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6 syndrome differentiation of chronic obstructive pulmonary disease

2012年11月06日

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6 syndrome differentiation of chronic obstructive pulmonary disease

 

 

YiGuoYou SuiPingXian henan province people's hospital

 

 

China's traditional Chinese medicine to

 

 

 

        Chronic obstructive pulmonary disease with chronic cough, sputum, shortness of breath, breathing difficulties and breathing, chest distress as the main clinical manifestation, is the respiratory system diseases in the common disease and frequently occurring disease. Frost's descent has passed, the weather is getting cold, and the chronic obstructive pulmonary disease recurrence and aggravation of the season. The doctor of traditional Chinese medicine in the treatment of chronic obstructive pulmonary disease is western medicine have certain advantages, alignment TCM syndrome differentiation chronic obstructive pulmonary disease, the idea is to achieve good clinical curative effect is important one annulus. TCM syndrome differentiation in chronic obstructive pulmonary disease, should be emphatically from the following several aspects.

 

        A long illness to cough and gasp the upright virtual weigh the specimen adjustable false or true

 

        Chronic obstructive pulmonary disease course already for a long time, in the long course of disease be bewitched resistance pulmonary gas, upright gradually loss, make became progressiely sicker. The disease characteristic for this virtual scale real and false or true reciprocal causation, evil wound is making is more virtual, is gradually virtual make evil more quickly, if the actual specimens to grasp the pathogenesis, are virtual for the disease, phlegm turbid blood stasis is the standard of disease, phlegm turbid blood stasis blocks the airway is cause cough phlegm out of the terminal pathological. In chronic obstructive pulmonary disease dynamic change, acute episode evil cheng to mark is urgent, alleviate period evil failure, in order to is virtual is given priority to, treatment should be according to the urgent for the mark, slow, for the this principle, weigh the specimen ease, regulate false or true. In acute seizure phase, pathogenic actuating v evil, fever much sputum take urgent, the key is the dispel phlegm turbidity, control symptoms. In alleviating period is virtual and evil resistance of give attention to two or morethings coexist specimens, false or true and adjusted, if is virtual dirty loss as heavy, shortness of breath, moving is out of nasty, when in righting the foundation to.

 

        Attack period cure phlegm first points chills and fever flexible use

 

        The pathogenesis of chronic obstructive pulmonary disease features are virtual evil resistance, the actual phase and, but from the lung gas blocking perspective pathogenesis, phlegm turbidity for resistance pulmonary hysteresis angry main reason, so the treatment of this disease should always consider cure phlegm, especially in acute seizure phase. "Spleen for ShengTan source", "lung sputum for storage of the apparatus", in the acute episode of sputum storage device lung phlegm turbidity choking, want to pass pulmonary gas, alleviate cough asthma symptoms, will be to cure phlegm first, modern research shows that in addition to sputum can not only improve the pulmonary ventilation function, reduce lung elastic fiber tension fracture, and can reduce the bronchial mucosa epithelial cell damage. Chronic obstructive pulmonary disease acute episode more for new feeling actuating v evil, if the cold attack lung, cold injury lung Yang, setting yu lung tianjin is into cold phlegm resistance lung; If the wind hot make lung, heat closed pulmonary gas, refined tianjin into phlegm, sputum and thermal aggregates, or cold YuHua hot, all can cause lung phlegm heat resistance. Phlegm have chills and fever of points, cure phlegm appropriate points chills and fever flexible use, in the case of cold certificate to appropriate symplectic scattered the qi and eliminating phlegm, medicine choose asarum, pinellia tuber, white mustard and so on, in the case of hot certificate to appropriate symplectic cool clear lung phlegm, medicinal trichosanthes kirilowii maxim, cortex mori radicis, heartleaf houttuynia herb, radix scutellariae the genera.

 

        Catabasis complement virtual effect a permanent cure key lies in the lung, spleen kidney

 

        Chronic obstructive pulmonary disease in lung, spleen, kidney empty loss for this, the sputum resistance QiNi for scale. Attack period evil real outstanding, focuses on to lung, in order to eliminate pathogenic factors is given priority to, Catabasis often for the performance of lung, spleen deficiency of the kidney damage of the passenger, in order to regulate of lung, spleen kidney, to make up for virtual effect a permanent cure to. Lung virtual can't main gas, gas don't turn tianjin, the phlegm turbidity intrinsic, lowering has no right to, and because of the guard not solid, and more vulnerable to attacks the pericardium induce acute attack; The spleen deficiency can't turn on food for subtle lose in the lung, but product wet ShengTan, storage in the lung, the influence of lung gas lift; Deficiency of the kidney essence kui var, disturbing nano impermanence, dry in the lung, and causes lung gas cashier loss of company. Because of lung, spleen kidney three dirty interaction, the tongue to tonify deficiency of lung, spleen kidney should give attention to two or morethings. You need to be aware that kidney for congenital, the internal roots, in chronic obstructive pulmonary disease after all period in kidney empty, the kidney in consolidate curative effect and improve the ventilation plays an important role in, can obviously relieve shortness of breath virtual asthma wait for a symptom, so in the complement of lung, spleen kidney in, especially in the kidney to aspects of the basic solid enough.

