Specially sending lung fiber Chinese medicine dividing into type and treating _'s treatment

Specially sending lung fiber Chinese medicine dividing into type and treating _'s treatment
Deng ShiZhou Lin JunPing Wang Bing high honour Guo chirp bright spring 2005-12-13 13:05:28 the intersection of China and practical medical the intersection of magazine and number 9 of Vol. 4 of May of 2004 Yang Deng week




Specially sending lung fiber (IPF) It is that a kind of reason is unidentified, chronic, quality pathological change among the going on lung [1] . Modern medical science thinks department's one's own immune disease [2] . Morbidity and case fatality rate rise constantly in recent years, cause of disease its and have illness coming on mechanism to be so far clear. Clinical manifestation has difficulty in breathing as the characteristic for slight dry cough, going on uncomfortable in chest, wheezes, breathe but death depletedly finally. Prognosis of this disease is bad, lack the specific treatment clinically. It is glucocorticoid to treat IPF first-selected medicine at present, secondly it is immune inhibitor and Chinese herbal medicine, and employ glucocorticoid and immune inhibitor for a long time, can cause the serious bad reaction, even accelerate the death. Discuss the dividing into type of Chinese medicine of IPF and treat the important subject that is clinical research dialectically. Chinese medicine ancient literature have record of IPF, majority cure house include " lung bloated " in it according to clinical manifestation their , " lung impotence " , " lung numbness " , " breathe heavily disease " , " cough " , " lose heart " Waiting for the category, we classify this disease as " lung numbness " Category. Record " by the numbness theory in Huang Ti ": "Leather numbness, already, shut on lung inside, the intersection of lung and numbness Excessive gas wheeze numbness gather in the lung. " " the lung numbness person, breathe heavily and vomit irritatedly and fully " . " numbness enters the dirty ones and dies " ,Similar to IPF in cause of disease, getting ill, clinical manifestation and prognosis. Think it is its cause of disease that the weakness of healthy tendency, diseases caused by external factors six are excessive, angry overcast two is lost, it is mutually formed that the extravasated blood phlegm is turbid, the lung is held in place with a net and congealed astringently as its disease machine. Because poisonous to close, hinder on quality under lung while being evil, it is obstructed for lung to hold in place with a net, lung lose declare, lower, have difficulty in breathing, breathe hard and move and aggravate, symptoms such as the dry cough, breathing heavily to suffocate,etc..
The dialectical treatment respect of Chinese medicine, are mainly divided into a damp and hot hindering inside, lung and held obstructed types in place with a net; The intersection of deficiency of vital energy and the intersection of blood and silt, lung lose it declares persons who lower to be and overcast to lose blood silt, lung angry to close getting strongly fragrant. Treat dialectically and often choose the medicine with clear reversion lung fiber medicine and regulate the immunological function in modern pharmacology to combine together. The main application of blood circulation promoting of open lung grows Radix Astragali, silver flower, Chinese angelica, root of red-rooted salvia, Radix Curcumae, fastens, covers medicines such as flowers,etc., grow Radix Astragali " It is empty to enrich all of the five internal organs " ," can be open to adjust the blood vessels, collateral channels prevail " . Coincide with the silver flower, nature is sweet and cool, the smell is gentle, and can strengthen the function of the open favourable blood vessels. Chinese medicine thinks, " all persons who promote blood circulation must nourish blood first " ,Have open favourable blood vessels and concurrently work nourishing blood to share with Chinese angelica. Root of red-rooted salvia, Radix Curcumae, fasten, cover, spend blood circulation promoting to be put through to hold in place with a net, ventilate the lung, turn on numbness. Modern pharmacology research indicates to grow Radix Astragali, Chinese angelica to regulate the immunological function, among them grow Radix Astragali, root of red-rooted salvia and reverse lungs, fiber function of liver. Have scholar divide it into six type, give Zhi Shi: Wind heat making the lung type. Manage it in order to expell wind, clear away heat, moisten the lung and stop coughing, and then select Sang Ju to drink and shut the leaf gypsum soup of bamboo, medical mulberry leaf, chrysanthemum, forsythia, the root of large-flowered skullcap, Radix Platycodonis, almond, plaster of stone, leaf of the bamboo, crown prince join, wheat winter, bulb of fritillary of Sichuan, growing licorice root,etc.. Phlegm heat stops up the lung type. Manage it in order to clear away heat and detoxify, facilitate the flow of the lung-qi to relieve asthma, and then select the stone sweet soup of rough apricot to shut the five flavours and sterilize and drink adding or subtracting, medicine sends Chinese ephedra, almond, plaster of stone, roast meat licorice root, honeysuckle, forsythia, dandelion, Herba Violae, mother chrysanthemum, melon Lou, Radix Paeoniae Rubra, root of purple-flowered peucedanum, roast meat loquat leaf Heart and lungs deficiency of vital energy and blood silt type. Manage it in order to tonify the heart and lungs, medicine selects