络病理论指导下慢性阻塞性肺疾病中医辨治体系的构建  

Construction of Traditional Chinese Medicine Differentiation and Treatment System of Chronic Obstructive Pulmonary Disease Under Direction of Collateral Diseases Theory

作　　者：刘烨[1] 吕晓东[1] 庞立健[2] 张浩洋[1] 李婷婷[1] 刘创[2] LIU Ye;LYU Xiaodong;PANG Lijian;ZHANG Haoyang;LI Tingting;LIU Chuang(Liaoning University of Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中华中医药学刊》2020年第6期79-81,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81373579);国家自然科学基金青年基金(81403290);国家中医药管理局中医络病重点学科建设项目(T0302);辽宁省“兴辽英才计划”高水平创新团队项目(XLYC1808011)。

摘　　要：基于络病理论,结合慢性阻塞性肺疾病的临床特点、现代科学内涵研究成果、临床证据及各医家的相关论述等,尝试建立络病理论框架下的慢性阻塞性肺疾病的中医辨治体系,提出肺络虚损、邪气阻络为慢性阻塞性肺疾病的核心病机,其中肺络虚损即肺气络亏虚、血络受损为主,并贯穿疾病发展的始终;邪阻以气滞肺络、瘀阻肺络、痰凝肺络为要。通补肺络为慢性阻塞性肺疾病的基本治法,心、肝、脾、肾等脏腑络脉与肺络结构相互联系,功能相互影响,临床辨治当准确辨明肺络虚实之主次、脏腑累及之情况,在临证处方上予以侧重,以延缓疾病之进展。Based on collateral disease theory,combined with the clinical characteristics of COPD,the research results of modern scientific connotation,clinical evidence and the related discussions of physicians,this paper attempts to establish the TCM differentiation and treatment system of COPD under the framework of collateral disease theory,and puts forward that deficiency of lung collaterals and obstruction of pathogenic Qi are the core pathogenesis of COPD.Deficiency is mainly due to deficiency of lung Qi and collaterals and damage of blood collaterals,and pathogenic obstruction is mainly due to Qi stagnation of lung collaterals,blood stasis of lung collaterals and phlegm obstruction of lung collaterals,which runs through the whole disease.Dredging and nourishing lung collaterals is the basic treatment of COPD.The heart,liver,spleen,kidney and other viscera collaterals are interrelated with the structure of lung collaterals,and their functions interact with each other.Clinical differentiation and treatment should accurately identify the main causes of deficiency and excess of lung.Secondly,in the case of viscera involvement,the TCM prescription of dredging and nourishing lung collaterals should be selected in order to delay the progress of the disease.

关 键 词：络病 慢性阻塞性肺疾病 COPD 中医 

分 类 号：R259.63[医药卫生—中西医结合]