茆俊卿教授从虚痰瘀辨治难治性肺部感染  

Professor Mao Junqing in Treating Refractory Pulmonary Infections Based on Deficiency,Phlegm and Stasis

作　　者：陈永昶 吴炎 张蕾[1] 茆俊卿 CHEN Yongchang;WU Yan;ZHANG Lei;MAO Junqing(Department of Pulmonary Disease,Yangzhou Hospital Affiliated to Nanjing University of Chinese Medicine,Jiangsu Province,Yangzhou 225000,China)

机构地区：[1]南京中医药大学扬州附属医院肺病科,江苏扬州225000

出　　处：《光明中医》2024年第20期4164-4167,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(No.国中医药人教函[2022]76号);江苏省中医药科技发展计划项目(No.MS2022116);江苏省老年健康科研项目(No.LKM2023049)。

摘　　要：茆俊卿教授认为难治性肺部感染患者病程迁延、病因复杂、病机多端,多因肺脾两虚,痰瘀胶结,虚实夹杂,而致久嗽不愈。茆教授提出“治肺而不拘于肺,治咳而不囿于咳”的观点,因虚、痰、瘀贯穿难治性肺部感染的发生发展全程,治疗当化痰祛瘀与培土生金并用,驱逐邪气与扶益正气兼顾,圆机活法,知常达变,权衡轻重,灵活加减,以补虚泄实,止咳宁嗽。Professor Mao Junqing believes that patients with refractory pulmonary infections have a prolonged disease course,complex etiology,and multiple pathogenesis,mostly due to deficiency of the lungs and spleen,cementation of phlegm and stasis,and a mixture of deficiency and excess,resulting in persistent coughing.Professor Mao put forward the viewpoint of“treating lung but not confined to lung,treating cough but not confined to cough”.Deficiency,phlegm and stasis run through the entire process of the occurrence and development of refractory pulmonary infections.The treatment should be combined with eliminating phlegm and removing stasis and tonifying the spleen to replenishing the lung,expelling pathogenic factors and supporting positive qi,judge the comparative importance of pathogenic factors and positive qi,supplement deficiency and relieve excess to stop cough.

关 键 词：难治性肺部感染 培土生金法 痰瘀胶结 虚实夹杂 化痰祛瘀 

分 类 号：R259[医药卫生—中西医结合]