Treating acute exacerbation chronic obstructive pulmonary disease by the heat-clearing method of lung-heat theory
Chronic obstructive pulmonary disease(COPD)is a common disease characterized by persistent airflow limitation,and airflow limitation is often progressive.Most of the clinical manifestations are chronic cough,expectoration and chest tightness,and dyspnea occurs in severe cases.The acute exacerbation chronic obstructive pulmonary disease(AECOPD)is one of the main reasons for the deterioration of patients with COPD,which mostly belongs to the categories of asthma and emphyysema in traditional Chinese medicine.It is the syndrome of asthenia in origin and excess in superficiality.The disease is located in the lung,often involving the spleen,kidney and heart.Western medicine mainly treats the disease by inhaling oxygen,anti-infection and anti-inflammation,resolving phlegm and relieving cough,and dilating bronchi,which can control infection and relieve the clinical symptoms of patients,but it is easy to appear drug resistance and have more adverse reactions.Traditional Chinese medicine has certain advantages in relieving patients'symptoms,improving patients'pulmonary function,reducing the level of serum inflammatory factors,controlling acute attacks,and reducing adverse reactions.This article discusses the diagnosis and treatment of AECOPD based on Professor LIU Rongkui's theory of lung-heat.The initial pathogenesis of this disease is body deficiency and then pathogenic heat stagnation of the lung.With the change of disease,the combination of heat,phlegm and blood stasis is the key to the pathogenesis of AECOPD.When the condition is further developed without intervention,the extreme heat is transformed into poison,and the heat poison damages the lungs,the condition will be aggravated,and even irritability,drowsiness,coma and other critical and severe diseases will occur and endanger life.Lung-heat runs through the progression of AECOPD.Therefore,the treatment of this disease should take clearing heat as the core and the heat-clearing method of the five methods as the main method.On the basis of clearing away the heat of the lung,and then according to the changes of the disease,other methods are used flexbily.LIU's Qingre Huatan prescription(清热化痰方),which is based on heat-clearing method,has a remarkable clinical effect.The article is accompanied by a case study,in order to provide new ideas for the treatment of this disease in traditional Chinese medicine.
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