三焦分治慢性阻塞性肺疾病稳定期经验  

Experience in treating stable stage of chronic obstructive pulmonary disease with divided treatment of Sanjiao

作　　者：刘明[1] 王令敏 田雪娇 张丽娟 任苓苓 王英哲 武蕾[1] LIU Ming;WANG Ling-min;TIAN Xue-jiao;ZHANG Li-juan;REN Ling-ling;WANG Ying-zhe;WU Lei(Hebei Hospital of Traditional Chinese Medicine,Shijazhuang 050011,China;The First Affiliated Hospital of Xingai Medical College,Xingtai 054001,China)

机构地区：[1]河北省中医院,石家庄050011 [2]邢台医专第一附属医院,邢台054001

出　　处：《中华中医药杂志》2022年第10期5790-5793,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科研计划项目(No.2016029,No.2021053,No.2021081)。

摘　　要：慢性阻塞性肺疾病是临床常见的慢性呼吸系统疾病之一,其稳定期的治疗可以减少急性发作,改善肺功能,提高患者生活质量。武蕾教授认为慢性阻塞性肺疾病稳定期病位在肺,“痰阻气络”贯穿疾病始终,“三焦失司”是其发病机制。具体为痰阻气络,上焦壅否;中焦不运,痰饮内生;下焦衰惫,失纳闭阻。并从三焦分治的角度提出上化痰饮、通气(血)络,健运中气、绝痰源,培补下元、纳肺气以疏利三焦的治疗原则,临床效果显著。Chronic obstructive pulmonary disease is one of the common chronic respiratory diseases in clinic.The treatment of stable stage can reduce acute attack,improve patient’s pulmonary function and the quality of life.Professor WU Lei believes that the stable stage of COPD is located in the lung,‘Phlegm obstructing air collaterals’runs through the disease,and‘disorder of Sanjiao’is its pathogenesis.Specifically,phlegm obstructing air collaterals,upper Jiao is stagnating;in middle Jiao yang qi is not transported,phlegm is endogenous;in lower Jiao yuan qi is exhausted and lung qi is not to be received.The treatment principle from the perspective of divided treatment of Sanjiao is put forward:in upper Jiao eliminate phlegm and unblock air(blood)collaterals;in middle Jiao strengthen spleen and eliminate phlegm source;in lower Jiao reinforce yuan qi and lung qi can be received.The clinical effect is remarkable.

关 键 词：慢性阻塞性肺疾病 稳定期 痰阻气络 三焦失司 三焦分治 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]