肺痹理论探究  

Theoretical study on Lung Bi

作　　者：刘继民[1] 王檀[2] Liu Jimin;Wang Tan

机构地区：[1]长春中医药大学附属医院二部,吉林长春130033 [2]长春中医药大学附属医院,吉林长春130117

出　　处：《中医临床研究》2019年第3期10-13,共4页Clinical Journal Of Chinese Medicine

摘　　要：王檀教授认为肺痹是风火寒湿侵袭、肺气闭塞、肺络痹阻、气血运行不畅而引起喘息气急、咳嗽、咯痰、心胸憋闷、口唇指甲紫绀为主要表现的病证;其发病的关键在于肺气不足,腠理不固所致;并且从病名释义、病因病机、治疗、转归及诱发和加重因素加以深究;治疗上,本着除痹通络,宣畅气机的治疗原则;发作时重在祛邪,病情平稳时重在扶正为主。肺痹归属于西医间质性肺疾病的范畴,其发病机制尚不明确,西医目前尚无疗效确切的治疗方法,吾师王檀教授,多从肺气不足的角度进行治疗,疗效明显,其中医理论,尤其是关于肺痹的病因病机值得探究。肺痹的发病基础为肺气不足(或感冒不能及时表散、或先天肺虚、或形寒冷饮),腠理不固肺气不足与腠理不固,可以互为因果,肺气不足,可以直接导致腠理不固;腠理不固,易于招致外邪而间接内耗肺气,导致肺气不足;肺气不足,包括相对不足和绝对不足;相对不足,责之于后天损伤;绝对不足,责之于先天禀赋不足;后天损伤包括外感风、寒、湿,寒凉冷饮,久病调养不及时,风火内扰等因素;绝对不足,主要是指先天肺体娇弱及大气(宗气)不足之人。吾师王檀教授,关于肺痹理论的探究,不断更新,尤其是关于病因病机理论的创新;吾师常说,理顺了疾病的发病机制,尤其是病因病机,治疗上,才能有的放矢,只有探析疾病的本质及发病规律,辨证施治才能得心应手。Professor Wang tan believes that lung bi has the main manifestation of shortness of breath, cough, cackle, depression of the heart, and cyanosis of the lips and claws, which is due to rheumatism, cold and humid invasion, pulmonary blockage, pulmonary obstruction, and poor Qi and blood movement. The key to the onset of the disease lies in the lack of lung qi and the lack of management;And further study is made from the perspective of the definition of the name of the disease, etiology, pathogenesis, treatment, transferring and inducing and aggravating factors. The treatment is in accordance with the principle of removing paralysis and activating qi’s movement, when there is an acute attack, it should focus on dispelling the evil spirits, when the condition is stable, it should focus on strengthening healthy qi. Lung bi belongs to the category of interstitial pulmonary diseases in Western medicine. The pathogenesis of the disease is not yet clear. Western medicine currently has no definitive treatment method. Professor Wang Tan, my teacher, mostly treats from the perspective of insufficient lung qi, and the curative effect is obvious. Chinese medicine theory, especially theory about the etiology and pathogenesis of pulmonary palsy is worth exploring.The basis of the onset of pulmonary palsy is insufficient lung qi (or cold can not be expressed in time, or congenital lung deficiency, or cold drink). The lack of solid lung qi and insecurity of the interstices can be mutually causal, and the lack of lung qi can directly lead to the insecurity of the interstices. Being not solid, it is easy to incur external evil and indirectly leads to internal consumption of lung qi, resulting in insufficient lung gas;Lung Qi deficiency includes relative deficiency and absolute insufficiency;Relative deficiency is due to acquired damage;Absolute inadequacy is due to the lack of innate endowment;The acquired damage includes external wind, cold, wet, cold and cold drinks, chronic illness, and internal disturbance. Absolute deficiency

关 键 词：肺痹 病因 病机 王檀 

分 类 号：R242[医药卫生—中医临床基础]