现代名老中医诊治肺炎的病因病机分析  

A study on the etiology and pathogenesis of treating pneumonia by modern famous doctor of TCM

作　　者：李高阳[1,2] 马锦地 李建生[1,2] 王佳佳[1,2] 孙曙明[1] 蔡永敏[1] 李庆磊[1] 

机构地区：[1]河南中医药大学呼吸疾病诊疗与新药研发河南省协同创新中心,河南郑州450046 [2]河南中医药大学老年医学研究所,河南郑州450008

出　　处：《中医临床研究》2017年第10期1-4,共4页Clinical Journal Of Chinese Medicine

基　　金：国家中医药管理局国家科技支撑计划项目(2014BAI10B06);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012027);河南省中医临床学科领军人才培育计划资助(HNZYLJ201301001);郑州市科技领军人才项目(131PJRC659)

摘　　要：目的:基于现代百余年名老中医诊治肺炎的文献,揭示肺炎的病因、病机及证素分布与组合规律。方法:基于已有的《现代名老中医肺病数据库》和《期刊中医肺病数据库》,建立《现代名老中医诊治肺炎文献研究数据库》,运用SPSS 22.0软件对肺炎的病因、病机、证素进行频次频率统计分析;并对证素采用相关分析。结果:肺炎的常见病因有温邪、外风、内因、外感以及痰。病机以肺热炽盛、痰浊阻肺、肺失宣降、痰热壅肺、风热犯肺、热邪犯肺较为常见。证素中病性证素以热、痰、外风、阴虚、气虚、毒出现频率较高;病位证素以肺为主,涉及胃、心神、脾。两证素组合以热+肺、痰+肺、阴虚+肺出现频率较高,三证素组合痰+热+肺、热+外风+肺、热+毒+肺、气虚+阴虚+肺、寒+外风+肺较常见。结论:现代名老中医对肺炎病因病机的见解与目前教材及专著大体一致,尚可见外湿等病因及邪袭肺胃等病机,这在以往的专著中少有报道,丰富了肺炎的病因病机理论。Objective:To explore the etiology and pathogenesis of pneumonia,as well as the syndrome elements distribution andcombination rules through studying the experience of modern famous doctors of TCM for treating pneumonia.Methods:Literatures whichmet the inclusion criteria were retrieved from Lung Disease Database of Journals for the Establishment of Literature Research Databaseof Modern Famous Doctors of Chinese Medicine in Treating Pneumonia which was established based on The Existing Lung DiseaseDatabase of Modern Famous Doctors of Chinese Medicine and Journal of TCM Pulmonary Disease Database.SPSS22.0software wasused to statistically analyze frequency of pneumonia's etiology,pathogenesis and the relevant evidences.Results:The common etiologiesof pneumonia include warm pathogen,external wind,internal cause,external infection and phlegm.The main pathogenesis is exuberanceof lung heat,turbid phlegm obstructing lung,impairment of dispersing and descending function of the lung,phlegm-heat obstructing lung,wind-heat invading lung and heat pathogen invading lung.The pathogenic syndrome elements of pneumonia are basically composedof heat,phlegm,external wind,deficiency of Yin,deficiency of vital energy,and toxin.The pathogenic location syndrome elements isprincipally in the lung,involving the stomach,the mind and the spleen.In the combination of two syndrome elements,the much morecommon include heat combined with lung,phlegm combined with lung,and Yin deficiency combined with lung.The combination of threesyndrome elements usually are the combination of phlegm,heat and the lung,the combination of heat,external wind and the lung,thecombination of heat,toxin and the lung,the combination of deficiency of vital energy,deficiency of Yin and the lung and the combination ofcold,external wind and the lung.Conclusion:The views of modern famous doctors of TCM on the etiology and pathogenesis of pneumoniaare roughly consistent with the current textbooks and monographs.The etiology such as external dampness and the pathogenesis such

关 键 词：肺炎 病因 病机 证素 名老中医 

分 类 号：R563.1[医药卫生—呼吸系统]