重症肺炎从肠论治探析
Exploring the Treatment of Severe Pneumonia from Intestinal Theory
黄继强 1王贺 2刘佳纬 1周亚滨2
作者信息
- 1. 黑龙江中医药大学,黑龙江哈尔滨 150040
- 2. 黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040
- 折叠
摘要
肺与大肠相表里是中医整体观念的诸多表现形式之一,对医者的临床诊疗具有极大的指导意义.本文通过探讨中西医对重症肺炎的认识;肺与大肠的病理、生理相互影响;肺肠相关性的现代研究,以从肠治肺、肺肠合治角度来治疗重症肺炎.以大柴胡汤、黄连解毒汤法泄热通腑;以麻杏石甘汤、宣白承气汤法宣肺顺气;以玉屏风散、桂枝加龙骨牡蛎汤法补肺涩肠,培土生金.肺与大肠相表里理论下的肺肠合治原则避免了肺病治肺、肠病治肠的惯性模式,为重症肺炎的治疗提供了中医思路的支持.
Abstract
The interrelation between the lung and large intestine is one of the many manifestations of the holis-tic perspective in Traditional Chinese Medicine(TCM),providing significant guidance for clinical diagnosis and treatment.This paper explores the understanding of severe pneumonia from both TCM and western medicine per-spectives;examines the mutual influences between the lung and large intestine in terms of pathology and physiolo-gy;and reviews modern research on lung-intestine correlation,aiming to treat severe pneumonia from the perspec-tives of treating the large intestine to benefit the lung and integrated lung-intestine treatment.Treatment strategies include the use of Dachaihu Decoction and Huanglian Jiedu Decoction to clear heat and regulate the bowels;Max-ing Shigan Decoction and Xuanbai Chengqi Decoction to clear the lung and smooth qi;and Yupingfeng Powder and Guizhi jia Longgu Muli Decoction to tonify the lung and astringe the intestines,cultivating the earth to generate metal.The principle of integrated lung-intestine treatment under the theory of the lung and large intestine as exter-nal and internal organs avoids the conventional pattern of treating lung diseases by focusing solely on the lung and intestinal diseases by focusing solely on the intestine,offering a TCM perspective to support the treatment of se-vere pneumonia.
关键词
重症肺炎/病因病机/现代研究/肺肠合治Key words
Severe pneumonia/Etiology and pathogenesis/Modern research/Integrated lung-intestine treatment引用本文复制引用
基金项目
全国名老中医药专家传承工作室(国中医药人教函[2022]75号)
青年人才托举工程项目(2022-QNRC1-04)
出版年
2024
NETL
NSTL
万方数据