基于气道黏液高分泌探讨从肾论治COPD  

Treatment of COPD from Kidney in View of Airway Mucus Hypersecretion

作　　者：张雨尧 王永生 ZHANG Yuyao;WANG Yongsheng(Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China;Department of Respiratory Medicine,Chengdu Integrated Traditional Chinese Medicine and Western Medicine Hospital,Chengdu 610041,China)

机构地区：[1]成都中医药大学,四川成都610072 [2]成都市中西医结合医院呼吸科,四川成都610041

出　　处：《基层中医药》2024年第6期120-124,共5页Basic Traditional Chinese Medicine

基　　金：四川省成都市科技项目(2022-YF-05-01368-SN)。

摘　　要：慢性阻塞性肺疾病(COPD)简称慢阻肺,是一种高发病率、高死亡率的疾病,气道黏液高分泌贯穿疾病始终,是慢阻肺重要病理特征。气道黏液高分泌机制错综复杂,根据主要临床特点,认为气道黏液高分泌与中医“痰饮”概念高度相似。本文将从中医角度探讨气道黏液高分泌机制及肾主掌水液代谢功能,提出从肾论治气道黏液高分泌,以期为中医药防治慢阻肺提供新思路。Chronic obstructive pulmonary disease(COPD)is a disease with high incidence and high mortality.Airway mucus hypersecretion exists throughout the disease,being a major pathological feature of COPD.The mechanism of airway mucus hypersecretion is complex and intricate.According to the main clinical characteristics,it is believed that airway mucus hypersecretion is highly similar to phlegm-fluid retention in traditional Chinese medicine(TCM).This article explores the mechanism of airway mucus hypersensitivity and the function of the kidney in governing water metabolism from the perspective of TCM and proposes the treatment of airway mucus hypersensitivity from the kidney,aiming to provide new ideas for the prevention and treatment of COPD with TCM.

关 键 词：慢性阻塞性肺疾病 气道黏液高分泌 痰饮 肾 

分 类 号：R56[医药卫生—呼吸系统]