膏方调治慢性肺系疾病  

Chronic Lung Diseases Treated with Chinese Herbal Ointment

作　　者：杨光宁 

机构地区：[1]辽宁省中医药学会建大中医院内科,沈阳110021

出　　处：《实用中医内科杂志》2015年第9期161-163,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：膏方补中寓治,治中寓补,补治结合,临证处方应师古而不泥古,结合现代药理试验结果,详析病机,辨证与辨病相结合,补养为主,兼顾祛邪。补益切忌过急过偏,循序渐进,恰到好处;祛邪避免攻伐过度,损伤正气。膏方含补药多易滋腻碍胃,必顾护胃气,佐以运脾健胃,理气导滞之品,以助药物吸收,达补五脏祛病邪之功;正如李东垣所云"五脏皆得胃气乃能通利"必须顾护胃气,以助药物吸收。附咳嗽-慢性支气管炎,哮病-激素依赖性哮喘,肺胀-慢性阻塞性肺气肿案例三则。Chinese herbal ointment is characterized by combination of reinforcement and reduction. In clinical treatment of chronic lung diseases with the ointment,it is necessary to comprehensively analyze the pathomechanism and combine the syndrome differentiation with disease differentiation,and then to formulate a recipe according to the results of modem pharmacological testing,which should be done following the tradition but not bigotedly stick to it.The treatment should be to reinforce the vital Qi as the first and eliminate the pathogens as the second.The reinforcement should be done to the point and step by step,and the reduction should be done carefully to avoid injuring the vital.This kind of ointment mostly includes tonics that usually affect the digestion of the stomach because of their special contents,so it also needs to assist the stomach-qi to help the absorption of the medicine,and thus to get the effect of invigorating the five zang-organs and eliminating the pathogens.It is just as what famous physician Li Dong-yuan once said, ＂The five zang-organs will function well as they are assisted by the stomach-qi＂ .Here three clinical cases are given： a case of cough--chronic bronchitis,a case of panting disease--hormonal dependent asthma,and a case of lung distention--chronic obstructive emphysema.

关 键 词：慢性肺系疾病 膏方 补中寓治 治中寓补 补治结合 大方 复方 咳嗽 慢性支气管炎 哮病 激素依赖性哮喘 肺胀 慢性阻塞性肺气肿 中医药治疗 

分 类 号：R256.1[医药卫生—中医内科学]