国医大师韩明向从“虚-痰-瘀”辨治慢性肺系疾病  

TCM master HAN Mingxiang in differentiation and treatment of chronic lung diseases from‘deficiency-phlegm-stasis’

作　　者：马啸[1,2] 王芬 梁雪[1] 徐淑钰 张璐 石孟瑶 韩明向 李泽庚[4,5] MA Xiao;WANG Fen;LIANG Xue;XU Shuyu;ZHANG Lu;SHI Mengyao;HAN Mingxiang;LI Zegeng(Anhui University of Chinese Medicine,Hefei 230038,China;Department of Respiratory and Critical Medicine,Wuhu Traditional Chinese Medicine Hospital,Wuhu 241000,China;Department of Geriatric Endocrinology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Anhui Province Hospital of Chinese Medicine,Hefei 230031,China;Institute of Respiratory Disease Prevention and Treatment of Chinese Medicine,Anhui Academy of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学,合肥230038 [2]芜湖市中医医院呼吸与危重症医学科,芜湖241000 [3]安徽医科大学第一附属医院老年内分泌科,合肥230022 [4]安徽省中医院,合肥230031 [5]安徽省中医药科学院中医呼吸病防治研究所,合肥230031

出　　处：《中华中医药杂志》2024年第12期6499-6503,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金区域创新重点项目(No.U20A20398);安徽省科技重大专项(No.201903a07020015);2021年度安徽中医药大学临床科研项目(No.2021LCWH03);2022年安徽省临床医学研究转化专项(No.202204295107020045)。

摘　　要：文章以具体病案为导向对国医大师韩明向教授辨治慢性肺系疾病的临床经验进行分析总结。韩教授认为慢性肺系疾病大多是虚实夹杂、本虚标实的证候。其中气阴两虚为疾病的根本原因及始动因素,痰饮内停、瘀血阻络为疾病反复发作的核心和病理因素。并根据疾病特点提出了慢性肺系疾病“虚-痰-瘀”的病机演变规律。韩教授提出临证应以补肺益气、养阴增液治其本,以行气祛痰、活血化瘀治其标,最终达到标本兼顾、扶正祛邪的目的。This paper analyzes and summarizes the clinical experience of professor HAN Mingxiang,a TCM master,in identifying and treating chronic pulmonary diseases using specific cases as an orientation.According to professor HAN,most of the chronic lung diseases are characterized by a mixture of deficiencies and realities.Among them,deficiency of qi and yin is the root cause and initiating factor of the disease,while phlegm-beverage internalization and blood stasis are the core and pathological factors of recurrent disease episodes.According to the characteristics of the disease,the pathogenesis of chronic pulmonary diseases,which is‘deficiency-phlegm-stasis’,is proposed.Professor HAN suggested that clinical treatment should be based on tonifying the lungs,nourishing the yin and increasing the fluid,moving the qi and expelling the phlegm,activating the blood and removing the blood stasis to treat the symptoms,so as to achieve the goal of combining the symptoms and the essence and supporting the correctness and eliminating the evils.

关 键 词：国医大师 韩明向 名医经验 慢性肺系疾病 病因病机 辨证论治 虚-痰-瘀 黄芪 

分 类 号：R25[医药卫生—中医内科学]