[1]陈晶晶张念志薛晓明韩明向关炜尚芳周波波孟丽红张彦博王娇娇胡蝶张晔.基于叶天士卫气营血理论辨治研究支气管扩张症[J].陕西中医药大学学报,2024,(03):048-53.[doi:10.13424/j.cnki.jsctcm.2024.03.006]
　CHEN JingjingZHANG NianzhiXUE XiaomingHAN MingxiangGUAN WeiSHANG FangZHOU BoboMENG LihongZHANG Yanbo WANG Jiaojiao HU Die ZHANG Ye.Research on the Diagnosis and Treatment of Bronchiectasia Based on YE Tianshi’s Theory of Wei Qi Ying Xue[J].Journal of Shaanxi University of Traditional Chinese Medicine,2024,(03):048-53.[doi:10.13424/j.cnki.jsctcm.2024.03.006]
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基于叶天士卫气营血理论辨治研究支气管扩张症()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2024年03期
页码:
048-53
栏目:
出版日期:
2024-07-01

文章信息/Info

Title:
Research on the Diagnosis and Treatment of Bronchiectasia Based on YE Tianshi’s Theory of Wei Qi Ying Xue
文章编号:
2096-1340(2024)03-0048-06
作者:
陈晶晶1张念志2薛晓明1韩明向2关炜尚芳1周波波1孟丽红1张彦博1王娇娇3胡蝶2张晔4
1.山西省中医院，山西 太原 030012；
2.安徽中医药大学第一附属医院，安徽 合肥 230031；
3.安徽中医药大学，安徽 合肥 230038；
4.山西中医药大学，山西 太原 030002
Author(s):
CHEN Jingjing1ZHANG Nianzhi2XUE Xiaoming1HAN Mingxiang2GUAN Wei1SHANG Fang1ZHOU Bobo1MENG Lihong1ZHANG Yanbo1 WANG Jiaojiao3 HU Die2 ZHANG Ye4
1Shanxi Provincial Hospital of Chinese Medicine,Taiyuan 030012,China;
2.The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;
3.Anhui University of Chinese Medicine,Hefei 230038,China;4.Shanxi University of Chinese Medicine,Taiyuan 030002,China
关键词:
关键词：卫气营血; 叶天士; 支气管扩张症; 典型病例
Keywords:
Key words：Wei Qi Ying Xue; YE Tianshi; Bronchiectasia; Typical cases
分类号:
R259
DOI:
10.13424/j.cnki.jsctcm.2024.03.006
文献标志码:
A
摘要:
摘要：基于叶天士“卫气营血”辨证理论探讨支气管扩张症的治疗。根据支气管扩张症的临床发病特点，结合叶天士“卫气营血”辨证理论的思想特色，认为支气管扩张症证候特点、病机进展是由浅到深的动态变化，临床表现具有温病卫气营血的特点，同时以典型病案加以验证。支气管扩张症初期以温邪外袭卫分为主，当以辛凉疏卫为法，采用银翘散等加减治疗；中期以温邪入里化热伤及气分为主，当以清解痰热、解毒消痈为法，采用麻杏石甘汤及千金苇茎汤等加减治疗；中末期以温邪耗伤营阴为主，当以透热养阴、化痰开窍为法，采用清营汤加减治疗；末期多因失治误治，以温邪伤及血分为主，当以清热凉血、解毒开窍为法，采用犀角地黄汤等加减治疗。叶天士“卫气营血”理论运用于支气管扩张症的辨治，具有可行性，值得临床参考与借鉴。
Abstract:
Abstract：Based on YE Tianshi’s “Wei Qi Ying Xue” syndrome differentiation theory,this study explores the treatment of bronchiectasis.Based on the clinical characteristics of bronchiectasis and combined with Ye Tianshi’s “Wei Qi Ying Xue” syndrome differentiation theory,it is believed that the syndrome characteristics and pathogenesis of bronchiectasis are dynamic changes from shallow to deep,and the clinical manifestations have the characteristics of warm disease Wei Qi Ying Xue.At the same time,it is verified by classic medical records.In the early stage of bronchiectasis,the main approach is to warm pathogenic factors attacking the external environment.When treating bronchiectasis,the method is to use Xin Liang Shu Wei,and modified treatments such as Yin Qiao powder are used;In the middle stage,the main treatment is to warm pathogenic factors and transform heat and Qi.When clearing phlegm and heat,detoxifying and eliminating carbuncle,modified treatments such as Maxing Shigan decoction and Qianjin Weigan decoction should be used;In the middle and late stages,the main treatment is to warm evil and consume Yin,and when using methods such as heat dissipation,nourishing Yin,resolving phlegm,and opening the orifices,modified Qingying decoction should be used for treatment;In the late stage,there are many reasons for mistreatment ,mainly focusing on warming pathogenic factors and blood distribution.When using methods such as clearing heat and cooling blood,detoxifying and opening the orifices,modified treatments such as Xijiao Dihuang decoction should be used.The application of YE Tianshi’s “Wei Qi Ying Xue” theory in the diagnosis and treatment of bronchiectasis is feasible and worthy of clinical reference and reference.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金项目 (81774301，82174312)；国家重大疑难疾病临床防治中心建设项目(国中药函2014NO.146)；山西省高等学校科技成果转化培育项目(202003D31013/GZ)；山西省中医药研究院院级课题（202219）；山西省自然科学基金面上项目（202203021211048）
更新日期/Last Update: 2024-05-20