北京中医药2025，Vol.44Issue(8)：956-960,5.DOI:10.16025/j.1674-1307.2025.08.002
过敏性肺炎中医病证特点分析
Traditional Chinese medicine disease and syndrome characteristics in hypersensitivity pneumonitis
摘要
Abstract
Objective To retrospectively analyze the symptoms and syndrome distribution characteristics of hypersensitivity pneumonitis(HP)patients and explore its etiology and pathogenesis.Methods The four diagnostic information of HP inpatients hospitalized at Beijing Hospital of Traditional Chinese Medicine between January 2016 and March 2024 was collected.The syndrome characteristics of HP patients were analyzed using the syndrome-element differentiation method.Results A total of 68 HP patients were included,with 16 nonfibrotic cases and 52 fibrotic cases.The most frequently occurring symptoms in the 68 patients were cough(94.1%),expectoration(83.8%),dyspnea(82.4%),dry mouth(52.9%),insomnia(38.2%),poor appetite(29.4%),and fatigue(25%).Nonfibrotic HP patients predominantly exhibited cough(93.8%),dyspnea(87.5%),expectoration(81.3%),dry mouth(50%),fever(25%),and fatigue(25%),with higher incidences of fever,nasal congestion/sneezing/rhinorrhea,and wheezing.Fibrotic HP patients commonly presented with cough(94.2%),expectoration(84.6%),dyspnea(80.8%),dry mouth(53.8%),insomnia(44.2%),poor appetite(34.6%),chest tightness(25%),and fatigue(25%).Nonfibrotic HP can be discussed under"cough"and"dyspnea",with the primary disease location in the lung or liver-lung systems.Pathological patterns are mostly excess syndromes,predominantly yang-related,often complicated by external pathogens.Excess syndromes include ascending of qi,stagnant heat,and fluid retention,while deficiency syndromes mainly present as qi deficiency.Fibrotic HP can be discussed under"lung impediment"and"lung atrophy",with disease locations often involving multiple organs,most commonly the lung,lung-spleen system,lung-kidney system,or lung-spleen-kidney system.Pathological patterns are characterized by deficiency-excess complexity,with an emphasis on yin-related pathologies.Excess syndromes include phlegm-heat,stagnant heat,fluid retention,and blood stasis,while deficiency syndromes involve qi deficiency,yin depletion,and yang impairment.Conclusion HP patients exhibit complex and diverse clinical symptoms,with the primary disease location in the lungs.The pathogenesis reflects a root deficiency and manifest excess,with root deficiencies commonly related to the weakness of the lung,spleen,and kidney,while manifest excess is often associated with phlegm,fluid retention,stagnant heat,and blood stasis.关键词
过敏性肺炎/临床表现/证素分布Key words
hypersensitivity pneumonitis/clinical manifestations/syndrome element distribution引用本文复制引用
郭亚丽,张金中,靳文文,郭丽娅,张宗学,王玉光..过敏性肺炎中医病证特点分析[J].北京中医药,2025,44(8):956-960,5.基金项目
首都医科大学附属北京中医医院中医药学科建设项目 （）
中医药循证能力建设项目 （）
高层次公共卫生技术人才培养建设项目计划(学科带头人-01-06) （学科带头人-01-06）
