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徐艳玲教授从肺脾肾论治COPD的经验总结

发布时间:2018-07-22 11:47
【摘要】:慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD,简称慢阻肺)是一组以持续气流受限为特征的可以预防和治疗的疾病,与气道和肺组织对烟草烟雾等有害气体或有害颗粒的慢性炎性反应增强有关,其气流受限多呈进行性发展,临床上属呼吸系统常见病,高发病。目前国际上通用的单纯的西医治疗方案疗效虽然有效,但病情的反复及其昂贵的医疗费用仍给患者和家庭带来了不小的经济负担和心理负担。祖国医学将其症属于中医学“咳嗽”、“喘病”、“肺胀”的范畴,其诱因是因为外邪反复侵袭,肺、脾、肾虚损,正虚卫外不固为内在根本,在治疗上补足虚损为基本治疗原则。吾师徐艳玲教授,从事呼吸内科中医医疗、科研、教学30余载,在多种呼吸系统疾病的诊治上有其独到的特色。在多年的临床实践中,徐教授积诊治了许多COPD病人,对其有独道的认知。吾师认为外邪反复侵袭是COPD发作的诱因,肺、脾、肾虚损,正虚卫外不固为CO PD的内在根本,肺脏感邪,迁延失治,导致痰瘀稽留,损伤正气是COPD反复发作的夙根发病源头。肺脾肾虚是本病病程中最为关键的病理内因,肾在其中又尤为重要。
[Abstract]:Chronic obstructive Pulmonary Disease (chronic obstructive pulmonary) is a group of preventable and treatable diseases characterized by persistent airflow limitation associated with an increased chronic inflammatory response of airways and lung tissues to harmful gases or particles such as tobacco smoke. Its airflow limitation mostly presents the progressive development, clinically belongs to the respiratory system common disease, the high incidence disease. Although the current international simple western medicine treatment program is effective, the recurrence of the disease and its expensive medical costs still bring not small economic and psychological burden to patients and families. The Chinese medicine has classified its symptoms into the categories of "cough", "asthma" and "lung distension" in traditional Chinese medicine. The inducement is the repeated invasion of external pathogens, the deficiency of lung, spleen, and kidney, and the immanence of deficiency and defense outside the body is not the inner root. In the treatment of deficiency damage as the basic principle of treatment. Professor Xu Yanling, my teacher, engaged in traditional Chinese medicine, scientific research and teaching of respiratory medicine for more than 30 years, in the diagnosis and treatment of various respiratory diseases have their unique characteristics. In many years of clinical practice, Professor Xu diagnosed and treated many COPD patients and had a unique understanding of them. Our teacher believes that the recurrent invasion of exogenous pathogens is the inducement of COPD attack, and the lung, spleen, kidney deficiency and deficiency of the qi are the intrinsic root of CO PD, the lung senses evil, delays the treatment, causes phlegm stasis to be left behind, and the damage of the vital qi is the source of the recurrent onset of COPD. Deficiency of lung, spleen and kidney is the most important internal cause of the disease.
【学位授予单位】:辽宁中医药大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R249;R259


本文编号:2137357

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