顾耘辨治病毒合并细菌感染性社区获得性肺炎经验介绍
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R256.1;R249

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国家自然科学基金项目(82104573); 顾耘上海市名老中医学术经验研究工作室建设项目(SHGZS-202241); 上海市科委课 题(18ZR1440100);上海市卫生健康委员会科研项目(20214Y0372)


Experience of GU Yun in Treating Community-Acquired Pneumonia Caused by Viral and Bacterial Infections
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    摘要:

    总结介绍上海市名中医顾耘教授分期论治病毒合并细菌感染性社区获得性肺炎临床经验。顾耘教 授认为,痰、毒、瘀、虚为本病的关键病机,根据发病时期和证候特点,将其分为三期进行论治。初期邪毒犯 肺,治宜解毒化痰、宣肺止嗽,方选清热解毒汤化裁;中期痰瘀阻肺,治宜健脾化痰、化瘀通络,治以参苓白 术散合桃红四物汤加减;恢复期肺脾肾三脏亏虚,治宜补益精气、兼顾活血,方用四君子汤合六味地黄丸加 减。顾耘教授论治本病强调发挥中药抗病毒的优势,重视分期补益、扶正祛邪,以及活血化瘀疗法在全程中的 应用。

    Abstract:

    Abstract: This paper summarizes the clinical experience of Professor GU Yun, a famous Chinese medicine doctor in Shanghai,on the staging treatment of community-acquired pneumonia caused by viral and bacterial infections. Professor GU believes that phlegm, toxin, blood stasis, and deficiency are the key pathogenesis of the disease. He categorizes the disease into three stages based on the onset and symptoms,each requiring a different treatment approach. In the early stage when toxin invades the lung, the treatment should focus on detoxifying and resolving phlegm,and diffusing the lung and relieving cough; the chosen prescription should be modified Qingre Jiedu Decoction. In the middle stage when phlegm and stasis obstruct the lung, the treatment should aim to fortify the spleen and dissolve phlegm, dissolve stasis and unblock the collaterals; the treatment involves a combination of modified Shenling Baizhu Powder and Taohong Siwu Decoction. In the recovery stage when the lung, spleen, and kidney are deficient,the treatment should focus on supplementing and boosting essential qi,as well as invigorating blood; the prescription used is modified Sijunzi Decoction combined with Liuwei Dihuang Pills. Professor GU emphasizes the advantages of Chinese medicine in antiviral treatment,the importance of stage-based replenishment,reinforcing healthy qi and dispelling pathogen,and the application of blood-activating and stasis-resolving therapy throughout the treatment process.

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赵雪,顾耘,杜文婷.顾耘辨治病毒合并细菌感染性社区获得性肺炎经验介绍[J].新中医,2024,56(14):209-212

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  • 在线发布日期: 2024-07-28
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