中国中西医结合急救杂志2025，Vol.32Issue(3)：348-352,5.DOI:10.3969/j.issn.1008-9691.2025.03.017
国医大师韩明向基于"肺与大肠相表里"理论治疗慢性阻塞性肺疾病急性加重期痰热壅肺证的临床经验
Clinical experience of national medical master Han Mingxiang in treating acute exacerbation chronic obstructive pulmonary disease with phlegm-heat congestion based on the theory of"lung and large intestine being interior-exteriorly related"
摘要
Abstract
This study systematically elucidates the contemporary understanding of the theory of"the lung and large intestine being interior-exteriorly related"within both traditional Chinese and Western medical theoretical frameworks,while providing an in-depth summary of national medical master Han Mingxiang's clinical experience in diagnosing and treating phlegm-heat obstructing lung syndrome in acute exacerbation chronic obstructive pulmonary disease(AECOPD).Theoretically,this doctrine originates from the Huangdi Neijing and has been developed into a comprehensive system by subsequent medical practitioners.Modern medical research from embryological,microbiological,and other perspectives has confirmed the close physiological and pathological relationship between the lung and intestine,particularly evidenced by the proposed"gut-lung axis"theory.Based on over 6 decades of clinical practice,professor Han identified the core pathogenesis of AECOPD as involving"phlegm,blood stasis,toxins,and deficiency,"with phlegm-heat obstructing lung syndrome being the most prevalent manifestation.The pathological characteristics include impaired lung qi descent,internal accumulation of phlegm-heat,and intestinal obstruction.The therapeutic approach emphasizes"clearing heat and resolving phlegm,relieving cough and asthma"as the primary treatment principle,focusing on"clearing lung heat,eliminating phlegm pathogens,and descending rebellious qi",while adhering to the concept of"simultaneous treatment of lung and intestine."In terms of herbal prescription,professor Han skillfully employs modified Xuanbai Chengqi decoction,which integrates lung-ventilating,phlegm-resolving,and purgative effects.Importantly,he emphasizes the precise timing and dosage of purgative herbs,particularly for patients with deficiency patterns,advocating discontinuation or dose reduction once intestinal patency is achieved to avoid overtreatment.For remission phase management,professor Han advocates the"reinforcing earth to generate metal"approach using modified Bufei decoction combined with Yigong powder,which strengthens spleen qi to nourish lung function.This therapeutic strategy embodies the fundamental treatment principle of"treating the acute manifestations first,then addressing the root cause."This research not only deepens the understanding of classical Chinese medical theories but also provides more scientifically grounded intervention strategies for the clinical prevention and treatment of lung distension.The findings offer valuable insights into integrative approaches for AECOPD management,combining traditional wisdom with contemporary medical understanding.关键词
国医大师/韩明向/肺与大肠相表里/慢性阻塞性肺疾病急性加重期/痰热壅肺证Key words
National medical master/Han Mingxiang/Lung and large intestine being interior-exteriorly related/Acute exacerbation chronic obstructive pulmonary disease/Phlegm-heat obstructing lung syndrome引用本文复制引用
马啸,梁雪,韩淼彦,曲玉强,韩明向,李泽庚..国医大师韩明向基于"肺与大肠相表里"理论治疗慢性阻塞性肺疾病急性加重期痰热壅肺证的临床经验[J].中国中西医结合急救杂志,2025,32(3):348-352,5.基金项目
安徽省临床医学研究转化专项(202204295107020045) （202204295107020045）
安徽中医药大学临床科研项目(2021LCWH03) Anhui Province Clinical Medicine Research Transformation Special Project(202204295107020045) （2021LCWH03）
Clinical Research Project of Anhui University of Chinese Medicine Project(2021LCWH03) （2021LCWH03）
