张之文运用宣涤通隧、温潜归元法分期辨治慢性阻塞性肺疾病OA

This paper summarizes the clinical experience of professor ZHANG Zhiwen in differentiating and treat-ing chronic obstructive pulmonary disease(COPD)at stages,with the method of diffusing and clearing to unblock the channel pathways,while warming and subduing to restore the original qi.Professor ZHANG posits that the core pathogenesis of this disease lies in depletion of original qi,leading to impaired qi transformation of sanjiao(三焦),and obstruction of channel pathways.Accordingly,a staged differentiation and treatment strategy based on the methods of diffusing and clearing to unblock the channel pathways,while warming and subduing to restore the original qi has been proposed.COPD was divided into the acute exacerbation stage and the stable stage.In acute exacerbation stage,priority is given to diffusing lung and clearing up turbidity,scatter and dredge the channel passages,using the self-formulated Xuandi Tongsui Formula(宣涤通隧方).During the stable stage,the treatment should focus on simul-taneously regulating sanjiao,warming and subduing yang to restore the original qi,using the self-formulated Wenqian Guiyuan Formula(温潜归元方).In addition,the principles of carefully protecting mild yang,avoiding excessive astringent medicinals,and restoring respiration to its root are emphasized throughout the entire course of disease pre-vention,treatment,and rehabilitation.