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耐多药结核病30例中医辨证分型探讨
引用本文:陈华,谢苗苗,陈梓,熊姗姗,汪欣. 耐多药结核病30例中医辨证分型探讨[J]. 光明中医, 2012, 27(3): 483-485
作者姓名:陈华  谢苗苗  陈梓  熊姗姗  汪欣
作者单位:陈华 (湖北武汉市中医医院院 武汉430014) ; 谢苗苗 (湖北武汉市中医医院院 武汉430014) ; 陈梓 (湖北武汉市结核病防治所 武汉430030) ; 熊姗姗 (湖北中医药大学 武汉430065) ; 汪欣 (湖北中医药大学 武汉430065) ;
基金项目:国家科技重大专项“中医药防治肺结核综合研究”的子课题
摘    要:通过对30例耐多药结核病患者的定期观察,发现耐多药结核病的中医症状分型大多偏向于体虚兼夹有湿邪,与中医理论长期认识的结核病的病理机制有别,提出中西医结合治疗耐多药结核病的方法应该是在规范的抗结核基础上,增加中医扶助正气,去除湿邪的方药为妥。

关 键 词:耐多药结核病(MDR-TB)  中医  辨证分型

Case Investigation into the TCM Syndrome Differentiation of 30 Cases of MDR-TB
Affiliation:Chen Hua, Xie Miaomiao, Chen Zi,et al.(1.Wuhan Traditional Chinese Medicine Hospital,Wuhan 430014,China;2.Wuhan Institute for TB Control,Wuhan 430030,China)
Abstract:Observing 30 cases of MDR-TB at fixed intervals,the study finds that the TCM(Traditional Chinese Medicine)syndrome differentiation of MDR-TB is more of insufficient of Yang with dampness type,which differs from the usual recognition of MDR-TB to be insufficient of Yin with intrinsic heat type,the study also raises that the pathomechanism of MDR-TB is caused by ‘insufficient of both the spleen and the kidney with dampness,on the basis of conventional anti-TB regimen,the treatment should adopt a method of tempering the kidney,invigorating the spleen,relieving the dampness and eventually healing the pulmo.
Keywords:MDR-TB  Traditional Chinese Medicine(TCM)  Syndrome Differentiation
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