从风邪论治过敏性支气管肺曲霉病  

Treating Allergic Bronchopulmonary Aspergillus from Wind Pathogen

作　　者：王怡然 刘学 张伟[2] WANG Yiran;LIU Xue;ZHANG Wei(Weifang Hospital of Traditional Chinese Medicine,Weifang 261041,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]潍坊市中医院,山东潍坊261041 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医药大学学报》2024年第2期161-165,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(批文号:国中医药人教函[2022]75号);山东肺系病热毒流派传承工作室建设项目(批文号:鲁卫函[2021]45号)。

摘　　要：肺为娇脏,易受风邪侵袭,而风邪与过敏性支气管肺曲霉病(ABPA)的发病与进展密切相关。风邪贯穿ABPA的全程,主要为风袭肺卫、风伏肺脏、风毒损络等病机表现。辨治ABPA要重视风邪,根据不同阶段的病机特点酌情配伍风药,通过益气疏风、祛风宣肺、搜风通络等治法,使表邪解、伏风去、肺络通。在ABPA外邪袭肺阶段运用益气固表疏风之品,以充盛肺气,祛风外出,固护腠理,防止内入;风伏肺脏为防治该病的关键一环,治疗上采用祛风宣肺,理气化痰,令风无所遁伏;风毒损络阶段祛风解毒,破除癥瘕,搜风通络并举,使风毒除、癥瘕破、络脉通。Lung is a delicate zang-organ,which is easily invaded by wind pathogen.Wind pathogen is closely related to the onset and progression of allergic bronchopulmonary aspergillosis(ABPA).Wind pathogen runs through the entire process of ABPA,mainly manifested as pathogenesis such as wind attacking lung defense,latent wind in lung,and wind toxin damaging collaterals,etc.We should pay attention to wind pathogen in diagnosis and treatment of ABPA,advocate the appropriate combination of wind medicine according to the pathogenesis characteristics of different stages of the disease,and use treatment methods such as replenishing qi and dispersing wind,expelling wind and ventilating lung,removing wind and dredging collaterals to release exterior pathogens,expel latent wind,and dredge lung collaterals.During the stage of exterior pathogen attacking lung,medicinals for tonifying qi,consolidating exterior,and dispersing wind should be used to benefit lung qi,expel wind,consolidate striae and interstice and prevent pathogen from entry.The stage of latent wind in lung is the key to prevent and treat this disease. In the treatment,expelling wind and ventilating lung,regulating qi andresolving phlegm could prevent wind from escaping. In the stage of wind toxin damaging collaterals,expellingwind and removing toxin,breaking abdominal mass,removing wind and dredging collaterals should be usedin combination to eliminate wind toxin,break abdominal mass,and clear collaterals.

关 键 词：过敏性支气管肺曲霉病 风邪 风邪袭卫 风伏肺脏 风毒损络 益气疏风 祛风宣肺 搜风通络 

分 类 号：R259.622[医药卫生—中西医结合]