刘小虹教授辨治慢性阻塞性肺疾病的临床经验介绍(1)
[摘要] 本文介绍刘小虹教授辨证论治慢性阻塞性肺疾病的临床经验。刘教授在临证中将中医学的治则治法与岭南地区的实际情况相结合，体现中医学的“三因制宜”思想，强调肺脾气虚是慢性阻塞性肺疾病的主要病机特点，气虚痰阻是本病形成和发展过程中的关键因素，临床上提倡肺脾同治，并随证选用具有岭南特色的药材。
[关键词] 刘小虹;慢性阻塞性肺疾病;临床经验;岭南特色
[中图分类号] R563 [文献标识码] A [文章编号] 1673-7210(2019)09(c)-0151-04
Introduction on clinical experience of professor Liu Xiaohong in the treatment of chronic obstructive pulmonary disease
HUANG Aisi1 ZHAN Shaofeng2 ZHANG Tiange1 HONG Haidu1 ZHENG Wenjiang1 ZHUANG Hongfa3 LIU Xiaohong1
1.The First Clinical Medical College， Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China; 2.Department of Respiration， the First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China; 3.Department of Critical Care Medicine， the First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China
[Abstract] This paper introduces professor Liu Xiaohong′s clinical experience in treating chronic obstructive pulmonary disease by differentiation of symptoms and signs. Professor Liu combines the principles and methods of traditional Chinese medicine with the actual situation in Lingnan area in the clinical to embody the thought of "the theory of the three categories of etiologic factors" in traditional Chinese medicine， stressing that deficiency of lung and spleen is the main pathogenesis of chronic obstructive pulmonary disease， and deficiency of Qi and phlegm is the key factor in the formation and development of chronic obstructive pulmonary disease， and promoting simultaneous treatment of lung and spleen in clinic， and herbs with Lingnan characteristics are chosen according to the actual situation.
[Key words] Liu Xiaohong; Chronic obstructive pulmonary disease; Clinical experience; Lingnan features
慢性阻塞性肺疾病(以下簡称“慢阻肺”)，是呼吸系统常见病、多发病，通常呈进行性、不完全可逆性发展，最终导致慢性呼吸衰竭[1]。我国是慢阻肺高患病率、高致残率、高负担国家，其治疗难点就是反复发作，迁延日久，逐渐加重。目前采用常规西药治疗虽然可以取得较好疗效，但产生不良反应的概率也较大，并且反复用药机体产生的耐药性也会直接影响到后期药物的疗效[2-3]。而中医学从整体观念、扶正祛邪、标本兼顾等治则出发，辨证分型论治，不但可能取得较好的疗效，而且可以减少抗生素、激素等的使用，减少现代医学常规治疗的耐药性和毒副作用。
慢阻肺在中医学中是喘证、咳嗽、哮病等多种肺系疾病进展成的“肺胀”，中医学者多认为本病是因久病肺虚、肺不敛降、痰浊潴留、气还肺间、肺气胀满，复感外邪所致[4-5]。此病的病机有“本虚标实、虚实夹杂”的特征，其本虚是指患者的肺、脾、肾亏虚，其标实是指患者存在痰浊、血瘀[6]。刘小虹教授为广东省名中医，于岭南地区从事中医药防治慢阻肺工作三十余载，临床上善于结合岭南地区独特的气候、地理环境及人群体质等，把握慢阻肺的病因病机，辨证精准，施治灵活，遣方用药颇具岭南特色，今将刘师治疗慢阻肺的临证经验举要一二。, 百拇医药(黄艾丝 詹少锋 张天鸽 洪海都 郑文江 庄轰发 刘小虹)
[关键词] 刘小虹;慢性阻塞性肺疾病;临床经验;岭南特色
[中图分类号] R563 [文献标识码] A [文章编号] 1673-7210(2019)09(c)-0151-04
Introduction on clinical experience of professor Liu Xiaohong in the treatment of chronic obstructive pulmonary disease
HUANG Aisi1 ZHAN Shaofeng2 ZHANG Tiange1 HONG Haidu1 ZHENG Wenjiang1 ZHUANG Hongfa3 LIU Xiaohong1
1.The First Clinical Medical College， Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China; 2.Department of Respiration， the First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China; 3.Department of Critical Care Medicine， the First Affiliated Hospital of Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510000， China
[Abstract] This paper introduces professor Liu Xiaohong′s clinical experience in treating chronic obstructive pulmonary disease by differentiation of symptoms and signs. Professor Liu combines the principles and methods of traditional Chinese medicine with the actual situation in Lingnan area in the clinical to embody the thought of "the theory of the three categories of etiologic factors" in traditional Chinese medicine， stressing that deficiency of lung and spleen is the main pathogenesis of chronic obstructive pulmonary disease， and deficiency of Qi and phlegm is the key factor in the formation and development of chronic obstructive pulmonary disease， and promoting simultaneous treatment of lung and spleen in clinic， and herbs with Lingnan characteristics are chosen according to the actual situation.
[Key words] Liu Xiaohong; Chronic obstructive pulmonary disease; Clinical experience; Lingnan features
慢性阻塞性肺疾病(以下簡称“慢阻肺”)，是呼吸系统常见病、多发病，通常呈进行性、不完全可逆性发展，最终导致慢性呼吸衰竭[1]。我国是慢阻肺高患病率、高致残率、高负担国家，其治疗难点就是反复发作，迁延日久，逐渐加重。目前采用常规西药治疗虽然可以取得较好疗效，但产生不良反应的概率也较大，并且反复用药机体产生的耐药性也会直接影响到后期药物的疗效[2-3]。而中医学从整体观念、扶正祛邪、标本兼顾等治则出发，辨证分型论治，不但可能取得较好的疗效，而且可以减少抗生素、激素等的使用，减少现代医学常规治疗的耐药性和毒副作用。
慢阻肺在中医学中是喘证、咳嗽、哮病等多种肺系疾病进展成的“肺胀”，中医学者多认为本病是因久病肺虚、肺不敛降、痰浊潴留、气还肺间、肺气胀满，复感外邪所致[4-5]。此病的病机有“本虚标实、虚实夹杂”的特征，其本虚是指患者的肺、脾、肾亏虚，其标实是指患者存在痰浊、血瘀[6]。刘小虹教授为广东省名中医，于岭南地区从事中医药防治慢阻肺工作三十余载，临床上善于结合岭南地区独特的气候、地理环境及人群体质等，把握慢阻肺的病因病机，辨证精准，施治灵活，遣方用药颇具岭南特色，今将刘师治疗慢阻肺的临证经验举要一二。, 百拇医药(黄艾丝 詹少锋 张天鸽 洪海都 郑文江 庄轰发 刘小虹)