蔡鸿彦教授根据“大气下陷”理论治疗慢性阻塞性肺疾病的学术思想及临床经验  

Professor Cai Hongyan's academic thought and clinical experience in the treatment of COPD based on the theory of"pectoral qi sinking"

作　　者：郭鹏 李睿[2] 武晓璐 白昕越 贾馨蕊 蔡鸿彦[3] GUO Peng;LI Rui;WU Xiaolu;BAI Xinyue;JIA Xinrui;CAI Hongyan(Changchun University of Chinese Medicine,Changchun 130117,China;Beijing University of Chinese Medicine,Beijing 100105,China;Jilin Province Academy of Traditional Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学,长春130117 [2]北京中医药大学,北京100105 [3]吉林省中医药科学院,长春130021

出　　处：《吉林中医药》2023年第8期906-910,共5页Jilin Journal of Chinese Medicine

基　　金：2022年全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号);吉林省中医药科技项目(2022067);吉林省科技厅重点研发项目(20180201085YY);吉林省中医药专题研究项目(Zybz-2020-010)。

摘　　要：文章总结了蔡鸿彦教授基于“大气下陷”理论治疗慢性阻塞性肺疾病(COPD)的学术思想及临床经验。蔡鸿彦教授认为本病为本虚标实证,并依据“大气下陷”理论提出,大气不足,上焦阳弱,为本病的发病基础;大气虚弱,宣降失司,为本病的起病之根;大气下陷,饮停痰阻,为本病的核心病机;大气虚脱,阴阳失维,为本病的危重之候。依此确立益气升阳、豁痰降气、止咳平喘贯穿疾病治疗始终的基本原则,用于临床,达到控制疾病进展,改善临床症状,提高患者生存质量的目的。The article summarizes Professor Cai Hongyan's academic thought and clinical experience in treating chronic obstructive pulmonary disease(COPD)based on the theory of"pectoral qi sinking".Professor Cai Hongyan believes that this disease is characterized by the syndrome of deficient vital qi and excess in manifestations,and according to the"pectoral qi sinking"theory,he proposes that the basis of the disease lies in an insufficient pectoral qi and deficient yang in the upper jiao,while its root cause is the failure of the dispersing and descending functions of the lung,and the core pathogenesis of this disease is the subsidence of the pectoral qi,which in turn leads to the suspension of body fluids and the obstruction of phlegm,and the critical symptoms of this disease feature the depletion of the pectoral qi and in turn yin and yang losing nutrients.Accordingly,he establishes the basic principles of benefiting qi and reinforcing yang,clearing phlegm and lowering qi,and relieving cough and asthma throughout its treatment.Professor Cai Hongyan's academic thought can be applied to clinical practice to control the progression of the disease,improve its clinical symptoms and the quality of life of patients.

关 键 词：慢性阻塞性肺疾病 大气下陷 蔡鸿彦 中医药疗法 

分 类 号：R562[医药卫生—呼吸系统]