论“呼多吸少”与慢性气道疾病的相关性及中医辨治

何乃峰; 甄维帅; 陈宪海

doi:10.16294/j.cnki.1007-659x.2019.02.004

意见反馈

您当前的位置：

首页 >

文章列表页 >

论“呼多吸少”与慢性气道疾病的相关性及中医辨治

中国中医药临床案例成果库

上一篇: 从五神理论辨治帕金森病非运动症状

下一篇: 朱辟疆辨治糖尿病肾病经验

论“呼多吸少”与慢性气道疾病的相关性及中医辨治
On Correlation between "More Exhalation and Less Inhalation" and Chronic Airway Diseases &Differentiation and Treatment in Chinese Medicine
1.山东中医药大学，山东　济南　250355
2.山东省济南市天桥区和济诊所，山东　济南　250031
3.山东中医药大学附属医院，山东　济南　250014
DOI：10.16294/j.cnki.1007-659x.2019.02.004

扫描看全文

何乃峰, 甄维帅, 陈宪海. 论“呼多吸少”与慢性气道疾病的相关性及中医辨治[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.02.004

HE Naifeng, ZHEN Weishuai, CHEN Xianhai. On Correlation between "More Exhalation and Less Inhalation" and Chronic Airway Diseases &Differentiation and Treatment in Chinese Medicine[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.02.004
何乃峰, 甄维帅, 陈宪海. 论“呼多吸少”与慢性气道疾病的相关性及中医辨治[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.02.004 DOI：

HE Naifeng, ZHEN Weishuai, CHEN Xianhai. On Correlation between "More Exhalation and Less Inhalation" and Chronic Airway Diseases &Differentiation and Treatment in Chinese Medicine[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.02.004 DOI：

摘要

“呼多吸少”是临床常见现象，最常见于以慢性阻塞性肺疾病为代表的慢性气道疾病。以文献与理论论述为基础，结合临床解读“呼多吸少”，认为“呼多吸少”从现代医学角度可以解释为由于气道炎症及远端气道破坏、重塑，气道及肺泡弹性回缩力减退造成的呼气时相延长；在中医方面，“呼多吸少”则与肺失宣肃、肺脾气虚、肺肾亏虚密切相关，不能单纯理解为“肾不纳气”，治疗方面提出“辛开苦降、补脾益肺、补肺纳肾”为相应病证的治疗原则。

Abstract

"More exhalation and less inhalation" is a common clinical phenomenon which is common in the chronic airway diseases represented by chronic obstructive pulmonary disease. This paper from the literature theory and clinical aspects of the understanding of "more exhalation and less inhalation" believed that "more exhalation and less inhalation" in modern medicine can be explained by air duct inflammation and distal airway damage, remodeling, prolonged expiratory phase caused by decreased airway and alveolar elastic recoil. In traditional Chinese medicine, "more exhalation and less inhalation" is considered to be related to lung qi failing in ascending and purification, spleen and lung qi deficiency and deficiency of lung and kidney, which can not be simply understood as "kidney failing in qi reception" . In terms of treatment, pungent dispersing and bitter descending, invigorating spleen and replenishing lung, tonifying lung and improving kidney qi reception are the therapeutic principles for the related syndromes.

关键词

呼多吸少呼气时相延长慢阻肺慢性气道疾病培土生金辛开苦降

Keywords

more exhalation and less inhalationprolonged expiratory phasechronic obstructive pulmonary diseasechronic airway diseasesbanking up earth to generate metalpungent dispersing and bitter descending

references

郭丕春.对“呼多吸少”的理解[J].中国中医基础医学杂志, 2008, 14(6): 402-412.

李文.肾不纳气证规范研究[D].南京: 南京中医药大学, 2011.

清·姚止庵.素问经注节解[M].北京: 人民卫生出版社, 1963: 34.

清·林佩琴.类证治裁[M].北京: 人民卫生出版社, 2005: 108.

唐步棋.咳嗽的辨证论治[M].成都: 巴蜀书社, 2005: 243.

申永春, 文富强.2017慢性阻塞性肺疾病全球创议更新解读[J].中国实用内科杂志, 2017, 37(2): 132-135.

POLOSUKHIN V V, RICHMOND B W, DU R H, et al. Secretory IgA deficiency in individual small airways is associated with persistent inflammation and remodeling[J]. Am J Respir Crit Care Med, 2017, 195(8): 1010-1021.

中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)(一)[J].中国医学前沿杂志(电子版), 2014, 6(2): 484-491.

郑则广, 陈荣昌, 钟南山.慢性阻塞性肺疾病的体重减轻和骨骼肌萎缩[J].国际呼吸杂志, 2006, 26(3): 175-176,181.

朱慧英.从脾论治慢性阻塞性肺疾病[J].中医文献杂志, 2016, 34(1): 68-72.

洪广祥.论呼吸肌疲劳、营养障碍与慢性阻塞性肺疾病[J].中医药通报, 2006, 5(2): 4-6.

邵雨萌, 张成博, 景菲.从肺阳虚论治慢性阻塞性肺疾病[J].山东中医药大学学报, 2017, 41(4): 304-306.

苑惠清.培土生金法治疗慢性阻塞性肺部疾病稳定期的临床研究[J].北京中医, 2006, 25(9): 520-522.

贾祥文, 陈苗苗, 刘淑敏, 等.辛开苦降治法浅议[J].山东中医杂志, 2014, 33(9): 777-778.

刘立亭, 陈宪海, 甄维帅, 等.“辛开苦降法”肺系病应用浅析[J].亚太传统医药, 2014, 10(5): 68-69.

刘静.补益肺肾法治疗慢性阻塞性肺疾病稳定期肺肾气虚型的临床观察[D].沈阳: 辽宁中医药大学, 2017.

陈聪, 张伟.从“肺肾相关”探讨慢性阻塞性肺疾病合并骨质疏松症[J].山东中医药大学学报, 2017, 41(5): 417-418,437.

卢丽君, 杜晓红, 黄炎芳.温补肺肾法对慢性阻塞性肺疾病稳定期患者肺功能及免疫功能的影响[J].实用临床医药杂志, 2017, 21(11): 38-41.

李娴, 郭伟, 李玲.补肺纳肾方对慢性阻塞性肺疾病稳定期的疗效观察[J].医学理论与实践, 2013, 27(8): 991-992.

郑秀丽.张之文教授运用“开上运中奠下法“治疗COPD经验[J].四川中医, 2007, 25(12): 5-6.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据