摘要
慢性肺源性心脏病(简称肺心病)为本虚标实之证,本虚为脾胃虚弱,标实为水饮、血瘀、痰浊,应治以健脾益气,温阳利水,活血化瘀。病久伤正者,给予白术、黄芪、太子参等益气健脾,配伍当归、川芎等行气养血活血。水肿明显者,应脾肾双补,温阳化气利水,常用附子、生姜温阳化水,茯苓、猪苓、泽泻淡渗利水,配伍白术健脾补气;痰瘀互结者,予半夏、白芥子等温肺暖脾化痰,丹参、桃仁、红花活血祛瘀,桔梗、枳壳行气化瘀。脾胃在本病发病和治疗中起重要作用,平素注意顾护脾胃,可减少慢性肺心病急性发作和感染的次数。
Chronic cor pulmonale is the syndrome of deficiency as primary and excess as secondary.Deficiency as primary is manifested as weakness of the spleen and stomach,while excess as secondary is manifested as excessive fluid,blood stasis and turbid phlegm.It should be treated by invigorating spleen and tonifying qi,warming yang and promoting diuresis,activating blood circulation and removing blood stasis.For chronic disease hurting healthy qi,Baizhu(Rhizoma Atractylodis Macrocephalae),Huangqi(Radix Astragali),Taizishen(Radix Pseudostellariae),etc,can be used for tonifying qi and invigorating spleen.Danggui(Radix Angelicae Sinensis)and Chuanxiong(Rhizoma Chuanxiong)can be used for moving qi,nourishing blood and activating blood circulation.For severe edema,the treatment should focus on nourishing both spleen and kidney,warming yang and transforming qi and promoting diuresis.Fuzi(Radix Aconiti Lateralis Preparata)and Shengjiang(Rhizoma Zingiveris Recens)are often used for warming yang and promoting dieresis.Fuling(Poria),Zhuling(Polyporus)and Zexie(Rhizoma Alismatis)are often used for dampdraining diuretic,and Baizhu(Rhizoma Atractylodis Macrocephalae)can be combined for invigorating spleen and tonifying qi.For intermingled phlegm and blood stasis,Banxia(Rhizoma Pinelliae)and Baijiezi(Semen Sinapis)can be used for warming lung,warming spleen and resolving phlegm.Danshen(Radix Salviae Miltiorrhizae),Taoren(Semen Persicae),and Honghua(Flos Carthami)can be used for activating blood circulation and removing blood stasis.Jiegeng(Radix Platycodonis)and Zhiqiao(Fructus Aurantii)can be used for moving qi and removing blood stasis.The spleen and stomach play an important role in the pathogenesis and treatment of this disease.It is necessary to take care of the spleen and stomach in daily life,which can reduce the frequency of acute attack and infection of chronic cor pulmonale.
作者
赵文廷
曲妮妮
ZHAO Wen-ting;QU Ni-ni(Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning,China,110847;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning,China,110032)
出处
《河南中医》
2021年第4期508-510,共3页
Henan Traditional Chinese Medicine
关键词
慢性肺心病
肺胀
从脾胃论治
chronic cor pulmonale
ung distension
treatment from spleen and stomach
