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基于"肺肠同治"理论辨治慢性阻塞性肺疾病OA

Differentiation and Treatment of Chronic Obstructive Pulmonary Disease Based on the Theory of"Simultaneous Treatment of Lung and Intestine"

中文摘要英文摘要

慢性阻塞性肺疾病(COPD)属中医学"肺胀""喘证""咳嗽"等范畴,近年临床研究已证实了肺病及肠、肠病及肺的双向病理传变,并指出肺与大肠在生理、病理及治疗上内在协同关联.本文基于"肺肠同治"理论针对COPD不同阶段及证型给予不同治法:COPD急性加重期以清肺化痰、通腑泄浊为主;COPD稳定期治以补肺健脾、化痰祛瘀,如病情发展为阳虚证则重在温阳益气、涤痰行瘀,这为COPD"肺肠同治"提供了坚实的理论支撑与实践依据.

Chronic obstructive pulmonary disease(COPD)belongs to the category of"lung distension""dyspnoea""cough"in traditional Chinese medicine(TCM).Recent clinical studies have confirmed the bidirectional pathological transmission of lung diseases affecting the intestines,as well as intestinal diseases affecting the lungs,and point out that there is an intrinsic synergistic relationship between the lungs and the large intestine in terms of physiology,pathology,and treatment.This paper proposes different treatment methods for different stages and syndromes of COPD based on the theory of"simultaneous treatment of lung and intestine":in the acute exacerbation of COPD,the treatment should focus on clearing lung heat and eliminating phlegm,promoting bowel movements and dispelling turbidity;in the stable stage COPD,the treatment should focus on tonifying the lungs and invigorating the spleen,eliminating phlegm and removing blood stasis.If the condition progresses to Yang deficiency,the treatment focus should be on warming Yang and supplementing Qi,eliminating phlegm and promoting blood circulation.It provides a solid theoretical foundation and practical basis for the"simultaneous treatment of lung and intestine"of COPD.

唐丝雨;姜忠一;朱洁;杨勤军;吴凡;童佳兵;李泽庚

230012 安徽省合肥市,安徽中医药大学230012 安徽省合肥市,安徽中医药大学230012 安徽省合肥市,安徽中医药大学||230031 安徽省合肥市,中医药防治肺系重大疾病应用转化安徽省重点实验室230012 安徽省合肥市,安徽中医药大学||230031 安徽省合肥市,中医药防治肺系重大疾病应用转化安徽省重点实验室230012 安徽省合肥市,安徽中医药大学||230031 安徽省合肥市,中医药防治肺系重大疾病应用转化安徽省重点实验室230012 安徽省合肥市,安徽中医药大学||230031 安徽省合肥市,中医药防治肺系重大疾病应用转化安徽省重点实验室||230031 安徽省合肥市,安徽中医药大学第一附属医院呼吸内科230012 安徽省合肥市,安徽中医药大学||230031 安徽省合肥市,中医药防治肺系重大疾病应用转化安徽省重点实验室||230031 安徽省合肥市,安徽中医药大学第一附属医院呼吸内科

医药卫生

肺疾病,慢性阻塞性肺肠同治肺与大肠相表里

Pulmonary disease,chronic obstructiveSimultaneous treatment of lung and intestineExterior-interior relationship between the lung and the large intestine

《实用心脑肺血管病杂志》 2026 (6)

93-97,5

安徽省高校杰出青年科研项目(2022AH020044)安徽省自然科学基金项目(2408085MH230)安徽高校协同创新项目(GXXT-2021-084)"丹龙"青年医师创新发展项目(HXQNJJ-2023-019)

10.12114/j.issn.1008-5971.2026.00.052

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