心肺相关源流探析

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1、心肺相关源流探析刘玉金贾振华河北医科大学研宄生学院河北以岭医院，国家中医药管理局中医络病学重点学科河北以岭医药研宄院家中医药管理局重点研宄室（心脑血管络病）河北省络病重点实验室摘要：流行病学研究显示心肺疾病往往互相影响，如慢性阻塞性肺病（COPD）后期常常出现肺心病心衰或合并冠心病（CAD）,而冠心病亦往往影响肺的通气功能，故就心肺相互关联的理论源流及当代研宂作一概述。《黄帝内经》（简称《内经》）和《难经》最早记载了心肺在生理病理上的相关性，奠定了心肺相关的理论基础。东汉•张仲景从心肺同治的角度论治胸痹、痰饮等病证，晋唐以后从金火相制论述心肺相关并发明宗气统

2、摄心肺功能，当代医家从各种心肺疾病的临床实践及流行病学研宄发展Y心肺相关理论。关键词：慢性阻塞性肺病;冠心病;心肺相关;宗气;作者简介：刘玉金（1974-）,男，河北唐山人，主治医师，在读傅士，从事心血管疾病的临床与研究。作者简介：贾振华，男，主任医师，教授，医学博士，博士研宂生导师，从事心血管疾病的理论与临床研宄，Tel:18503210608,E-mail:jiatcm@163.com。收稿日期：2016-12-09基金：国家重点基础研究发展计划（973计划）项目（2012CB518606）OriginAnalysisofRelatedHeartandL

3、ungLIUYu-iingJIAZhen-huaGraduateschoolofHebeiMedicalUnivercity;YilingHospitalofHebeiProvince(KeydisciplineofcollateraldiseasesubjectofStateadministrationofTCM);Abstract：Epidemiologicstudieshaverevealedtheinteractionbetweenheartandpulmonarydiseases.Suchasintheadvancedchronicobstruct

4、ivepulmonarydisease，itwoulddevelopcorpulmonaleandchronicheartfailureorcoexistwithcoronaryarterydisease,andcoronaryarterydiseasecanaffectpulmonaryventilationfunction.Tnthisarticle,wereviewedthetheoreticaloriginanddevelopmentsofthecorrelationbetweenheartandlungandcontemporarystudies.

5、ThepathophysiologicalassociationsbetweenheartandlungwereelucidatedintheInnerCanonoftheYellowEmperorandCatecheticalCanon，layingthetheoreticalfoundationsaboutheart-lungcorrelation.IntheEastHanDynasty,ZhangZhongjingtookacomprehensivetherapyaimingatheartandlungtotreatthoracicobstructio

6、norphlegmandfluidretention.SincetheJinandTangDynasties,theheart-lungcorrelationwasexpoundedbytherestraintbetweenpulmonarymetalandheartfire,andfurthermoretheancestralqiwhichgovernstheheartandlungfunctionswasemphasizedparticularly.Moreovercontemporarydoctorsconductedabundantclinicalp

7、racticesandepidemiologicstudiesaboutvariouscardiacandpulmonarydiseases,whichfurtherenrichedthetheoryofheart-lungcorrelation.Keyword：Chronicobstructivepulmonarydisease;CoronaryHeartdisease;Heart-lungcorrelation;Zongqi;Received：2016-12-09大量的流行病学研宄显示，心肺疾病往往互和影响，如慢性阻塞性肺病(C0PD)后期常常出现肺心病

8、心衰或合并冠心病(CAD)U1，而冠心病亦往往影响肺