吉林中医药2024,Vol.44Issue(10) :1183-1185.DOI:10.13463/j.cnki.jlzyy.2024.10.014

仝小林院士治疗高龄肺部感染后心力衰竭急性加重验案一则

A case report of Academician Tong Xiaolin treating an elderly patient with acute critical heart failure induced by pulmonary infection

杨映映 姚成增 王蕾 仝小林
吉林中医药2024,Vol.44Issue(10) :1183-1185.DOI:10.13463/j.cnki.jlzyy.2024.10.014

仝小林院士治疗高龄肺部感染后心力衰竭急性加重验案一则

A case report of Academician Tong Xiaolin treating an elderly patient with acute critical heart failure induced by pulmonary infection

杨映映 1姚成增 2王蕾 3仝小林3
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作者信息

  • 1. 中日友好医院国家中西医结合医学中心,北京 100029
  • 2. 上海中医药大学附属曙光医院,上海 201203
  • 3. 中国中医科学院广安门医院,北京 100053
  • 折叠

摘要

肺部感染诱发心力衰竭是老年患者常见的危重症,早期症状不明显,诊断较为困难,死亡率高.仝小林院士从审机论治和态靶辨治的角度,气血并重理心肺,攻补兼施衡阴阳,巧用虫药通络脉,在现代医学常规治疗的基础上运用子龙宣白承气汤加减方对该病取得了显著疗效,四付药即扭转了患者的心衰危象,并改善了肺部感染和肾功能.

Abstract

Heart failure induced by pulmonary infection is a common critical illness in elderly patients,featuring a difficulty in its diagnosis due to unclear symptoms in the early stage,and thus a high mortality rate.From the perspective of differentiating the pathogenesis,the states and the targets of the disease,Academician Tong Xiaolin treats it by regulating the heart and lung through nourishing both qi and blood,harmonizing yin and yang through both eliminating pathogens and reinforcing the body,and clearing collaterals through the reasonable application of insect drugs.On the basis of the conventional treatment of modern medicine,he uses the modified Zilong Xuanbai Chengqi decoction to treat the patient in this case,achieving a significant curative effect in reversing the patient's heart failure symptoms and improving the lung infection and kidney function.

关键词

肺部感染/心力衰竭/子龙宣白承气汤/通络/仝小林

Key words

pulmonary infection/heart failure/Zilong Xuanbai Chengqi decoction/dredging collaterals/Tong Xiaolin

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基金项目

国家自然科学基金项目(XK2023SMC003)

出版年

2024
吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
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