牛彩琴以揿针结合中药治疗阳虚水泛证肺胀经验  

Experience of Professor NIU Caiqin Treating Lung Distention of Yang Deficiency and Water Flooding Syndrome with Pressing Needle and Chinese Medicinal

作　　者：全亚林 牛彩琴(指导)[1] QUAN Yalin;NIU Caiqin(Department of Traditional Chinese Medicine,Laboratory of Internal Medicine of TCM,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院附属医院中医科,中医内科研究室,四川南充637000

出　　处：《山东中医杂志》2022年第3期329-333,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：四川省南充市市校合作项目(编号:NSMC20170448)。

摘　　要：介绍牛彩琴教授运用揿针结合中药治疗阳虚水泛证肺胀的临床经验。牛彩琴教授认为本病病机在于本虚标实,本虚责之肺脾肾三脏阳虚,标实责之痰饮、瘀血留滞,故治疗以温阳散寒暖脾肾、宣肺化饮平咳喘、利水消肿调气机、活血化瘀通经络为原则。临床采用自拟补肺温肾汤温阳散寒、化痰平喘、活血利水,同时结合揿针埋针定喘安神、调理脏腑。针药同用不仅能有效减轻急性期发作症状,更能延长稳定期,减少发作次数。Experience of Professor NIU Caiqin treating lung distension of yang deficiency and water flooding syndrome with pressing needle combined with Chinese medicinal is introduced.Professor NIU Caiqin holds that the disease mechanism is deficient root and excessive branch.Deficiency root involves yang deficiency of lung,spleen and kidney,while excessive root involves retention of phlegm,rheum and blood stasis.Therefore the treatment principle is warming yang and dispersing cold to warm spleen and kidney,dispersing lung qi and resolving rheum to relieve dyspnea and cough,draining water and relieving edema to regulate qi movement,and activating blood and resolving stasis to dredging meridians and collaterals.In clinic,the self-invented Bufei Wenshen Decoction(补肺温肾汤)is applied to warm yang and disperse cold,resolve phlegm and relieve dyspnea,active blood and drain water,and in combination with pressing needle for relieving dyspnea and tranquilizing mind,and regulating zang-fu organs.The combination of acupuncture with medicinals can not only effectively reduce the symptoms of acute attack,but also prolong the stable period and reduce the frequency of attack.

关 键 词：肺胀 阳虚水泛证 补肺温肾汤 揿针疗法 牛彩琴 

分 类 号：R256.14[医药卫生—中医内科学]