运用清热化痰法治疗肺系疾病研究进展  

Research Progress in the Treatment of Lung Diseases by Clearing Heat and Eliminating Phlegm

作　　者：沈德连 熊能 

机构地区：[1]云南中医药大学第一临床医学院,云南 昆明

出　　处：《临床个性化医学》2024年第4期1941-1947,共7页Journal of Clinical Personalized Medicine

摘　　要：根据痰、热两个病理因素形成的病因病机,分析其治则治法,将近10年清热化痰法治疗呼吸疾病的研究总结,得出清热化痰法在呼吸系统疾病运用的规律,为呼吸系统疾病的中医辨证提供有效的治疗方法。呼吸系统疾病急慢性期均可出现咳嗽咳痰的症状,西医治疗可采取吸氧、解痉平喘、抗感染等治疗。然而中西医结合治疗有更加明显优势,同时减弱细菌耐药的问题,给临床治疗呼吸系统感染提供了新思路。中医以辩证论证作为治病的治疗原则,痰热证尤其以呼吸系统多见,多数为感染性疾病,涉及肺脾肾三脏,清法使用寒凉药物清除热邪,化法以痰浊、化水湿为主,必要时辅以补脾益肺。According to the etiology and pathogenesis of phlegm and heat, the treatment methods were analyzed. For nearly 10 years, the method of clearing heat and eliminating phlegm was used to treat respiratory diseases. The rule of clearing heat and eliminating phlegm in the application of respiratory diseases was obtained, so as to provide effective treatment methods for TCM syndrome differentiation of respiratory diseases. The symptoms of cough and sputum can appear in acute and chronic respiratory diseases. Western medicine can take oxygen inhalation, antispasmosis, anti-infection and other treatments. However, the combined treatment of Chinese and Western medicine has more obvious advantages, while weakening the problem of bacterial drug resistance, providing a new idea for the clinical treatment of respiratory system infection. TCM takes dialectical argumentation as the principle of treatment. Phlegm-heat syndrome is especially common in the respiratory system, most of which are infectious diseases, involving the three viscera of lung, spleen and kidney. The clearing method uses cold and cool drugs to remove heat evil, and the eliminating method mainly uses phlegm turbidification and water dampness, supplemented by spleen and lung tonification when necessary.

关 键 词：清热化痰法 痰热证 肺炎 慢性阻塞性肺疾病伴有急性加重 支气管扩张伴感染 肺癌 

分 类 号：R25[医药卫生—中医内科学]