王玉光教授以阴阳、虚实、脏腑为纲辨证治疗支气管扩张症的经验  

Professor WANG Yuguang′s Experience in Treating Bronchiectasis According to Syndrome Differentiation Based on Yin and Yang,Deficiency and Excess,and Viscera

作　　者：郭丽娅[1] 房克英 王玉光[1] GUO Li-ya;FANG Ke-ying;WANG Yu-guang(Beijing Hospital of Traditional Chinese Medicine,Beijing 100010;Malianwa Community Health Service Center,Haidian District,Beijing 100094)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京市海淀区马连洼社区卫生服务中心,北京100094

出　　处：《世界中西医结合杂志》2025年第3期503-507,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：第六批北京市级中医药专家学术经验继承工作;首都医科大学附属北京中医医院中医药学科建设项目。

摘　　要：支气管扩张症归属于中医学“肺痈”范畴,痰热壅肺是其重要病机。疾病初期以“痰”“火”等实邪为主要表现。随着病久耗伤,寒凉药物的反复应用或素体本虚,后期逐渐出现肺脾肾三脏阴阳气血的虚损。支气管扩张症患者病程较长,临床表现复杂,常辨证为虚实夹杂,寒热错杂。临床施治中,通过祛邪与脏腑功能的调补,从而达到缓解症状,减少疾病迁延不愈的目的。文章围绕支气管扩张症的中医病机、治则治法以及主要临证方药并结合临床验案,系统介绍王玉光教授治疗支气管扩张症的临证经验。Bronchiectasis belongs to the category of lung abscess in traditional Chinese medicine,and phlegm-heat obstructing the lung is its important pathogenesis.At the initial stage of the disease,the main manifestations are phlegm,fire,and other excess pathogens.With the extension of the course of the disease,impairment due to the disease,the repeated application of cold drugs,or deficiency of the body,Yin-Yang and Qi-blood deficiency of the lung,spleen,and kidney gradually appears in the later stage.Patients with bronchiectasis have a long course of disease and complex clinical manifestations,which are often differentiated into deficiency-excess in complexity and cold and heat in complexity.In clinical treatment,it is equally important to eliminate pathogen and adjust and supplement the functions of viscera,so as to relieve symptoms and reduce the repeated aggravation of the disease.This article systematically introduces professor WANG Yuguang′s clinical experience in treating bronchiectasis from the perspectives of traditional Chinese medicine(TCM)pathogenesis,therapeutic principles and methods,main clinical prescriptions and drugs,and clinical cases.

关 键 词：支气管扩张症 肺痈 中医药 名医经验 

分 类 号：R562[医药卫生—呼吸系统]