首页|从"五脏相通"论治特异性肺纤维化相关咳嗽

从"五脏相通"论治特异性肺纤维化相关咳嗽

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通过研究《黄帝内经》中五脏相通的内容和五脏咳嗽的特点,结合肺纤维化相关咳嗽的病因病机,探讨从"五脏相通"论治特异性肺纤维化(IPF)相关咳嗽的治疗方法.根据"五脏相通"的思想,从整体观念出发,结合"五脏六腑皆令人咳"审证求因,认为肺虚是IPF相关咳嗽的根本病机,肝郁气滞是其重要诱因,肺肾俱虚是疾病日久不愈的关键,脾虚生痰、虚实夹杂是重要致病因素,心肺共症是常见的病机发展.治疗上,以补肺为根本原则,根据他脏之变兼以润肺、清肺、温肺、燥肺等法,使五脏得安,病得渐愈.
Treatment of cough related to idiopathic pulmonary fibrosis from the theory of"five zang-organs being connected"
By studying the contents of the theory of"five zang-organs being connected"in Huangdi Neijing and the characteristics of cough related to the five zang-organs,as well as the etiology and pathogenesis of the cough related to pul-monary fibrosis,the therapeutic methods of treating the cough related to idiopathic pulmonary fibrosis(IPF)from the theory of"five zang-organs being connected"are discussed.According to the theory of"five zang-organs being connected",holis-tic concept and the theory of"the five zang-organs and six fu-organs causing cough",the determination of etiologic factors are obtained based on differentiation.Lung deficiency is the basic pathogenesis of IPF-related cough.Liver-Qi stagnation is an important inducement.The deficiency of both lung and kidney is the key to the prolonged disease.Spleen deficiency pro-duces phlegm,and intermingled deficiency and excess is the important pathogenic factor.Comorbidity in the heart and lung is a common pathogenesis development.In treatment,tonifying lung is the fundamental principle.According to the disease changes of other zang-organs,the methods of moistening lung,clearing lung,warBming lung,drying lung,etc.are used,which can assure harmonious condition among the five zang-organs and make the disease disappear gradually.

five zang-organs being connectedIPFcoughtreatment based on the syndrome differentiation

刘思思、贾博涵、蒋耶凯·依尔江、梁煜烽、徐芳梅、张娜、王若冲

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石家庄第二医院,河北 石家庄 050000

北京中医药大学 北京 102488

河北中医药大学,河北 石家庄 050200

五脏相通 特异性肺纤维化 咳嗽 辨证论治

国家自然科学基金资助项目

82274385

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(6)
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