慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)在临床中常伴有腹胀、腹痛、便秘、纳呆等胃肠功能紊乱表现,中医认为此期病因为在久病肺虚的基础上加之六淫外邪侵袭,致肺气壅滞,痰浊、水饮、瘀血郁久化热、化火,痰热或湿热等实邪侵犯肺脏,肺金为脾土之子,子病及母,肺热致湿热蕴结于胃肠,最终致脾胃气机升降失调;肺为娇脏,肺脏受邪则宣降失常,肺气不能敛降于大肠,致传导失常,糟粕内停,不得下行,秘结于内,气机失调,与肺胃、大肠关系密切.治疗上以清泄肺热、化痰定喘、泻热攻逐胃家结邪为主,采用宣白承气汤收上下同治、脏腑合治之功.
Discussion on Xuanbai Chengqi Decoction in the Treatment of AECOPD with Gastrointestinal Dysfunction Based on the Theory of Attacking Stomach and Expelling Family Pathogenic Factors
万方数据
维普
