朱佳教授清补汤治疗支气管扩张稳定期
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摘要
支气管扩张以慢性咳嗽,咳大量脓痰,有时伴有咯血为特征。朱佳教授认为此症符合中医"肺痈"的范畴,认为稳定期患者往往表现为气阴两虚与痰热郁肺并存,提出肺虚是支气管扩张稳定期患者缠绵难愈的主要病理基础,同时也强调清肺热、化痰在治疗中的重要性。本病病机属邪恋正虚,治则为扶正祛邪,治法当予益气养阴、排脓解毒、清热化痰等,并自拟清补汤辨证施治。
Bronchiectasis is characterized by chronic cough, cough a lot of phlegm and recurrent hemoptysis. Professor ZHU Jia believes that it can be divided into "abscess of lung" in traditional Chinese medicine. He found that, in the stationary phase, the patients always have the deficiency of qi and yin and phlegm-heat in the lung. He advances that lung deficiency is the main pathological basis of bronchiectasis, and stresses the importance of clearing lung heat and resolving phlegm. Pathogenesis belong to lingering of pathogen and deficient vital qi. The rule is strengthening the body resistance to eliminate pathogenic factors, therapy should tonify qi and nourish yin, row pus detoxify, clear heat and resolve phlegm and take other measures. And Qingbu decoction, which is a self-made traditional Chinese medicine of Professor ZHU, takes clinical modification on the basis of pattern of syndrome.
Bronchiectasis is characterized by chronic cough, cough a lot of phlegm and recurrent hemoptysis. Professor ZHU Jia believes that it can be divided into "abscess of lung" in traditional Chinese medicine. He found that, in the stationary phase, the patients always have the deficiency of qi and yin and phlegm-heat in the lung. He advances that lung deficiency is the main pathological basis of bronchiectasis, and stresses the importance of clearing lung heat and resolving phlegm. Pathogenesis belong to lingering of pathogen and deficient vital qi. The rule is strengthening the body resistance to eliminate pathogenic factors, therapy should tonify qi and nourish yin, row pus detoxify, clear heat and resolve phlegm and take other measures. And Qingbu decoction, which is a self-made traditional Chinese medicine of Professor ZHU, takes clinical modification on the basis of pattern of syndrome.
引文
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[3]Tsang K W, Chan K, Ho P, et al. Sputum elastase in steadystate bronchiectasis[J]. Chest, 2000, 117(2):420-426.
[4]周建军,陈建建,吴吉锋,等.补中益气汤治疗支气管扩张稳定期的疗效[J].实用临床医学, 2013, 14(7):37-38.
[5]黄海茵,秦鸿,杨佩兰,等.支扩稳定方治疗稳定期支气管扩张症临床研究[J].上海中医药杂志, 2011, 45(1):33-36.
[6]何天竺.清解补肺健脾汤治疗支气管扩张稳定期(肺脾两虚,余邪内恋证)的临床研究[D].长春:长春中医药大学,2013.
[7]徐波,张静,樊长征,等.苗青自拟补中柴前连梅汤治疗支气管扩张症稳定期经验[J].中华中医药杂志, 2017,32(1):163-165.
[8]章先富.支气管扩张症迁延期中医治疗经验[J].浙江中西医结合杂志, 2011, 21(7):473.
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[10]陈黎,李红.益气温通、活血化痰法治疗稳定期支气管扩张症36例[J].中医研究, 2015, 28(1):22-24.
[11]辛晓明,张倩,王浩,等.南沙参的化学成分及药效学研究进展[J].中国实用医药, 2008, 3(28):188-189.
[12]李淑芳.中药黄芪药理作用研究进展[J].湖北中医杂志,2013, 35(6):73-75.
[13]黄海茵,杨佩兰,汤杰,等.扶正化痰清热法治疗支气管扩张症46例远期疗效观察[J].中医杂志, 2012,53(10):848-852.
[14]王冰,苗青.千金苇茎汤治疗支气管扩张的研究进展[J].内蒙古中医药, 2011(23):109-111.
