从“久卧伤气”探讨慢性阻塞性肺疾病合并坠积性肺炎发病机制  

Discussion on Pathogenesis of Chronic Obstructive Pulmonary Disease Complicated with Hypostatic Pneumonia from "Excessive Rest on Bed Impairing Qi"

作　　者：朱高尚 张伟[2] 

机构地区：[1]山东中医药大学,山东济南250011 [2]山东中医药大学附属医院,山东济南250011

出　　处：《湖南中医药大学学报》2017年第8期845-847,共3页Journal of Hunan University of Chinese Medicine

基　　金：山东省重点研发计划(2015GSF119032)

摘　　要：长期卧床的慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者,痰液等分泌物易阻塞于呼吸道,甚则肺部形成瘀血,极易引发坠积性肺炎。中医认为"久卧伤气",气伤则虚、气伤痰阻、气伤血瘀,终致痰瘀互结。COPD患者肺、脾、肾虚,痰瘀交阻,久卧于床则加重三脏之虚,痰瘀益甚而合并坠积性肺炎。故从COPD并发坠积性肺炎的中医病机出发,深入剖析"久卧伤气"与COPD并发坠积性肺炎的关系,以期为临床诊疗提供理论基础。Long-term bedridden patients with chronic obstructive pulmonary disease （CDPD）, such as sputum secretion obstruction in the respiratory tract, what the lung congestion or micro thrombus formation, easy to cause hypostatic pneumonia. TCM holds that ＂excessive rest on bed impairing Qi＂, impairment of Qi will lead to the deficency, stagnation of phlegm, blood stasis, then lead to binding of phlegm and stasis. Long-term bedridden will more serious of the deficiency of lung, spleen, and kidney in COPD patients, even phlegm-stasis will merge hypostatic pneumonia. The relationship between ＂excessive rest on bed impairing QI＂ with COPD compliated with hypostatic pneumonia were deeply investigated from pathogenesis to provide a theoretical basis for clinical diagnosis and treatment.

关 键 词：慢性阻塞性肺疾病 坠积性肺炎 久卧伤气 痰瘀互结 

分 类 号：R256.1[医药卫生—中医内科学]