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Wang Youkui cure pulmonary fibrosis

 

 

Yin Zhengxian Taiyuan city, Shanxi Province Chinese medicine hospital

 

 

China's traditional Chinese medicine to

 

 

 

        Wang Youkui chief physician is the old Chinese medicine expert academic experience of inheritance work guidance teacher, shanxi famous respiratory disease experts, engaged in respiratory disease clinical medical treatment, teaching, research, fifty years, in order to "yiqi righting" of academic genres, absorb the Chinese sages such as zhang zhongjing, zhang jingyue, blends together the penetration, formed its own unique concept of evidence-based medicine, which is given priority to with viscera syndrome differentiation, according to the characteristics of different diseases, providing drug dose Jane and heavy, compatibility and got home. Summary with respiratory disease, digestive disease, cervical spondylosis, rheumatism and personal introduction more than 30 medical intractable diseases, to asthma, coughing, phlegm syndrome, chronic obstructive pulmonary disease (copd), pulmonary fibrosis, the understanding of the pathogenesis such as on many subjects, there is quite a personal treatment experience, the author of "Wang Youkui forty years clinical experience highlights - respiratory disease specific treatment and respiratory disease diagnosis and treatment of traditional Chinese medicine and nursing," zhang zhongjing medicine characteristic appreciation "and other books. Disciple, I have the honor to become a shicheng in shi, harvest a lot. Will now be in if the experience of the treatment of pulmonary fibrosis is introduced as follows:

 

        New understanding of pathogenesis

 

        Pulmonary fibrosis clinical see progressive dyspnea with irritating cough, clubbing (toe), double lung X-ray chest radiograph shows diffuse interstitial changes, pulmonary function are restrictive ventilatory dysfunction, progression, and finally died of respiratory failure. The disease incidence in 40 ~ 50 years old, more insidious onset, considered to be an autoimmune disease, morbidity and mortality has increased nearly ten years. General doctors think the disease belongs to the category of "lung" of traditional Chinese medicine, by hot and cold treatment, also have thought from Yin deficiency and blood stasis treatment in recent years.

 

        Wang Youkui think the happening of the disease is caused by the lung spleen kidney three dirty all virtual a body of qi deficiency, Yin fluid loss, lack of qi and blood. Debility blood less, lack of nutrients in the lung of moist, long wither, present state of fibrosis. It is a kind of this virtual standard solid lesions, this virtual is zong qi deficiency, blood lose money, the lung alongwith, characterized by shortness of breath to breath, difficulty breathing, move is aggravating, mouth GanYan dry, listless; The reality characterized by coughing, phlegm sputum less adverse, fidgety anorexia, body emaciated, leading oral even in the whole purple purple, etc.

 

        Therapeutic principles

 

        Although the disease is insufficient gas, JingXie lose money, caused by a lung alongwith lesions. But there were significant differences in the clinical symptoms, some extreme difficulty in breathing, shortness of breath heart; Some daily slightly dry mouth, air tight feeling, but joint pain; Some days not to eat, the body angular; Some of the normal appetite, cough frequent attacks, and so on. So treatment of the disease, should grasp the "urgent treats the symptoms, delay the fundamental" principle.

 

        For this disease can be nourishing Yin, invigorating spleen and stomach "raising lung soup" based on evidence-based medicine, drugs mainly contains: ginseng or codonopsis radix astragali, fructus schisandrae, aloes, dwarf lilyturf, yuan ginseng, angelica, atractylodes, etc. For anorexia, stay should be focused on whets the appetite to eat; For choking cough frequency influence sleepers should focus on the expectorant cough; For extremely difficult breathing, asthma for parting, draw on replenishing qi and asthma. When the emergency can ease after qi and nourishing Yin, invigorating spleen and stomach have undertake recuperating lung soup. Loss of appetite and amomum villosum, focal three fairy; Sticky mouth, nausea, vomiting and Perilla, pinellia tuber; Add dried ginger back cold or bad cold; Lower back pain trapped with dog ridge, eucommia bark; Lower limb weakness and cultured; Joint pain and cassia twig, radix paeoniae alba, radix clematidis; Lip purple purple and peach kernel, rhodiola.

 

        Parting syndrome differentiation

 

        1. Both qi and Yin deficiency

 

        Characterized by shortness of breath to breath, move is aggravating, action is difficult, dry throat, dry mouth, low gas qie, cough without sputum or less adverse, enthusiastic bored, listless, not eating, loose stools, body lean, red tongue less moss, pulse is fine.

 

        This is lung and spleen deficiency, qi and Yin (tianjin) caused by insufficient, put appropriate qi and nourishing Yin, lung tonga subtraction on raising.

 

        Common dangshen, astragalus root, schisandra fruit, aloes, dwarf lilyturf, figwort root, angelica, radix paeoniae alba, atractylodes, poria cocos, dried tangerine or orange peel and other drugs.

 

        2. The spleen qi deficiency of lung

 

        Characterized by shortness of breath to breath, pharynx dry mouth, dry cough, phlegm, loss of appetite, or eat after the diagnosis not to Sue, or nausea and vomiting, loose stool or diarrhea. Pale tongue moss greasy, pulse delay.

 

        This is the spleen qi deficiency of lung qi and Yin deficiency. Appropriate benefit spleen and lung, nourishing Yin. Party to keep lung tonga subtraction.

 

        Commonly used dangshen, astragalus root, schisandra fruit, atractylodes, poria cocos, acid-insoluble ash, sand benevolence, focal three fairy, angelica, white paeony root, dried tangerine or orange peel, drugs such as lily.

 

        3. The lung spleen lung, out of breath

 

        Characterized by short breath, chest is aggravating, action is difficult, dry throat, dry mouth, phlegm, no diet, food is difficult to swallow, listless, purple purple skin and body with lean, or palpitations and chest pain, abdominal distension full stomach, waist acid trapped back, lower extremity weakness, the night to urinate, dark purple tongue, pulse string.

 

        Pulmonary temper, this is not kidney qi, qi and Yin (tianjin) blood deficiency, phlegm and blood stasis alternating knot, lung nourishing loss caused by. To benefit the lung spleen kidney, invigorate the circulation of qi and eliminating phlegm and pathogenesis and conquer. Party to keep lung tonga subtraction.

 

        Common dangshen, fructus schisandrae, aloes, astragalus root, angelica, radix paeoniae alba, radix ophiopogonis, yuan participation, peach seed, rhizoma ligustici wallichii, atractylodes, dried tangerine or orange peel, tokay, achyranthes, malaytea scurfpea fruit, such as drugs.

 

        4. Qi difficiency and blood stasis

 

        Show the chest breath is short, dry throat, dry mouth, rigid joints pain inconvenient flexion, lumbar acid back, red tongue less moss, pulse string.

 

        This is the lung kidney Yin deficiency, phlegm and blood stasis resistance, poor blood line, general clauses pain, lung alongwith, cure proper qi and nourishing Yin, eliminating phlegm blood, invigorate the circulation of the pain, side to keep lung tonga subtraction.

 

        Commonly used astragalus root, angelica, radix paeoniae alba, a fairy spleen, dwarf lilyturf, fructus schisandrae, winter melon seed, cassia twig, dangshen, aloes, eucommia bark, achyranthes and other drugs.

 

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