国医大师李佃贵论治雾霾暴露下慢性阻塞性肺疾病  

TCM Master Li Diangui′s Treatment of Chronic Obstructive Pulmonary Disease Exposed in Smog

作　　者：薛滢 李明珠 高明 李方 翟付平 耿立梅 XUE Ying;LI Mingzhu;GAO Ming;LI Fang;ZHAI Fuping;GENG Limei(Graduate School of Hebei University of Chinese Medicine,Shijiazhuang Hebei China 050091;First Affiliated Hospital of Hebei University of Chinese Medicine,Shijiazhuang Hebei China 050011;Hebei Key Laboratory of Integrative Medicine for Lung Disease Research,Shijiazhuang Hebei China 050091)

机构地区：[1]河北中医学院研究生学院,河北石家庄050091 [2]河北中医学院第一附属医院,河北石家庄050011 [3]河北省中西医结合肺病研究重点实验室,河北石家庄050091

出　　处：《中医学报》2022年第10期2131-2135,共5页Acta Chinese Medicine

基　　金：河北省科技支撑计划项目(14277798D);河北省财政厅项目(361-0402-YSN-ULZ6)。

摘　　要：慢性阻塞性肺疾病总属本虚标实,发作时以标实为主,平时以本虚为主,实邪主要为痰浊、瘀血和浊毒。早期以痰浊为主,渐而瘀血浊毒并重,期间可兼夹气滞、水饮等。末期浊毒阻滞于内,正气虚衰,标实与本虚并重。雾霾作为外来之邪,侵袭人体,损伤脏腑组织,尤其是主管呼吸之肺脏。肺脏受损,代谢失常,则出现气郁、水停、瘀血。肺病日久损伤脾脏,脾失健运,肺脾两虚,津液代谢失常,蕴结于内,久而生热,痰浊日久成浊毒。浊毒胶结,上犯于肺,肺失宣降,出现咳嗽、咳痰、憋闷、喘息等症状或加重上述症状,故浊毒在慢性阻塞性肺疾病的发生发展中起着关键作用。李佃贵教授以“天之浊毒”理论为指导,采用化浊解毒、降逆平喘为治疗大法,再根据不同时期的临床表现合理运用散寒宣肺化浊、清热解毒排浊、固肾健脾驱浊等方法,同时注重观颜面,察二便,诊舌脉,疗效颇佳。Chronic obstructive pulmonary disease(COPD)is always characterized by the deficiency in origin and excess in superficiality.When the disease attacks,it is mainly shown as the superficiality excess.While in peacetime,it is mainly shown as the origin deficiency.The excessive evils are mainly Phlegm turbidity,Blood stasis,and Turbid poison.In the early stage,Phlegm turbidity is dominant,and gradually Blood stasis and Turbid poison would be aggravated together.During this period,Qi stagnation and Water retention can be included.In the end stage,the Turbid poison is blocked in the interior,and the vital Qi is deficient and weakened.Both the deficiency in origin and excess in superficiality would be aggravated.As an external evil,smog invades the human body and damages the organs and tissues,especially the lungs responsible for breathing.If the lungs are damaged and the metabolism is abnormal,there would be Qi stagnation,Water stoppage,and Blood stasis.Lung disease damages the Spleen for a long time,the spleen loses its healthy function,both Lung and Spleen are deficient,and the body fluid metabolism is abnormal,which accumulates inside and gradually generates heat,then the Phlegm turbidity becomes Turbid poison after a long time.The Turbid poison is cemented and invades the Lungs,and Lungs fail to disperse and descend,and symptoms such as cough,expectoration,suffocation,wheezing,etc.appeared or are aggravated.Therefore,the Turbid poison plays a key role in the occurrence and development of chronic obstructive pulmonary disease.Professor Li Diangui,guided by the theory of"Heaven′s turbid poison",adopts the methods of removing turbidity and detoxification,lowering the inverse and relieving asthma,and then according to the clinical manifestations of different periods,he rationally use the methods of dispelling cold and dispersing lung Qi,dispelling turbidity,clearing Heat,detoxifying and removing turbidity,and strengthening Kidney and Spleen to expelling turbidity and other methods,while focusing on observing the face,

关 键 词：慢性阻塞性肺疾病 雾霾 “天之浊毒” 浊毒蕴肺 化浊解毒法 李佃贵 国医大师 

分 类 号：R249.27[医药卫生—中医临床基础]