基层中医药2026，Vol.5Issue(7)：39-46,8.DOI:10.20065/j.cnki.btcm.20260162
车德亚运用"脾肾同治"治疗慢性阻塞性肺疾病合并肌肉减少症经验探析
CHE Deya's Experience in Treating Chronic Obstructive Pulmonary Disease with Sarcopenia from Simultaneous Treatment of Spleen and Kidney
摘要
Abstract
Chronic obstructive pulmonary disease(COPD)complicated with sarcopenia not only reduces patients'exercise tolerance and quality of life but is also closely associated with acute exacerbations and mortality of COPD.Chronic systemic inflammatory response,protein metabolism imbalance,and mitochondrial homeostasis abnormality play key roles in the progression of this disease.CHE Deya,a renowned traditional Chinese medicine physician,believes that COPD initially manifests primarily as lung deficiency,which inevitably affects the spleen and kidney over time.Although sarcopenia is located in the tendons,muscles,and flesh,its primary pathological organ is the spleen,and it is closely related to the kidney.Therefore,this article analyzes the integrated Chinese and Western medical mechanisms underlying the comorbidity of COPD and sarcopenia from the perspective of simultaneous disease of the spleen and kidney,and proposes that the basic pathogenesis of stable COPD combined with sarcopenia is spleen-kidney deficiency.The therapeutic principle is simultaneous treatment of the spleen and kidney,and herbal prescriptions for warming and tonifying the spleen and kidney to consolidate the root should be used.This paper aims to provide insights for the prevention and treatment of this comorbidity.关键词
慢性阻塞性肺疾病/肌少症/脾肾同病/脾肾同治/车德亚Key words
chronic obstructive pulmonary disease/sarcopenia/simultaneous disease of the spleen and kidney/simultaneous treatment of the spleen and kidney/CHE Deya引用本文复制引用
潘丽,张丹,王岗..车德亚运用"脾肾同治"治疗慢性阻塞性肺疾病合并肌肉减少症经验探析[J].基层中医药,2026,5(7):39-46,8.基金项目
自贡市医学科学院医学与健康传播研究中心基金资助项目(YXJKCB-2023-12) （YXJKCB-2023-12）
自贡市第一人民医院高质量发展重点研发科技计划面上项目(2024GZL05) （2024GZL05）
