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1、第31卷第9期中華中醫(yī)藥學(xué)刊Vol．31No．92013年9月CHINESEARCHIVESOFTRADITIONALCHINESEMEDICINESep．2013從脾胃論治肺脹馬麗佳，徐洪潔，曲妮妮(遼寧中醫(yī)藥大學(xué)附屬醫(yī)院，遼寧沈陽110032)摘要:肺脹是多種慢性肺系疾患反復(fù)發(fā)作，遷延不愈，導(dǎo)致肺氣脹滿，不能斂降的一種病證。臨床表現(xiàn)為胸部膨滿、脹悶如塞、喘咳上氣、痰多、煩躁等。其病程纏綿，癥狀時輕時重，日久可見面色晦黯，唇甲青紫，心悸，脘腹脹滿，肢體浮腫，甚或喘脫等危重癥狀。是常見病、多發(fā)病、危重病。通
2、過學(xué)習(xí)四大經(jīng)典并結(jié)合臨床實(shí)踐，認(rèn)為肺脹臨床表現(xiàn)每多虛實(shí)互見，寒熱夾雜，主臟在肺，并與脾、腎、心密切相關(guān)，脾虛貫穿肺脹整個病程。臨床常見外寒內(nèi)飲、外寒內(nèi)熱、肺脾氣虛、肺腎氣陰兩虛、肺心氣陰兩虛、陽虛水泛、痰蒙神竅7個證型。治療主張祛邪顧脾胃、固本健脾胃、健脾以安肺、脾、腎、心。即從脾胃論治肺脹。關(guān)鍵詞:肺脹;脾胃;辨證;論治中圖分類號:R256．1文獻(xiàn)標(biāo)志碼:A文章編號: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
