以中医痰饮病机理论探讨慢性阻塞性肺疾病稳定期气道黏液高分泌机制及治疗方法

中医学认为痰饮的形成主要是由于肺脾肾3脏功能失调.气道黏液高分泌既是慢性阻塞性肺疾病(COPD)的病理特征,又是影响其病情和预后的重要因素,结合其临床特点进行分析,较为符合中医痰饮证的特征,因此基于中医痰饮病机及"脾为生痰之源,肺为贮痰之器"相关理论,提出COPD稳定期气道黏液高分泌的治疗大法为益气健脾、宣肺化痰等.

Mechanism and treatment of hypersecretion of airway mucous of COPD stable stage based on TCM theory of phlegm-fluid retention

In Chinese medicine,the occurrence of phlegm-fluid retention is mainly induced by the dysfunction of lung,spleen and kidney.Hypersecretion of airway mucous is the pathological feature of chronic obstructive pulmonary diseases(COPD) as well as important factor influencing its condition and prognosis,and its clinical characteristics are accorded with the features of syndrome of phlegm-fluid retention.The authors presented that the therapy for hypersecretion of airway mucous of COPD stable stage is supplementing qi and fortify spleen,and diffuse lung to resolve phlegm based on the pathogenesis of syndrome of phlegm-fluid retention and theory of spleen being source of phlegm and lung being storage of phlegm in Chinese medicine.