张弘治疗支气管扩张症经验介绍
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R249;R562.2+2

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Experience of ZHANG Hong in Treating Bronchiectasis
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    摘要:

    介绍张弘教授治疗支气管扩张症的临床经验。张弘教授认为,支气管扩张症病机多属本虚标实, 痰热之邪贯穿支气管扩张症的整个病程,急性发作期病机以痰热壅肺为主,迁延期病机转为痰热伤阴、正气亏 损。治疗上宜中西结合,分期论治,急性期当清热豁痰宣肺,迁延期应辅以养阴,包括益气养阴、培土生金、 肺肾同补、化瘀通络四个方面。总而言之,论病机,以痰热为主,阴虚次之;论治则,以清利为本,兼顾补 益。中西结合,分期论治。

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    Abstract: This paper introduces the clinical experience of Professor ZHANG Hong in treating bronchiectasis. Professor ZHANG Hong believes that the pathogenesis of bronchiectasis mostly belongs to the deficiency of the root and the excess of the tip,and the pathogen of phlegm- heat runs through the whole course of bronchiectasis. In the acute attack stage, the pathogenesis is mainly phlegm- heat obstruction the lung,while in the protracted stage,the pathogenesis changes to phlegm-heat damaging yin and healthy qi depletion. In the treatment, it is advisable to combine Chinese medicine and western medicine and carry out staging treatment. In the acute stage, it is necessary to clear heat, eliminate phlegm and diffuse the lung,and in the protracted stage,it is necessary to nourish yin,which includes four aspects,namely boosting qi and nourishing yin,banking up earth to generate metal,the stimulative supplement of the lung and kidney, and dissolving stasis and unblocking the collaterals. In short, the pathogenesis is mainly phlegm-heat,followed by yin deficiency;on the principle of treatment,we should focus on clearing and give consideration to supplementing and boosting. Combine Chinese medicine with western medicine and carry out staging treatment.

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郭亚琪,指导:张弘.张弘治疗支气管扩张症经验介绍[J].新中医,2022,54(24):202-206

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  • 在线发布日期: 2023-01-01
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