首页|张念志教授以肺痹论治结缔组织病相关间质性肺病经验

张念志教授以肺痹论治结缔组织病相关间质性肺病经验

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对张念志教授治疗结缔组织病相关间质性肺病(CTD-ILD)的临床经验进行总结.其认为,应从肺痹论治CTD-ILD,肺痹是由五体痹病久不愈、邪气内舍所致,该病病机属本虚标实、虚实夹杂,其中虚和瘀是其主要病机特点,气阴两虚为致病之本,应将益气养阴贯穿于疾病治疗的始终,并随着疾病分期加用清热解毒、化痰祛瘀之剂,随症加减,常取得良好的疗效.附典型病案1则以验证.
Professor ZHANG Nianzhi's experience in treating CTD-ILD with lung Bi theory
This article summarizes professor ZHANG Nianzhi's clinical experience in treating interstitial lung disease(CTD-ILD)related to connective tissue disease.It is believed that the treatment of CTD-ILD should be based on the theory of lung Bi syndrome.Bi syndrome in lung is caused by the prolonged non healing of Bi syndrome of the five body constituents(bones,tendons,veins,muscle,and skin)and the internal evil qi.The pathoge-nesis of this di-sease lies in the combination of deficiency and excess,with deficiency and stasis being the main cha-racteristics of its pathogenesis.Qi and yin deficiency are the root causes of the disease,and nourishing qi and yin should be integrated throughout the treatment of the disease.As the disease progresses,drugs for clearing heat,detoxifying phlegm,and re-moving blood stasis should be added to achieve good therapeutic effects.Attached is a typical medical record for veri-fication.

CTD-ILDBi syndrome in lungqi and yin deficiencyclinical experienceZHANG Nianzhi

吕园园、张念志

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安徽中医药大学第一附属医院呼吸内科,安徽 合肥 230031

结缔组织病相关间质性肺病 肺痹 气阴两虚 临床经验 张念志

2024

甘肃中医药大学学报
甘肃中医学院

甘肃中医药大学学报

影响因子:0.563
ISSN:1003-8450
年,卷(期):2024.41(2)
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