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从肺脾肾虚探讨慢性阻塞性肺疾病的针灸治疗

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慢性阻塞性肺疾病(COPD),简称慢阻肺,是我国最常见的一种慢性呼吸道疾病,其病程漫长且病机复杂,与肺、脾、肾三脏关系最为密切,肺虚及脾、肾,脾、肾虚累肺,相互影响,使病情迁延,反复发作.中医治疗以"急则治其标,缓则治其本"为基本原则,COPD本虚为肺、脾、肾三脏亏虚,标实为痰瘀互结,治疗以肺脾肾相关理论为指导,注重补益宗气、调补肺脾肾、化痰祛瘀,标本兼治、虚实兼顾.从脏腑学说、经络学说入手,本着辨证论治、治病求本的原则,采用针灸疗法,多选用手太阴肺经、足太阴脾经、足少阴肾经的穴位,达培土生金、补肺益肾之效.
Discussion on acupuncture treatment for chronic obstructive pulmonary disease from the perspective of lung,spleen,and kidney deficiency
Chronic obstructive pulmonary disease(COPD)is one of the most common chronic respiratory diseases in China,characterized by a long course and complex pathogenesis that is closely related to the lungs,spleen,and kidneys.Lung deficiency affects the spleen and kidneys,while spleen and kidney deficiency affects the lungs,creating a mutual in-fluence that makes the disease prolonged and recurring.According to traditional Chinese medicine(TCM),treatment for COPD follows the principle of treating the symptoms in acute stages and addressing the root cause in stable periods.The fun-damental deficiency in COPD lies in the deficiency of the lungs,spleen,and kidneys,while intermin-gled phlegm and sta-sis are the primary manifestations.Treatment guided by theories related to the lungs,spleen,and kidneys focuses on replen-ishing vital energy,tonifying the lungs,spleen,and kidneys,as well as resolving phlegm and eliminating stasis,thereby treating both the root cause and the symptoms and taking into account both deficiency and excess.Starting from the theory of Zang-fu organs and meridians,in line with the principle of syndrome differentiation and treatment and treating the root cause,acupuncture and moxibustion therapy is adopted,and more acupoints are selected from the lung meridian of Taiyin,the spleen meridian of Taiyin and the kidney meridian of Shaoyin to achieve the effects of reinforcing earth to generate metal and tonifying lung and kidney.

COPDpathogenesisacupunctureZang-Fu deficiency

高慧敏、许金森、阚雨红

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福建中医药大学针灸推拿学院,福建 福州 350108

福建省中医药科学院,福建 福州 350003

福建省经络感传重点实验室,福建 福州 350003

慢性阻塞性肺疾病 病机 针灸 脏腑亏虚

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(11)