[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]
点击复制

基于叶天士卫气营血理论辨治研究支气管扩张症()
分享到:

《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:
2024-05-20

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 XueYE TianshiBronchiectasiaTypical 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.

参考文献/References:

[1]陈晶晶,张念志,韩明向.中西医结合治疗支气管扩张症的思路探讨[J].中华中医药杂志,2020,35(7):3499-3502.
[2]CHANG AB,BUSH A,GRIMWOOD K.Bronchiectasis in children:diagnosis and treatment[J].Lan-cet,2018,392(10150):866-879.
[3]周玉民,王辰,姚婉贞,等.我国7省市城区40岁及以上居民支气管扩张症的患病情况及危险因素调查[J].中华内科杂志,2013,52(5):379-382.
[4]蔡柏蔷,何权瀛,高占成,等.成人支气管扩张症诊治专家共识(2012版)[J].中华危重症医学杂志(电子版),2012,5(5):315-328.
[5]赵绍琴,胡定邦,刘景源.温病纵横[M].北京:人民卫生出版社,2006:14-15.
[6]吕俊,何小凤,余小萍.余小萍教授治疗支气管扩张的临证经验[J].中国中医急症,2017,26(3):425-427.
[7]闫家丽,苗青.许建中治疗支气管扩张经验[J].内蒙古中医药,2012,31(4):143-144.
[8]林培政.温病学[M].北京:中国中医药出版社,2007:19-23.
[9]莫伟强,邵剑骏,高景蓬,等.麻杏石甘汤加味联合西药治疗急性期支气管扩张症疗效观察[J].新中医,2015,47(3):58-59.
[10]马丽鑫.加减千金苇茎汤对支气管扩张症伴感染(痰热郁肺证)的临床观察及对IL-8的影响[D].哈尔滨:黑龙江中医药大学,2016.
[11]吴坚,蒋熙,姜丹,等.国医大师朱良春支气管扩张症辨治实录及经验撷菁[J].江苏中医药,2014,46(3):1-3.
[12]王冰,樊茂蓉,崔云,等.王书臣治疗支气管扩张症经验[J].中医杂志,2017,58(8):647-650.
[13]陈晶晶,张念志.张念志主任论治支气管扩张经验撷萃[J].陕西中医学院学报,2013,36(5):30-31.
[14]苗青,袁沙沙,丛晓东,等.支气管扩张症的全程管理及中医诊治思路探讨[J].中医杂志,2018,59(18):1560-1563,1573.
[15]邓浩然,蔡宛如.蔡宛如教授辛凉甘润法辨治支气管扩张的经验[J].陕西中医药大学学报,2016,39(5):18-20.
[16]罗玉玲,郑小伟.郑小伟教授治疗支气管扩张症经验拾粹[J].陕西中医药大学学报,2016,39(4):30-33.
[17]何春燕,代丹,栾冰,等.朱仁康先生从卫气营血论治皮肤病经验拾萃[J].中华中医药杂志,2021,36(11):6504-6507.
[18]郭晓强,莫雨晓,谢磊,等.论艾滋病的卫气营血辨证[J].中华中医药杂志,2020,35(7):3510-3512.
[19]林杰,石伟荣,朱淑瑜,等.基于“卫气营血”理论探讨腹膜透析相关性腹膜炎的辨治[J].中华中医药杂志,2020,35(2):773-776.
[20]夏娟娟,谭颖颖.谈卫气营血辨证与脏腑辨证结合治疗疾病[J].陕西中医药大学学报,2019,42(3):38-39,43.
[21]孟彦彬,石艳华,孙盛,等.叶天士辨证论治学术思想及对后世的影响[J].陕西中医,2006,27(11):1446-1448.
[22]冯明.叶天士卫气营血辨证阐微[J].山西中医学院学报,2003,4(3):8-9.
[23]陈庆伟.基于新安医家叶天士医案数据挖掘的温热类温病辨治规律研究[D].合肥:安徽中医药大学,2016.
[24]王佳美,崔红生,弓雪峰,等.叶天士从营卫角度治疗肺系病的思路探讨[J].浙江中医药大学学报,2021,45(12):1311-1315.
[25]何春燕,代丹,栾冰,等.朱仁康先生从卫气营血论治皮肤病经验拾萃[J].中华中医药杂志,2021,36(11):6504-6507.
[26]茆春阳,牛阳,杜燕,等.根据温病卫气营血理论辨治社区获得性肺炎[J].河南中医,2019,39(5):657-660.
[27]刘宁,赵进喜,贾海忠,等.叶天士《温热论》奠定温病学基础,卫气营血辨证方法指导现代临床[J].环球中医药,2018,11(10):1565-1568.
[28]韩贵清.从“留得一分津液,便有一分生机”探温病存津液的临床意义[J].陕西中医学院学报,1982(2):23-25,31.
[29]马登尚.论“留得一分津液 便有一分生机”[J].光明中医,2011,26(5):882-883.
[30]黄超,汪晓敏,杜丽.《温病条辨》甘寒法探析[J].亚太传统医药,2017,13(12):44-45.

相似文献/References:

[1]杨越 王慎 许浩燃 赵秦英 李姿慧.新安医家健脾化湿法治疗泄泻[J].陕西中医药大学学报,2018,(05):014.[doi:DOI:10.13424/j.cnki.jsctcm.2018.05.004]
[2]张效科 丁纪茹 周强 张欢 杨芳艳.叶天士治疗脾胃病学术思想浅析[J].陕西中医药大学学报,2020,(03):042.[doi:10.13424/j.cnki.jsctcm.2020.03.012]
 Zhang Xiaoke,Ding Jiru,Zhou Qiang,et al.An Analysis of Ye Tianshis Academic Thought of Spleen and Stomach Disease Treatment[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(03):042.[doi:10.13424/j.cnki.jsctcm.2020.03.012]
[3]朱倩倩 朱沙沙 洪靖 谭辉.叶天士辨治崩漏学术特色探析[J].陕西中医药大学学报,2021,44(04):071.[doi:10.13424/j.cnki.jsctcm.2021.04.016 ]
 ZHU Qianqian ZHU Shasha HONG Jing TAN Hui.Analysis of YE Tianshi's Academic Characteristicsin Treating Metrorrhagia[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,44(03):071.[doi:10.13424/j.cnki.jsctcm.2021.04.016 ]
[4]郑宏杰 张景涛 濮燕屏.叶天士脾胃学说在月经病治疗中的运用[J].陕西中医药大学学报,2022,(02):031.[doi:10.13424/j.cnki.jsctcm.2022.02.007]
[5]马洪微 王玉凤.叶桂《临证指南医案》治燥思想浅析[J].陕西中医药大学学报,2022,(04):063.[doi:10.13424/j.cnki.jsctcm.2022.04.014]

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