基于"痰瘀互结"理论探讨慢性阻塞性肺疾病合并睡眠障碍的病机与治疗OA
Exploring the pathogenesis and treatment of chronic obstructive pulmonary disease comorbid with sleep disorders based on the"phlegm-stasis intermingling"theory
慢性阻塞性肺疾病是呼吸系统中常见慢性病之一,其病因繁多,病机复杂,且病程缠绵,病情反复,呈进行性发展.该类患者常伴有睡眠障碍,本文从病因病机阐述慢性阻塞性肺疾病与睡眠障碍之间的关系.肺肾虚损是根本原因并贯穿疾病始终,痰瘀互结是关键病机,且是该类患者病情反复难愈的症结所在.本文从中医基本理论及现代临床思维论述痰瘀互结、肺肾虚损引发慢性阻塞性肺疾病合并睡眠障碍的病机,提出补益肺肾、化痰祛瘀的治疗思路,以期改善慢性阻塞性肺疾病患者睡眠障碍的临床诊疗.
Chronic obstructive pulmonary disease(COPD)is a common and difficult disease in the respiratory system,which has many causes and complex mechanisms,and has a lingering,recurrent and progressive course.These patients are often accompanied by sleep disorders,the article from the etiology and mechanism of chronic obstructive pulmonary disease and sleep disorders of the relationship between the two.Lung and kidney deficiencies are the root causes of COPD,and phlegm and stagnation are the key factors that make the disease recurring and difficult to be cured.In this paper,we discuss the pathogenesis of COPD combined with sleep disorders caused by phlegm and stasis,lung and kidney deficiency from the basic theory of traditional Chinese medicine and modern clinical thinking,and put forward the therapeutic ideas of tonifying the lungs and kidneys,resolving phlegm and eliminating stasis,with a view to improving the clinical diagnosis and treatment of sleep disorders in patients with COPD.
金江锋;戴铭
广西中医药大学,广西 南宁 530200广西中医药大学,广西 南宁 530200
医药卫生
慢性阻塞性肺疾病睡眠障碍痰瘀互结肺肾虚损
Chronic obstructive pulmonary diseaseSleep disordersPhlegm stasisLung and kidney deficiency
《中国医药科学》 2025 (16)
48-51,60,5
国家社会科学基金(19BMZ124)广西中医药大学"桂派中医药传承创新团队"(2022A002).
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