基于“脾胃内伤,百病由生”调节肠道菌群改善支气管扩张反复发作的思路探讨  

Based on the Concept of“Internal injury of the Spleen and Stomach,all Diseases are Caused by Living”,this Paper Discusses How to Regulate the Intestinal Flora and Improve the Recurrent Bronchiectasis

作　　者：冯琳智 梁爱武[2] 刘相瑶 母震川 FENG Linzhi;LIANG Aiwu;LIU Xiangyao;MU Zhenchuan(Guangxi University of Traditional Chinese Medicine,Nanning Guangxi 530200,China;Ruikang Hospital Affiliated of Guangxi University of Traditional Chinese Medicine,Nanning Guangxi 530011,China)

机构地区：[1]广西中医药大学,广西南宁530200 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《中医药临床杂志》2024年第10期1863-1866,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：广西中医药大学附属瑞康医院中医名医工程建设项目(院字〔2019〕18号)。

摘　　要：支气管扩张症,从中医角度来说可归类于“咳嗽”“肺痈”“血证”等范畴,临床表现为咳嗽、咳大量脓痰及反复咯血,分为急性加重期和稳定期。笔者通过探讨“脾胃内伤,百病由生”的理论内涵,探究肠道菌群与支气管扩张反复发作的联系,得出支气管扩张的根本病机是脾胃亏虚、元气不足,病位在肺,与脾胃密切相关,为达治病求本之效,治法上以补脾益胃为主、升阳泻火为辅,同时佐以祛湿之品,以期为临床治疗支气管扩张拓宽新的思路。From the perspective of traditional Chinese medicine,bronchiectasis can be classified into the categories of“Cough”,“Lung carbuncle”and“Blood syndrome”,divided into acute exacerbation period and stable period.This article explores the theoretical connotation of“Internal injury of the spleen and stomach,all diseases arise from birth”and the relationship between intestinal flora and recurrent bronchiectasis.It concludes that the fundamental pathogenesis of bronchiectasis is deficiency of the spleen and stomach and deficiency of vital energy,the location of the disease is in the lung,which is closely related to the spleen and stomach.In order to achieve the effect of treating the disease and seeking the root of the disease,the treatment method is mainly based on tonifying the spleen and benefiting the stomach,and supplemented with Yang-Raising and fire-purging,and at the same time supplemented with dampnessdispelling drugs,so as to broaden the new thinking for the clinical treatment of the bronchiectasis.

关 键 词：支气管扩张症 脾胃内伤 百病由生 肠道菌群 

分 类 号：R259[医药卫生—中西医结合] R562.22[医药卫生—中医内科学]