Experience of ZHANG Zhiwen using the theory of sanjiao of warm diseases in differentiation and treatment of chronic obstructive pulmonary disease
Cough,phlegm and asthma are the three main symptoms of chronic obstructive pulmonary disease.Based on thought of YE Tianshi,the location of long time cough is not only in lung,but also in sanjiao,ZHANG Zhiwen believes that the lesion of this disease involves the lung,spleen and kidney.He put forward the therapeutic principle of this disease,which is opening the upper-jiao,promoting the middle-jiao and laying the down-jiao.When the disease lies in the upper-jiao,the lungs would defeated to govern depurative downbearing,and qi would be obstructed.It is advisable to open and promote lung qi for treatment.When the disease lies in the middle-jiao,the spleen would lose governing transportation and transformation.It is advisable to treat it by warming the spleen and promoting spleen qi.When the disease lies in the down-jiao,the kidney would lose receiving respiratory qi.It is advisable to tonifying kidney qi.During the acute exacerbation phase,it is mainly focused on promoting lung qi;During the stable period,the main treatment is to transforming spleen qi or tonifying kidney qi,or to use the three methods together,while also considering the treatment of mixed symptoms.
Chronic obstructive pulmonary diseaseSanjiaoWarm diseaseExperience of famous doctorsZHANG Zhiwen
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