus on nourishing the lungs and unblocking the chan-nels,resolving phlegm and blood stasis,and treating the root cause and the symptoms simultaneously,with excellent therapeutic effects.This article analyzes the relevance between the theory of blood vessel diseases and the pathogenesis of chronic obstructive pulmonary disease,summarizing Dr.Xu Sheng's clinical experience in diagnosing and treating chronic obstructive pulmonary disease based on the theory of blood vessel diseases,thus providing new ideas for the prevention and treatment of chronic obstructive pulmonary disease.

COPDCollateral diseaseLung deficiency and collateral stasisFamous doctors'experience

李欣、徐升

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安徽中医药大学第一临床医学院 安徽 合肥 230031

安徽中医药大学第一附属医院 安徽 合肥 230031

COPD 络病 肺虚络瘀 名医经验

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)