Treatment of Interstitial Lung Disease Associated with Sj?gren's Disease Based on"Nourishing Stomach Yin"
The major clinical manifestations of interstitial lung disease(ILD)associated with Sjögren's Disease(SjD)(SjD-ILD)are dry throat,parotid gland swelling,joint pain,progressive dyspnea as.Spleen and stomach are the core organs for the evolution of the disease mechanism.However,spleen and stomach are different in the ascending and descending,favor and disfavor.While warming and tonifying spleen,we should also emphasize the importance of taking care of the stomach yin.The correlation between stomach yin and SjD-ILD is shown as follows:lung and stomach are similar in the meridians and collaterals,shares the same qi movement,have the same favor and disfavor,and are the same in the property,so that SjD often involves the lung;stomach dominates the descending,and therefore when the stomach yin is deficient and stomach qi could not descend,there is no moisture in the large intestine usually manifesting as constipation;at first,lung and stomach are usually injured on fluids,and kidney fluid is often involved after a long time,and the body fluid and blood are easily consumed due to the physiological characteristics of women with fetal birth,so it mostly occurs in women before and after menopause;in the case of stomach yin failure,yangming meridian cannot nourish the muscles and joints manifesting as inhibited bending and stretching.According to the degree of stomach yin damage and the characteristic in each stage,sweet and cool medicinals for moistening should be applied in the early stage,sweet and cold medicinals for nourishing should be applied in the middle stage,and medicinals for nourishing kidney and supplementing fluid should be applied in the late stage.
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