王嘉玲 刘雯雯 郑燕婵 许银姬

    [摘要] 慢性阻塞性肺疾病與五脏相关，急性加重与气候有明确相关性。结合六气理论，二十四节气可分为六个阶段。初之气，厥阴风木之时，在人体以肝气变化明显，应加强调理肝肺的气机。二之气，少阴君火之时，心气渐旺，进展至肺心病的患者要加强养心。三之气，少阳相火之时，暑湿蕴蒸，慢性阻塞性肺疾病患者容易感受暑湿之邪，此时需加强清热祛湿。四之气，太阴湿土之时，湿邪困脾，肺脾两虚的患者可辨证养脾。五之气，阳明燥金之时，以肺燥表现为主，可加强清肺润燥。六之气，太阳寒水之时，肾气收藏，肺肾两虚的患者可辨证调养。通过医药和日常调养相结合的慢病管理方式，达到改善慢性阻塞性肺疾病患者生活质量和生存预后的目的。

    [关键词] 慢性阻塞性肺疾病；二十四节气；慢病管理；中医

    [中图分类号] R593 [文献标识码] A [文章编号] 1673-7210(2018)05(c)-0143-04

    Application of twenty-four solar terms therapy in chronic disease management of chronic obstructive pulmonary disease

    WANG Jialing1 LIU Wenwen1 ZHENG Yanchan1 XU Yinji2▲

    1.The Second Clinical Medical College， Guangzhou University of Chinese Medicine， Guangdong Province， Guangzhou 510405， China； 2.Respiratory Department， Guangdong Hospital of Traditional Chinese Medicine， Guangdong Province， Guangzhou 510120， China

    [Abstract] Chronic obstructive pulmonary disease has relationship with five zang viscera， and acute exacerbation is clearly relevant to climates. According to the theory of six climatic factors， the twenty-four solar terms can be divided into six stages. During the first stage ......