ginseng, lily, rhizome of large-headed atractylodes, Indian bread, Chinese angelica, Radix Paeoniae Rubra, root of red-rooted salvia, Rhizoma Chuanxiong, wheat winter, bulb of fritillary of Fructus Schisandrae Chinensis, Sichuan, tangerine, roast meat Two overcast empty, blood vessels silt hindering types that angry. Manage until benefit angry to raise overcast reducing phlegm, relieving cough, select, activate pulse scattered to shut king mend heart to be red, medical ginseng, Mai Dong, Radix Asparagi, Fructus Schisandrae Chinensis, Chinese angelica, high aspiration, Radix Platycodonis, Radix Scrophulariae, Radix Rehmanniae, root of red-rooted salvia, safflower, three strings, E's skill, frying jujube kernel, tendril-leaved fritillary bulb Water of deficiency of yang of kidney of spleen of heart is suffused with, blood silt type. Cure it with warm male genital's favourable water, blood circulation promoting silt, and then select very military soup to shut the sweet soup of skill of the Guangxi Zhuang Autonomous Region of fuling, the medical roast meat is enclosed to slice, son, Rhizoma Chuanxiong, safflower, rhizoma alismatis, roast meat licorice root,etc. before cassia twig, rhizome of large-headed atractylodes, root of herbaceous peony, big belly peel, car. Negative and positive is all empty type. Cure in order to go back male genital rescue overcast and benefit angry to reply pulse, select, join, enclose soup activate pulse scattered to add bad smell jointly, medical ginseng, rhizome of large-headed atractylodes, roast meat enclose stretch, do ginger, winter such as wheat, Fructus Schisandrae Chinensis, root of red-rooted salvia, Radix Astragali, Indian bread, the intersection of roast meat and licorice root,etc.. Have scholar besides with compound to treat copies of disease, it directs copies of gas of disease against to be overcast and two timid while being dialectical, have phlegm, silt, hot evil disease machine concurrently, adopt until benefit angry to raise overcast for main fact, have blood circulation promoting silt concurrently, clear away heat to detoxify, reduce phlegm and breathe heavily etc. and manage the law definitely. Angry medicine of benefit often selects dangshen, Radix Astragali, sealwort, Indian bread, licorice root,etc.; Grow overcast medicine in daily SHASHEN(sic), wheat winter, Fructus Schisandrae Chinensis, prepared rhizome of rehmannia,etc.; Blood circulation promoting silt medicine often selects Chinese angelica, Rhizoma Chuanxiong, root of red-rooted salvia, triangular, ground beetle, the whole scorpion, Wu loose, etc; Antidote often selects honeysuckle, forsythia, the root of large-flowered skullcap, Sang Bai's cover, Herba Houttuyniae,etc. to clear away heat; Apophlegmatisant often selects tuber of pinellia, winter the flower, melon Lou, shellfish of Zhejiang, bamboo drip,etc..
For using the patient employing cortical hormone to treat, use traditional Chinese medicine to jointly treat, not only reduce the side effect of hormone but also can increase its curative effect, reduce hormone consumption gradually. It is hot more prominent in its deficiency of Yin of clinical manifestation, so rely mainly on replenishing vital essence and removing heat, south SHASHEN(sic), wheat winter, Radix Scrophulariae, Sang Bai's cover, Cortex Lycii, the root of large-flowered skullcap of pharmaceutial use,etc.; For employ cortical hormone and continue, send patient that lung infect, angry overcast two it timid, phlegm hot time that stop up inside likewise obvious, so angry to raise overcast clearing away heat, turning phlegm into main facting with benefit, medical crown prince's joining, south SHASHEN(sic), Rhizoma Atractylodis, rhizome of large-headed atractylodes, umbellate pore furgus, Indian bread, the whole Gua Lou, Sang Bai's skin, Ting Li's son,etc.; As to employing low dose of cortical hormone and patient without obvious progress of the condition for a long time, with benefit being angry to grow overcast, blood circulation promoting turn silt into main fact, the intersection of pharmaceutial use and south SHASHEN(sic), Radix Astragali, Rhizoma Atractylodis, rhizome of large-headed atractylodes, almond, peach kernel, dried fruit of citron, Radix Curcumae, violet quartz,etc; Infect the serious and initiation and breathe a depleted patient, reducing phlegm, blood circulation promoting silt treatment of clearing away heat emphatically as to the lung, medical Cortex Mori, the whole the intersection of Gua and Lou, the intersection of Jiu and white, Zi, the intersection of Ting and the intersection of Li and son, almond, peach kernel, Rhizoma Chuanxiong, Herba Lycopi,etc. Su. Because IPF take place on middle-aged and old patient more, many kidney angry to lose timid, the intersection of IPF and patient have, urge, congeal activity to be hyperfunction in the lung at the same time, cause extravasated blood close, hinder, strongly fragrant melting hot, dawdle angry to injure Tianjin, cause angry and overcast and two timid, because of the application of cortical hormone, angry to lose timid and prominent while being overcast, and angry to lose timid to have, aggravate in extravasated blood marrying further while being overcast, the lung is held in place with a net and further damaged, so the author thinks while IPF treats, benefit is angry to raise overcast, blood circulation promoting silt and will be carried throughout. Clinical research proves too, it is raised overcastly that benefit is angry
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