从脾胃论治稳定期慢性阻塞性肺疾病  

Treatment of Chronic Obstructive Pulmonary Disease at Stable Stage from Spleen and Stomach

作　　者：刘言[1] 徐红日[2] 王成祥[2] 

机构地区：[1]北京中医药大学,北京100700 [2]北京中医药大学东直门医院,北京100700

出　　处：《中医学报》2013年第10期1457-1458,共2页Acta Chinese Medicine

基　　金：国家科技部"十一五"科技支撑项目(编号:2007BAI20B087);国家中医药管理局2012年度国家中医临床基地业务建设科研专项课题(编号:JDZX2012166)

摘　　要：目的:探讨从脾胃论治稳定期慢性阻塞性肺疾病的临床疗效。方法:从中医理论如五行学说、宗气及卫气的生成和功能,以及COPD稳定期患者营养状态特点等方面,论述健脾、顾护中焦在本阶段治疗中的必要性。结果:COPD在稳定期中医病机特点以本虚为主,常兼有痰、瘀,以肺气虚、肺脾气虚、肺肾气虚等证候为常见。在稳定期标实表现不明显,针对本虚的特点,以"脾胃为后天之本"为指导,从脾胃论治。结论:从脾胃论治稳定期COPD疗效确切。Objective：To explore chronic obstructive pulmonary disease （COPD）at stable stage from spleen and stomach. Methods：From TCM theories such as the five elements theory,the generation and function of pectoral qi and defensive qi, and characteristics of nutri- tional status in patients with COPD at stable stage to expound the necessity of tonifying spleen and protecting middle energizer at this stage of treatment. The pathogenesis characteristics of COPD in stable period is mainly deficiency of origin, often combining with phlegm, blood stasis, and such as qi deficiency in lung,lung and spleen deficiency syndrome and lung and kidney deficiency syndrome are the most common. Manifestation of enrichment in symptom of COPD at stable stage is not obvious, aiming at the characteristics of de- ficiency in origin, ~pleen-stomach is foundation of after birth,s the guidance, and syndrome differentiation and treatment from the spleen and stomach. Conclusion ：Treatment from spleen and stomach on COPD at stable stage has definite curative effect.

关 键 词：稳定期慢性阻塞性肺疾病 脾胃论治 宗气 卫气 肺气虚 肺脾气虚 肺肾气虚 

分 类 号：R259.63[医药卫生—中西医结合]