 

        Regulate qi is very important different methods were markedly improved

 

        "Lung main gas, company breathing", in chronic obstructive pulmonary disease pathogenesis of the whole process, all have different degrees of pulmonary gas blocking, pulmonary ventilation obstacles, so regulate qi, make pulmonary gas flow in the treatment of chronic obstructive pulmonary disease is very important also. In chronic obstructive pulmonary disease of acute episode, TanQi into resistance, choking difficult except, treat sputum will be with qi combination, cooperate with xuan lung qi, can obtain good effect. Of course regulate qi is not a simple XuanTong pulmonary gas, in the treatment of chronic obstructive pulmonary disease, because of its pathogenesis each different, so regulate qi method also each are not identical, especially in chronic obstructive pulmonary disease in relief period delay, pulmonary ventilation hinder except lung XuanSu disorder outside and the kidney's gas, the spleen health shipping function disorder is closely related to spleen deficiency if not transfer to the phlegmy wet resistance pulmonary person, when fill temper phlegm wet off the source of ShengTan to pass pulmonary gas, if kidney empty don't accept gas suction gas no root person, when the kidney nano gas in pass pulmonary gas. A large number of clinical trials showed that in the late stage of chronic obstructive pulmonary disease, kidney and application of nano gas medicine can enhance alveolar rebound function, to improve lung dynamic compliance, reduce shortness of breath blue in has good effect.

 

        Stasis no time does not exist throughout the always eliminating stasis

 

        In the pathogenesis of chronic obstructive pulmonary disease process, stasis no time does not exist, eliminating stasis throughout the treatment should be always. The doctor of traditional Chinese medicine thinks phlegm turbidity blood stasis block is the lung distension important pathogenesis, modern research indicates that chronic obstructive pulmonary disease patients were there exists different degree of microcirculation disorder, alveolar between blood flow decreased, ventilation and blood flow ratio imbalance, and the tendency of thrombosis. Promoting blood circulation to remove blood stasis drugs has obvious inhibiting platelet aggregation and reduce blood viscosity effect, can alleviate for blood qualitative change and cause difficulty breathing, and at the same time, promoting blood circulation to remove blood stasis drugs can improve heart function, reduce pulmonary arterial hypertension, improve the important viscera blood supply, strengthen the ability of resisting lack, reduce ischemic anoxia of important viscera damage, so promoting blood circulation to remove blood stasis in the treatment of chronic obstructive pulmonary disease is very important. Eliminating stasis when stress to the pass lung complex, with earthworm, tangerine pith, gun mountain of armour of curative effect is good, eliminating stasis appropriate and tonifying qi, phlegm, releasing lungs, drop methods such as gas with application to adapt to clinical all kinds of chronic obstructive pulmonary disease patients.

 

        Solid guard table prevent recurrence daily attention to qiao conditioning

 

        Chronic obstructive pulmonary disease repeated feel the pericardium is accelerating the main factors of disease progression, so improve the resistance, prevent pathogenic, reduce the chance to attack, in the treatment of this disease occupies an important position. Chronic obstructive pulmonary disease complex feeling for chronic cough injury is, guard table not solid be caused by, this so-called "new feeling actuating v evil", adjust camp guard, righting solid guard table, is to prevent recurrence of the important measures, in catabasis can choose yupinfeng, fill in beneficial gas soup of modulation, the appropriate for kidney empty obvious from kidney with adjusting and mending, medicine choose seven flavour is gas pill, gold or kidney qi pill, etc.

 

        Daily life notice self-care, but also prevent chronic obstructive pulmonary disease acute attack is important one annulus. In the active application drug treatment at the same time, should be got rid of wine and tobacco, pay attention to warm warm, strengthen the respiratory movement exercise, at the same time can also choose according to their own actual situation tai chi chuan, eight period of jin, illnesses such as type and twenty rehabilitation exercise exercise method, in order to improve the physical quality, reduce the illness relapses.