仝小林教授从寒湿入营论治老年阴证白肺  

Professor TONG Xiaolin’s experience in the treatment of white lung in elderly yin syndrome through cold and dampness into ying fen

作　　者：罗金丽 杭行 刘珂 鲍婷婷 杨映映 薛崇祥 赵林华[3] 仝小林[3] LUO Jinli;HANG Xing;LIU Ke;BAO Tingting;YANG Yingying;XUE Chongxiang;ZHAO Linhua;TONG Xiaolin(Academician Tong Xiaolin Workstation,Guangdong Yifang Pharmaceutical Co.,LTD.,Foshan 528244,China;Beijing University of Chinese Medicine,Beijing 100029,China;Institute of Metabolic Diseases,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;National Center of Integrated Traditional Chinese and Western Medicine,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]广东一方制药有限公司仝小林院士工作站,佛山528244 [2]北京中医药大学,北京100029 [3]中国中医科学院广安门医院代谢病研究所,北京100053 [4]中日友好医院国家中西医结合医学中心,北京100029

出　　处：《天津中医药》2025年第5期550-554,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：2022年佛山市南海区重点领域科技攻关专项(南科[2023]20号-18)。

摘　　要：寒湿疫乃感受寒湿戾气,以伤阳为主线,体质因素为寒湿化热入营的关键,与温病瘀热入营有明显区别。老年重症患者,因其免疫低下、正气抗邪无力,而临床症状不显,但结合影像学及检验学微观指标已见“白肺”、D-二聚体升高等征象,首当辨清寒热阴阳为要。治疗当审视全程,把握老年人“虚老态”为基,打破“白肺即炎症”“炎症即瘀热”的固有思维,予破格子龙宣白承气汤回阳救逆、活血通络、宣肺通腑,顾护阳气为要,以此补充营血分理论病机和对应治法方药,丰富其临证手段。Cold and damp epidemic is feeling cold and damp hostility,with injury to yang as the main line and physical factors as the key to the cold and damp heat into ying fen,with a clear difference from the warm disease stasis and heat into ying fen.Elderly patients with severe diseases,because of their immunity,positive qi resistance to evil powerlessness,and clinical symptoms are not obvious,but combined with imaging and laboratory micro-indicators,have seen“white lung”,Ddimer elevation and other signs,first of all,should be identified cold and heat,yin and yang as the key.Treatment should examine the whole process,grasp the elderly“false old state”as the basic,break the“white lung is inflammation”“inflammation is stasis heat”inherent thinking.Using Poge Zilong Xuanbai Chengqi Decoction to resuscitate yang and prevent collapse,activate blood circulation,promote lung and pass internal organs,in order to take care of yang as the main point,so as to supplement the theory of the mechanism of the camp and blood points and the corresponding treatment methods and prescriptions,and to enrich the means of its clinical evidence.

关 键 词：寒湿入营 瘀热入营 阴证白肺 破格子龙宣白承气汤 

分 类 号：R563.1[医药卫生—呼吸系统]