首页|从风邪论治过敏性支气管肺曲霉病

从风邪论治过敏性支气管肺曲霉病

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肺为娇脏,易受风邪侵袭,而风邪与过敏性支气管肺曲霉病(ABPA)的发病与进展密切相关.风邪贯穿ABPA的全程,主要为风袭肺卫、风伏肺脏、风毒损络等病机表现.辨治ABPA要重视风邪,根据不同阶段的病机特点酌情配伍风药,通过益气疏风、祛风宣肺、搜风通络等治法,使表邪解、伏风去、肺络通.在ABPA外邪袭肺阶段运用益气固表疏风之品,以充盛肺气,祛风外出,固护腠理,防止内入;风伏肺脏为防治该病的关键一环,治疗上采用祛风宣肺,理气化痰,令风无所遁伏;风毒损络阶段祛风解毒,破除癥瘕,搜风通络并举,使风毒除、癥瘕破、络脉通.
Treating Allergic Bronchopulmonary Aspergillus from Wind Pathogen
Lung is a delicate zang-organ,which is easily invaded by wind pathogen.Wind pathogen is closely related to the onset and progression of allergic bronchopulmonary aspergillosis(ABPA).Wind pathogen runs through the entire process of ABPA,mainly manifested as pathogenesis such as wind attacking lung defense,latent wind in lung,and wind toxin damaging collaterals,etc.We should pay attention to wind pathogen in diagnosis and treatment of ABPA,advocate the appropriate combination of wind medicine according to the pathogenesis characteristics of different stages of the disease,and use treatment methods such as replenishing qi and dispersing wind,expelling wind and ventilating lung,removing wind and dredging collaterals to release exterior pathogens,expel latent wind,and dredge lung collaterals.During the stage of exterior pathogen attacking lung,medicinals for tonifying qi,consolidating exterior,and dispersing wind should be used to benefit lung qi,expel wind,consolidate striae and interstice and prevent pathogen from entry.The stage of latent wind in lung is the key to prevent and treat this disease.In the treatment,expelling wind and ventilating lung,regulating qi and resolving phlegm could prevent wind from escaping.In the stage of wind toxin damaging collaterals,expelling wind and removing toxin,breaking abdominal mass,removing wind and dredging collaterals should be used in combination to eliminate wind toxin,break abdominal mass,and clear collaterals.

allergic bronchopulmonary aspergillosiswind pathogenwind pathogen attacking lung defenselatent wind in lungwind toxin damaging collateralsreplenishing qi and dispersing windexpelling wind and ventilating lungremoving wind and dredging collaterals

王怡然、刘学、张伟

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潍坊市中医院,山东潍坊 261041

山东中医药大学附属医院,山东济南 250014

过敏性支气管肺曲霉病 风邪 风邪袭卫 风伏肺脏 风毒损络 益气疏风 祛风宣肺 搜风通络

全国名老中医药专家传承工作室建设项目山东肺系病热毒流派传承工作室建设项目

国中医药人教函[2022]75号鲁卫函[2021]45号

2024

山东中医药大学学报
山东中医药大学

山东中医药大学学报

CSTPCD
影响因子:0.52
ISSN:1007-659X
年,卷(期):2024.48(2)
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