Filling kidney righting Eliminating phlegm stasis t2dm 
 
 
MiaoQing Xu Zongwei Xiyuan hospital of traditional Chinese medicine academy of sciences in China 
 
 
China's traditional Chinese medicine to 

        Xu Jianzhong, male, 84 years old. China academy of traditional Chinese medicine xiyuan hospital chief physician, professor. The second batch of the old Chinese medicine expert academic experience inheritance work instruction in the country teacher, the state administration of traditional Chinese medicine national famous old Chinese medicine experts inheritance studio project "Xu Jianzhong inheritance studio", Beijing pass on inheritance of traditional Chinese medicine engineering Xu Jianzhong "3 + 3" famous doctor workstation guidance teacher, enjoy special government allowances of the state council. A former director of xiyuan hospital respiratory, combine traditional Chinese and western medicine society of China, director of professional committee of the breathing. 60 years, good at traditional Chinese medicine, combine traditional Chinese and western medicine diagnosis and treatment of chronic obstructive pulmonary disease (copd), bronchial asthma, bronchiectasis, pulmonary fibrosis and other respiratory venereology. Take ten national subject, won national science DaHuiJiang 1 item, the original item 3, the ministry of health, scientific research achievement prizes at the China academy of traditional Chinese medicine prizes at eight. 
 
        Pulmonary fibrosis is the respiratory system of knotty, its morbidity and mortality are increased year by year, the serious influence people's health. China academy of traditional Chinese medicine xiyuan hospital chief physician Xu Jianzhong practice more than 60 years, has accumulated rich experience in pulmonary fibrosis treatment. 
 
        Xu Jianzhong that pulmonary fibrosis with the characteristics of the two aspects of the virtual and the real. This virtual mainly refers to two virtual "lung and kidney", the real refers to "phlegm and blood stasis as the standard", and as the disease into the network, the exogenous and endogenous toxin factor also damage the lungs, aggravating illness. Him from above, standard "the virtual to real, toxin factor into the collaterals" three aspects according to the characteristics of the pulmonary fibrosis, and put forward the "lung and benefiting kidney, nourishing Yin to supplement the centralizer, dispelling stasis phlegm t2dm with evil spirits, with less product in detoxification of heat-clearing and detoxifying treatment. The author in this brief understanding of the disease and drug use their experience. 
 
        Tracing the origin for lung and kidney Yin 
 
        Clinical features of patients with pulmonary fibrosis are cough, shortness of breath, difficulty breathing, especially. The lung and kidney Xu Jianzhong thinks its pathogenesis. The lung main gas, kidney qi, a spit, and out-breath gentle breathing. When invaded the lungs, or the elderly pulmonary the waste gas, gas, lung injury, long disease and in the kidney. Lung for Lord of the gas, kidney for the root of gas, lung and kidney injury, which can lead to kidney weary, taken to, kidney failure in perturbation, is floating inverse in the gas, breathing abnormalities, characterized by shortness of breath, palpitations, movement, especially, etc. 
 
        Produce blood gas, tianjin homologous blood, and blood stasis is tianjin biochemical weakness, long Yin fluid loss injury, lung Yin losses; Golden water, "the mother and son", a long illness kidney damage, kidney Yin deficiency, consumption can form lung and kidney Yin deficiency syndrome. Because of qing dynasty Jiang Baosu pointed out: "out of phlegm, phlegm by the fire, always Yin, when the disease." 
 
        In clinical treatment, the clinical syndrome differentiation for leans to pulmonary qi deficiency, often choose yupinfeng profit gas-solid table, including astragalus tonifying qi sun Microsystems, yi gas-solid table for jun, atractylodes tonifying spleen yiqi to explain the wind scattered wind, and wind. 
 
        Be lung Yin deficiency, often choose raw radix rehmanniae, jade bamboo, lily, dwarf lilyturf, ginseng, radix pseudostellariae oneself Yin runfei, cough can add fruit of Chinese magnoliavine, fructus schisandrae temperature, taste sour and sweet, but the folding of the lung cough, yiqi fluid. 
 
        Be kidney Yin deficiency, often choose nourishing kidney Yin, liuwei dihuang pill that party is given priority to with rehmannia glutinosa, nourishing kidney Yin, filling lean pulp; To dogwood benefit hepatorenal, shibuya fine sweating; To fill yam spleen and lung, solid renal yi jing, into three dirty Yin and supplement and give priority to with kidney. With rhizoma alismatis, xie kidney material, peony PiQing suffered diarrhoea, cool blood stasis, takes the dogwood temperature; Poria cocos ooze spleen wet, to help Chinese yam spleen. 
 
