慢性阻塞性肺疾病急性加重的三阳合治探析
Journal of Traditional Chinese Medicine University of Hunan（2022）
Abstract
基于六经辨证体系中"三阳合病"理论,提出慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstruc-tive pulmonary disease,AECOPD)可见三阳合病,当三阳合治.AECOPD因其常由外感诱发,故可见太阳表证;邪气入里,可见少阳半表半里证与阳明热证.痰饮水湿为AECOPD的重要病理产物,故AECOPD三阳合病亦常兼太阴.临证时应重视辨别三阳病各自的程度轻重及痰、饮等病理产物的兼夹,酌情选用大青龙汤、小青龙加石膏汤、麻杏石甘汤、小柴胡汤、小陷胸汤、千金苇茎汤等方剂进行合方加减,以达到外解太阳之邪、内清阳明之热、中和少阳之枢的功效,及时减轻症状,控制病情发展.
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