陈泽涛从“火郁发之”论治老年坠积性肺炎  

CHEN Zetao’s Treatment of Senile Hypostatic Fneumonia from Dissipating Fire Stagnation

作　　者：张海东 李锐 孔维枝 赵丽[1] 陈泽涛(指导)[1] ZHANG Haidong;LI Rui;KONG Weizhi;ZHAO Li;CHEN Zetao(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2025年第3期331-336,346,共7页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金项目(编号:ZR2021MH410,ZR2020MH354,ZR2017LH073)。

摘　　要：坠积性肺炎作为一种常见的呼吸道并发症,好发于长期卧床的老年患者。目前西医主要以对症治疗为主,且不良反应居多。陈泽涛教授从《黄帝内经》中的“火郁发之”出发,认为火郁为老年坠积性肺炎的核心病机,临证时采取清透与补虚相结合的方法,灵活运用“发”的内涵,分期论治,疗效显著。附验案一则,以期为临床治疗本病提供思路。As a common respiratory complication,hypostatic pneumonia often occurs in elderly patients who stay in bed for a long time.At present,western medicine mainly focuses on symptomatic treatment,and there are lots of adverse reactions.Starting from“Dissipating fire stagnation”in Inner Canon of Yellow Emperor,Professor CHEN Zetao believes that fire stagnation is the core pathogenesis of senile hypostatic pneumonia.In clinical diagnosis,he applies the method of clearing and tonifying deficiency,flexibly uses the connotation of“dissipating”and treats by stages,of which the curative effect is significant.A test case is attached,with a prospect of providing ideas for the clinical treatment of this disease.

关 键 词：陈泽涛 老年坠积性肺炎 火郁发之 清透 补虚 

分 类 号：R249[医药卫生—中医临床基础] R256.1[医药卫生—中医学]