慢性阻塞性肺疾病膈肌疲劳之中医论治  

TCM Treatment of Diaphragmatic Fatigue in Patients with Chronic Obstructive Pulmonary Disease

作　　者：齐华隆 杨春艳 冯玉华 毛从愉 罗业玲 李岭妹 QI Hua-long;YANG Chun-yan;FENG Yu-hua;MAO Cong-yu;LUO Ye-ling;LI Ling-mei(The Tliird affiliated Hospital of Yunnan University of Chinese Medicine,Kunming,Yunnan,China,650500)

机构地区：[1]云南中医药大学第三附属医院,云南昆明650500

出　　处：《河南中医》2021年第7期990-993,共4页Henan Traditional Chinese Medicine

基　　金：云南省应用基础研究项目(2017FD184);昆明市科技技术局卫生计划项目(2019-16-5-25318000001340)。

摘　　要：慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)病位在肺,与脾、肾密切相关,日久及心、脾、肾,肺脾肾俱虚,脾虚失运,则见膈肌疲劳、痰饮内生。膈肌疲劳与肺、脾、肾关系密切,三者生理功能上相互为用,使得脾土化生有源,肺金宣肃有权,肾水摄纳有根,共同促进加强机体的呼吸能力。久病肺脾虚损,宗气不足,呼吸泵动力不足,肺不主气则见喘息。故治疗COPD膈肌疲劳应以“肺本虚”为核心,通过补益肺、脾、肾以升补宗气,以宗气带动周身气血运行,五脏六腑之气得以循环则病自缓。Chronic obstructive pulmonary disease(COPD) is located in the lung,which is closely related to the spleen and kidney and involves the heart,spleen and kidney in the long run.If the lung,spleen and kidney are all deficient and the spleen is not functioning,the diaphragmatic fatigue and phlegm retention will appear.Diaphragmatic fatigue is closely related to the lung,spleen and kidney.The three physiologically interact with each other,making the spleen have resource to generate,the lung have ability to ventilate,the kidney have the root to absorb the water,and the respiratory function normal.Long-time spleen deficiency,pectoral qi insufficiency and insufficient power of respiratory pump result in the lung failing to govern qi,and dyspnea.Therefore,the treatment of diaphragmatic fatigue in COPD should focus on "deficiency of the lung itself".By tonifying the lung,spleen and kidney,pectoral qi can be nourished to promote the circulation of qi and blood in the whole body.The smooth circulation of qi in the five zang-organs and six fu-organs can relieve the disease.

关 键 词：慢性阻塞性肺疾病 膈肌疲劳 从肺论治 从脾论治 从肾论治 从宗气论治 

分 类 号：R259.63[医药卫生—中西医结合]