王檀教授运用"分层治疗"思想论治肺痹经验OACSTPCD
Professor Wang Tan's experience in treating lung bi by employing the idea of"stratified treatment"
王檀认为,间质性肺疾病以肺肾虚冷、痰瘀痹阻为病机关键并贯穿疾病始终.临床常分为邪盛痹重期和邪微痹缓期,根据病程病性分为寒饮伏肺,肺络痹阻证、脾经伏火,痰热内蕴证、肝阳上亢,肺络痹阻证、肠胃湿热,痰饮痹肺证、肺肾亏虚,寒瘀阻络证等层次,进行分层治疗,辨证施治.治疗上常以发时(邪盛痹重期)祛邪,缓时(邪微痹缓期)治本为主,取得良好疗效.
Professor Wang Tan,believes that the key pathogenesis of interstitial lung disease lies in deficient cold in the lung and kidney,phlegm and blood stasis obstructing the lung,which run through the entire disease course.And the course of the disease can be further divided into two stages:a severe bi syndrome due to pathogen excessiveness and a mild bi syndrome resulting from pathogens weakening.Moreover,according to its varying stages and natures,lung bi can be manifested as a syndrome of blockade of lung collaterals due to cold fluid retained in the lung,a syndrome of phlegm-heat internal accumulation owing to latent fire in spleen channels,a syndrome of blockade of lung collaterals due to the upper hyperactivity of liver yang,a syndrome of phlegm-fluid retention obstructing lung due to damp-heat in the intestines and stomach,or a syndrome of cold-stasis blocking collaterals due to a lung and kidney deficiency,and other levels of syndrome.Accordingly,a stratified therapy is adopted based on syndrome differentiation,to dispel pathogens at its onset(with a severe bi syndrome due to pathogen excessiveness)and to treat its root causes when the disease turns into a chronicle one(with a mild bi syndrome resulting from pathogens weakening).In this way,a good effect has been obtained.
李安冬;王檀;刘世林;李振宇;徐佳男;袁成波
长春中医药大学,长春 130017长春中医药大学附属医院,长春 130021
中医学
肺痹分层治疗辨证论治王檀
lung bistratified therapytreatment based on syndrome differentiationWang Tan
《吉林中医药》 2024 (006)
653-656 / 4
吉林省卫生健康科技能力提升项目(20221c082)
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