清热养阴化痰法治疗重症肺炎临证体会  

Clinical Experience of Treating Severe Pneumonia by Heat-Clearing,Yin-Nourishing and Phlegm-Resolving Method

作　　者：张萍 吴明阳 崔宝胜 ZHANG Ping;WU Mingyang;CUI Baosheng

机构地区：[1]嵊州市中医院,浙江嵊州312000 [2]河南省中医院,河南郑州450000

出　　处：《新中医》2022年第16期194-198,共5页New Chinese Medicine

基　　金：河南省中医药传承与创新人才工程(仲景人才工程)(豫卫中医函[2020]61号);河南省中医药青苗人才培养项目(豫卫中医函[2021]16号)。

摘　　要：介绍运用清热养阴化痰法治疗重症肺炎的临证体会。采用抗感染、化痰等对症治疗重症肺炎,较多患者血氧饱和度难以稳定,化痰效果不理想。临证中结合地区气候及饮食结构等,发现湿热在重症肺炎病程中作为发病因素不容忽视,故认为重症肺炎的中医核心病机为痰热壅肺、气阴两虚。可治以清热养阴化痰为法。中医药疗法有助于稳定患者血氧饱和度上。This paper introduces the clinical experience of treating severe pneumonia by heat-clearing,yin-nourishing and phlegm-resolving method.Severe pneumonia can be treated by symptomatic treatments like anti-infection and resolving phlegm,but it is difficult to stabilize the blood oxygen saturation of many patients,and the phlegm-resolving effect is not ideal.Combined with regional climate and dietary structure,it is found that dampness and heat can not be ignored in the course of severe pneumonia.Therefore,it is believed that the core pathogenesis of severe pneumonia in Chinese medicine is phlegmheat obstructing the lung and the deficiency of both qi and yin.It can be treated by heat-clearing,yinnourishing and phlegm-resolving method.Chinese medicine helps stabilize the oxygen saturation of patients.

关 键 词：重症肺炎 湿热 气阴两虚 清热养阴化痰 血氧饱和度 

分 类 号：R249[医药卫生—中医临床基础] R563.1[医药卫生—中医学]