        Such compatibility, or three of the "three", the opposite each other, makes the treatment of kidney Yin deficiency syndrome, liuwei dihuang pill and not greasy, maximum limit reduces the general tonic medicines stagnant greasy, often prone to bulge phenomenon. 
 
        For Yin fire, see hot flashes and night sweats, mouth GanYan pain, urine short red, to the pill can send fire. Be liver-kidney Yin deficiency, and dizziness is dim vision such as head, eye disorders, obviously to the qi chrysanthemum rehmannia pill zi kidney raise liver. 
 
        Grasp the pathogenesis Remove blood stasis phlegm t2dm 
 
        Xu Jianzhong think lung, for Jo, as the insides of the canopy, vulnerable to attacks. The attacks, lung XuanSu, "through the waterway" the function of the affected, waterways, builds up the phlegm, resistance to pulmonary collaterals; The lung main gas, invaded by lung, poor fate, gas for the blood, the blood is the mother of gas, gas is not blood, the blood stagnation and blood stasis. 
 
        In addition, see more at old people in patients with pulmonary fibrosis, and longer course of disease, so the long illness will cause lung qi weakness, qi deficiency is promoting powerless, can make blood stasis, block the thread. He in the process of clinical, found the attacks in patients with pulmonary fibrosis and pulmonary qi deficiency loss often exist at the same time, the two influence each other, the heavier, phlegm and blood stasis lung collaterals bizu pathogenesis. 
 
        In addition, phlegm and stasis can also interact and influence each other, eventually lead to phlegm and blood stasis are the same as disease, bizu lung collaterals. Therefore, in the treatment of emphasize dispelling blood stasis and phlegm turbidity, lung collaterals. Often choose red sage root, rhizoma ligustici wallichii, safflower, red paeony root and other medicine huoxue quyu. 
 
        Cough is one of the main clinical manifestations of patients with pulmonary fibrosis, Xu Jianzhong declared in the treatment of pulmonary fibrosis in lung phlegm is necessary article, often choose ephedra, almond, rhizoma belamcandae, yam, etc. One litre of ephedra with almond, a drop, xuan drop the lungs YuZu indicates the gas of hysteresis; Shoot dry phlegm, pharynx, spasmolysis, cough, clear lung phlegm, yam and can lead to lung collaterals. For chronic cough unceasingly and exogenous fever wind, additive mulberry leaf, chrysanthemum, fructus arctii, radix peucedani, coltsfoot flower, folium eriobotryae, radix stemonae, asters breeze clear heat, phlegm cough; Drying expectoration sticky add unibract fritillary bulb. Can effectively relieve clinical symptoms of patients with pulmonary fibrosis. 
 
        To break the cycle Less with heat-clearing and detoxifying 
 
        Xu Jianzhong thinks that pulmonary fibrosis mainly refers to the pathological changes of lung collaterals, while exogenous evil and endogenous poison damage lung collaterals. The poison of exogenous mainly refers to the human body by nature vital foreign pathogens, first make the lungs, which damage the lungs collaterals; The poison of mainly refers to the endogenous phlegm turbidity and blood stasis pathology product in lung collaterals accumulation time, bizu lung collaterals, accumulate long poison, damage lung collaterals. 
 
        Indicates whether exogenous and internal injuries, poison lung collaterals, lack of heat can be, toxic heat indicates lungs, further aggravating the injury of lung collaterals and so on, form a vicious circle, make the disease lingering painless. Less so with the product in the treatment of pulmonary fibrosis of heat-clearing and detoxifying play a considerable role, he is clinically often selected radix isatidis, herba houttuyniae etc, make the heat detoxification, lung collaterals make sense, breathing factors. 
 
        In addition, the treatment of this disease should be based on the principle of combining traditional Chinese and western medicine. In alveolar inflammation phase, should be the preferred glucocorticoid treatment, and coupled with traditional Chinese medicine treatment, on the one hand, inhibiting the form of fibrosis, and reduce the side effects of hormone, reason often choose gu protect spleen and stomach, qi, such as atractylodes, radix astragali, radix rehmanniae, radix ophiopogonis, radix pseudostellariae, etc. 
 
        In fibrosis stage, because at this stage fibrosis has been formed, there is currently no effective drugs can change or reversing the fibrosis pathological changes, so the treatment lies in improving the patient's clinical symptoms, improve quality of life. Treatment should give priority to with traditional Chinese medicine, pay attention to phlegm and eliminating stasis t2dm, for the consideration of strengthening lung and benefiting kidney, evidence-based medicine clinical attention. 
 
        In a word, the clinical symptoms of patients with pulmonary fibrosis, in the process of treatment must hold to individualized treatment, pathogenesis, tapping and supplement. In addition, except for clinical medication, psychotherapy is an indispensable as well.
 
 
 
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