中国中医药信息杂志2025，Vol.32Issue(4)：168-172,5.DOI:10.19879/j.cnki.1005-5304.202409202
基于"伏寒"理论分期辨治慢性阻塞性肺疾病
Staged Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease Based on the"Latent Cold"Theory
摘要
Abstract
The early symptoms of chronic obstructive pulmonary disease(COPD)are insidious,and its occurrence and development are a gradual accumulation of pathogenic factors.Clinically,it exhibits symptoms of yang deficiency and yin injury,and its pathogenic characteristics are consistent with the insidious,accumulative and injury positive characteristics of the latent cold."Latent cold"runs through the entire course of COPD.Qi-yang deficiency is the basis for the production of latent cold,external cold triggers the onset of latent cold and the cohesion of latent cold is the key to its onset.The clinical practice advocates for staged treatment based on clinical manifestations and the characteristics of changes in latent cold.During the acute phase of the attack,external cold invasion occurs and there is excessive movement due to the presence of cold.Treatment is based on warming and promoting the spread of pathogenic factors;during chronic stable period,warming and supplementing qi yang should be adopted;during the gradual aggravation period,the patients are prone to prolong chilliness and stagnation with phlegm and blood stasis forming.The treatment is based on a combination of warming and cooling.关键词
慢性阻塞性肺疾病/伏寒/病因病机/分期辨治Key words
chronic obstructive pulmonary disease/latent cold/etiology and pathogenesis/staged diagnosis and treatment分类
医药卫生引用本文复制引用
王安安,李燕兰,马成勇,张天嵩..基于"伏寒"理论分期辨治慢性阻塞性肺疾病[J].中国中医药信息杂志,2025,32(4):168-172,5.基金项目
上海市静安区名老中医专家传承创新工作室建设项目(JA2021-MLZZ05) （JA2021-MLZZ05）
上海市静安区卫生科研课题(2023ZY05) （2023ZY05）
上海市静安区中医药临床重点专科建设项目(JA2024-Z009) （JA2024-Z009）
