治肺宜“润”
Family Medicines（2014）
Abstract
中医学认为“肺为娇脏,喜润恶燥”,且与脾、肾有密切关系.中学认为,肺主气,开窍于鼻,外合皮毛;主表,卫外,故外邪从口鼻、皮毛入侵,首先犯肺,导致肺气宣降不利,上逆而为咳,升降失常则为喘,久则肺虚.肺病及脾,脾失健运,不能输布水谷精微,酿湿生痰,壅塞肺气,肺脾两虚.肺病日久亏损肾精,肺不主气,肾不纳气,则气促.阳虚不运则气不化水,水饮内停,致肺脾肾阳气衰微,此外痰浊内蕴化热,痰热壅肺,肺热内郁,清肃失司,肺气上逆.肺主气,脾主运化,肺气有赖于脾所运化的水谷精微以充养.若脾失健运,酿湿成痰,上渍于肺,壅塞肺气,影响气机出入,逐为咳嗽.此即所谓“脾为生痰之源,肺为贮痰之器”.
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