基于肺络理论探讨卒中相关性肺炎的病机证治  

Exploration of pathogenesis,syndrome and treatment of stroke-associated pneumonia based on lung-collateral theory

作　　者：李婷婷[1] 吕晓东[1] 庞立健[2] LI Ting-ting;LYU Xiao-dong;PANG Li-jian(Liaoning University,of Traditional Chinese Medicine,Shenyang 110847,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

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

出　　处：《中华中医药杂志》2020年第6期2778-2780,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：肺络病证治体系构建及应用创新团队(No.XLYC1808011);“十二五”国家中医药管理局中医络病重点学科建设项目(No.T0302)。

摘　　要：肺虚络郁是卒中相关性肺炎的基本病机,肺络亏虚为发病之本,病理因素以痰、热、瘀、毒为主,病理性质多为本虚标实,虚实夹杂。急性起病者以外感为主,伤及肺之气络,布散气津及卫外功能减弱;缓慢起病者以内伤居多,伤及肺之血络,濡养及抗邪功能减退。基本治疗原则为"通肺络",肺络亏虚者以补为通,肺络痹阻者以泄为通。Lung deficiency and collateral depression is the basic pathogenesis of stroke-associated pneumonia(SAP).Lung deficiency is the basis of SAP.The main pathological factors are phlegm,heat,blood stasis and toxicity.The pathological nature is mostly based on deficiency and excess.Acute onset patients mainly suffer from exogenous sensation,which injures the qi and collaterals of the lungs,weakens the function of dispersing qi and body fluid,and the slow onset patients suffer from internal injury,which injures the blood vessels of the lungs,and impairs the function of nourishing and resisting pathogens.The basic treatment principle of SAP is‘dredging lung collaterals’.Those with deficiency of lung collaterals should be compensated for dredging,while those with obstruction of lung collaterals should be relieved for dredging.

关 键 词：卒中相关性肺炎 肺络理论 肺络脑络相关 气络血络 

分 类 号：R259[医药卫生—中西医结合] R277.7[医药卫生—中医内科学]