[15]鲁思爱.忍冬藤的化学成分及其药理应用研究进展[J].临沂大学学报, 2012, 34(3):132-134.
[16]贾献慧,李静,张永清.忍冬藤化学成分研究进展[J].山东中医杂志, 2015, 34(8):641-643.
[17]刘春阳.浅谈桔梗、枳壳在临证中的运用[J].中医临床研究, 2015, 7(18):141-142.
[18]于妮娜,孙响波,潘月丽.桔梗临床应用探源[J].辽宁中医药大学学报, 2014, 16(3):161-162.
[19]吴兰红.桔梗的效用及其临床配伍应用[J].上海中医药杂志, 2012, 46(11):67-68.
[20]章斌,金剑,金芝贵.枳壳的药理作用与临床应用进展[J].医药导报, 2013, 32(11):1462-1464.
[21]陈振鹤,吴国泰,任远.枳壳的化学成分、药理作用及其临床应用[J].安徽农业科学, 2016, 44(26):95-97.
[2]GUAN WJ,GAO YH,XUG,etal.Effecto fairway Pseudomonasaeruginosaisol ationandinfectiononsteadystate bronchiectasis in Gua ngzhou, China[J]. J Thorac Dis,2015, 7(4):62 5-636.
[3]Tsang K W, Chan K, Ho P, et al. Sputum elastase in steadystate bronchiectasis[J]. Chest, 2000, 117(2):420-426.
[4]周建军,陈建建,吴吉锋,等.补中益气汤治疗支气管扩张稳定期的疗效[J].实用临床医学, 2013, 14(7):37-38.
[5]黄海茵,秦鸿,杨佩兰,等.支扩稳定方治疗稳定期支气管扩张症临床研究[J].上海中医药杂志, 2011, 45(1):33-36.
[6]何天竺.清解补肺健脾汤治疗支气管扩张稳定期(肺脾两虚,余邪内恋证)的临床研究[D].长春:长春中医药大学,2013.
[7]徐波,张静,樊长征,等.苗青自拟补中柴前连梅汤治疗支气管扩张症稳定期经验[J].中华中医药杂志, 2017,32(1):163-165.
[8]章先富.支气管扩张症迁延期中医治疗经验[J].浙江中西医结合杂志, 2011, 21(7):473.
[9]夏永良.王会仍老师治疗支气管扩张经验介绍[J].新中医,2003, 35(10):7-8.
[10]陈黎,李红.益气温通、活血化痰法治疗稳定期支气管扩张症36例[J].中医研究, 2015, 28(1):22-24.
[11]辛晓明,张倩,王浩,等.南沙参的化学成分及药效学研究进展[J].中国实用医药, 2008, 3(28):188-189.
[12]李淑芳.中药黄芪药理作用研究进展[J].湖北中医杂志,2013, 35(6):73-75.
[13]黄海茵,杨佩兰,汤杰,等.扶正化痰清热法治疗支气管扩张症46例远期疗效观察[J].中医杂志, 2012,53(10):848-852.
[14]王冰,苗青.千金苇茎汤治疗支气管扩张的研究进展[J].内蒙古中医药, 2011(23):109-111.
[15]鲁思爱.忍冬藤的化学成分及其药理应用研究进展[J].临沂大学学报, 2012, 34(3):132-134.
[16]贾献慧,李静,张永清.忍冬藤化学成分研究进展[J].山东中医杂志, 2015, 34(8):641-643.
[17]刘春阳.浅谈桔梗、枳壳在临证中的运用[J].中医临床研究, 2015, 7(18):141-142.
[18]于妮娜,孙响波,潘月丽.桔梗临床应用探源[J].辽宁中医药大学学报, 2014, 16(3):161-162.
[19]吴兰红.桔梗的效用及其临床配伍应用[J].上海中医药杂志, 2012, 46(11):67-68.
[20]章斌,金剑,金芝贵.枳壳的药理作用与临床应用进展[J].医药导报, 2013, 32(11):1462-1464.
[21]陈振鹤,吴国泰,任远.枳壳的化学成分、药理作用及其临床应用[J].安徽农业科学, 2016, 44(26):95-97.