首页|健脾利肺联合方组论治逆转支气管扩张症1例

健脾利肺联合方组论治逆转支气管扩张症1例

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支气管扩张症是呼吸系统常见的一种慢性疾病,以慢性咳嗽、咳脓痰、反复咯血为主要临床表现,易反复感染并且病势缠绵.支气管扩张症由于病变的支气管异常扩张,气管伴随血管同时扭曲变形,因此咯血为支气管扩张症常见的并发症之一.对于反复咯血患者,如果病灶局限或急性大量咯血,可以通过手术介入治疗达到止血效果.在病理学上,支气管扩张症被认为是永久性的异常扩张,无法修复.本研究回顾分析1例反复咯血3年余的患者,门氏杂病流派深圳中心负责人张智伟主任以健脾利肺为核心,运用中医经典方剂五味异功散和大黄黄连泻心汤的联合方组加减论治,五味异功散有助于健脾利肺,大黄黄连泻心汤清泻肺热、化瘀止血、通大肠腑以利肺.治疗期间患者咯血情况由减少到最后停止,大便逐步恢复正常,支气管扩张症病灶明显缩小.不仅改善了患者的咯血症状,还促进了支气管的逆转修复.通过该病例的治疗表明,联合方组在治疗支气管扩张症方面,具有止血、促进康复的显著疗效,对逆转支气管扩张症有着较大潜力,可为支气管扩张的治疗提供新思路.
Invigorating the spleen and benefiting the lungsJianpi Lifei combinationed prescription in treating and reversing a case of reversing bronchiectasisbranch enlargement
Bronchiectasis is a common chronic respiratory disease characterized by chronic cough,purulent sputum production,and recurrent hemoptysis.It often leads to repeated infections and a protracted course.Bronchitysis is one of the common com-plications of bronchitysis due to the abnormal dilation of the diseased bronchus and the distortion and deformation of the trachea along with the blood vessels.For patients with repeated hemoptysis,if the lesion is localized or acute and there is massive hemoptysis,the hemostasis effect can be achieved through surgical interventional treatment.In terms of pathology,bronchitysis is considered to be perma-nent abnormal dilation,which cannot be repaired.This article mainly retrospects a case of repeated hemoptysis through review and anal-ysis,who experienced recurrent hemoptysis for more than 3 years,through review and analysis,the case had been diagnosed and treated,but hemoptysis is still repeated.Director ZHANG Zhiwei,who is in charge of Shenzhen Center of Men's Complex Disease School,takes invigorating the the spleen and benefiting the the lungs as the core,and applies the combined prescription group of modified Wuwei Yigong powder(五味异功散)and Dahuang Huanglian Xiexin decoction(大黄黄连泻心汤)of traditional Chinese medicine.Wuwei Yigong powder to strengthens the spleen and lungs,while Dahuang Huanglian Xiexin decoction functions to clear the lung heat,remove blood stasis and stop bleeding,and facilitate the large intestine fu-organ to benefit the lung.The combined application of these two prescriptions targets at the complex pathological mechanism of bronchiectasis.During the treatment,the patient"s hemoptysis gradually decreased and eventually stopped,while the stool gradually returned to be normal,and the lesions of bronchiectasis were significantly reduced.It not only relieved the hemoptysis symptoms of patients,but also promoted the bronchial reversal repair.This case study demonstrates that the combination therapy has a significant effect in the treatment of branchial dilatation,hemostasis and promoting rehabilitation.Combined prescription therapy can not only solve the main contradictionsymptoms of the disease,but also take into account the secondary symptoms contradiction and improve the therapeutic effect.At the same time,the combined prescription group has the potential to reverse bronchiec-tasis,which can provide a new idea for the treatment of bronchiectasis.

BronchiectasisCombined prescription therapyInvigorating the spleen and benefiting the lungsWuwei Yigong pow-derDahuang Huanglian Xiexin decoction

周龙健、梁丽嫦、段彦青、高运吉、王科澎、付艳丽、张智伟

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广州中医药大学深圳医院(福田),广东 福田,518034

支气管扩张症 联合方组 健脾利肺 五味异功散 大黄黄连泻心汤

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(27)