从脾胃论治肺胀_马丽佳_徐洪洁_曲妮妮

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1、第31卷第9期中华中医药学刊Vol．31No．92013年9月CHINESEARCHIVESOFTRADITIONALCHINESEMEDICINESep．2013从脾胃论治肺胀马丽佳，徐洪洁，曲妮妮(辽宁中医药大学附属医院，辽宁沈阳110032)摘要:肺胀是多种慢性肺系疾患反复发作，迁延不愈，导致肺气胀满，不能敛降的一种病证。临床表现为胸部膨满、胀闷如塞、喘咳上气、痰多、烦躁等。其病程缠绵，症状时轻时重，日久可见面色晦黯，唇甲青紫，心悸，脘腹胀满，肢体浮肿，甚或喘脱等危重症状。是常见病、多发病、危重病。通

2、过学习四大经典并结合临床实践，认为肺胀临床表现每多虚实互见，寒热夹杂，主脏在肺，并与脾、肾、心密切相关，脾虚贯穿肺胀整个病程。临床常见外寒内饮、外寒内热、肺脾气虚、肺肾气阴两虚、肺心气阴两虚、阳虚水泛、痰蒙神窍7个证型。治疗主张祛邪顾脾胃、固本健脾胃、健脾以安肺、脾、肾、心。即从脾胃论治肺胀。关键词:肺胀;脾胃;辨证;论治中图分类号:R256．1文献标志码:A文章编号:1673－7717(2013)09－2033－03StudyofTreatingLungDistensionConsideringCondi

3、tionofSpleenandStomachMALijia，XUHongjie，QUNini(FirstAffiliatedHospitalofLiaoningUniversityofTraditionalChineseMedicine，Shenyang110032，Liaoning，China)Abstract:Lungdistensionisonetypeofpulmonarydiseasescausedbyrepeatedepisodesandpersistentunhealedva-riouschr

4、onicpulmonarydiseases，andthereforeperformsaslungfullnessandnotrelieving．Theclinicalmanifestationsoflungdistensionincludechestswelling，nausea，cough，phlegmandirritability．Thediseasecouldbelingeringandtheconditionfluctuates．Prolongedlungdistensionwouldleadtoc

5、riticalsymptoms，suchasdullcomplexion，bruisinglipsandfingernails，palpitations，abdominaldistension，swellingofthelimbsandasthma．Theaforementionedcharacteristicsindicatethatlungdistensioniscommon，frequentlyoccurringandcritical．Accordingtolearningofthefourclass

6、icsandclinicalpractice，itisbelievedthattheclinicalmanifestationsoflungdistensionperformbothspirituallyandphysically，mixedwithbodycoldandheat．Lungisthemainlyinvolvedorgan，butcloselyrelatedtospleen，kidneyandheart．Par-ticularly，spleen－weakeningaccompaniesaret

7、hroughoutthelungdistension．AccordingtoTCM，theclinicalmanifesta-tionsoflungdistensionareexteriorcoldandinteriorfluidretention，exteriorcoldandinteriorheat，Qideficiencyinlungandspleen，deficiencyofbothQiandYininlungandkidney，deficiencyofbothQiandYininlungandhe

8、art，edemaduetoYangdeficiency，phlegm－blockedspiritandfeatures．Propertreatmentsforlungdistensionincludedispellingevilandstrengtheningspleenandstomach，foundationstrengtheningandrehabilitationofspleenandstomach，r