哮喘-慢阻肺重叠的中医辨治思路  

Traditional Chinese Medicine Syndrome Differentiation and Treatment of Asthma-Chronic Obstructive Pulmonary Disease Overlap

作　　者：夏逸飞 孙子凯[2] XIA Yifei;SUN Zikai(Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China;The Affiliated Hospital ofNanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]南京中医药大学,江苏南京210029 [2]南京中医药大学附属医院,江苏南京210029

出　　处：《湖南中医药大学学报》2019年第5期619-622,共4页Journal of Hunan University of Chinese Medicine

基　　金：江苏省中医药局资助课题(LZ11028)

摘　　要：介绍孙子凯主任医师辨治哮喘-慢阻肺重叠(ACO)的经验。哮喘-慢阻肺重叠较单纯哮喘或慢阻肺而言,治疗难度更大,预后更差。孙老师强调肺脾肾亏虚是发病之本,痰饮为标,感受外邪是诱发因素。辨治应紧密结合病机特点,发时治肺,辨痰为要,兼顾其本;平时治本,补中益气,温阳固肾。用药精当,组方灵活,才能收获满意疗效。The experience of chief physician SUN Zikai in treating of asthma-chronic obstructive pulmonary disease overlap(ACO)was introduced.ACO is more difficult to treat and has a worse prognosis than either asthma or chronic obstructive pulmonary disease.Teacher SUN emphasized that the deficiency of lung,spleen and kidney is the root cause of the disease,and phlegm is the manifestation,and contracting the external pathogen is the inducing factor.Combined with the characteristics of pathogenesis,treating the lung at the time of onset,differentiating phlegm is essential,taking into account its root cause.In alleviating period,treating the root cause,invigorating spleen-stomach and replenishing Qi,warming Yang and invigorating the kidney,with excellent medication,flexible prescription and with satisfactory results.

关 键 词：哮喘-慢阻肺重叠 慢性阻塞性肺疾病 中医药疗法 孙子凯 

分 类 号：R256.1[医药卫生—中医内科学]