Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral <italic style="font-style: italic">Qi</italic> and Original <italic style="font-style: italic">Qi </italic>Theory

WU Lei; ZHENG Lici; CHEN Yuanbin; LIN Lin

doi:10.13288/j.11-2166/r.2023.14.006

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Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory

更新时间：2023-08-01

- Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory
- Journal of Traditional Chinese Medicine Vol. 64, Issue 14, Pages: 1440-1443(2023)
- 作者机构：
  
  广州中医药大学第二临床医学院/广东省中医院，广东省广州市越秀区大德路111号，510120
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.14.006
  CLC：
- Received：18 March 2023，
  
  Revised：2023-05-02，
  
  Published：17 July 2023
- 稿件说明：
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吴蕾,郑俐慈,陈远彬等.基于宗气、元气理论探讨慢性阻塞性肺疾病的病机与辨治[J].中医杂志,2023,64(14):1440-1443.

WU Lei,ZHENG Lici,CHEN Yuanbin,et al.Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory[J].Journal of Traditional Chinese Medicine,2023,64(14):1440-1443.
吴蕾,郑俐慈,陈远彬等.基于宗气、元气理论探讨慢性阻塞性肺疾病的病机与辨治[J].中医杂志,2023,64(14):1440-1443. DOI： 10.13288/j.11-2166/r.2023.14.006.

WU Lei,ZHENG Lici,CHEN Yuanbin,et al.Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory[J].Journal of Traditional Chinese Medicine,2023,64(14):1440-1443. DOI： 10.13288/j.11-2166/r.2023.14.006.

摘要

基于宗气、元气理论探讨慢性阻塞性肺疾病（简称慢阻肺）的病机与辨治，为临床诊治提供思路。认为慢阻肺的主要病机为肺脾气虚，致宗气虚衰，久病咳喘，日久累及于肾，耗损元气；同时因肺脾肾失司，津液输布失常，酿生痰、湿、瘀，阻碍元气的敷布和充养，元气不足加之布散无力可加重肺虚，进而咳喘加重，如此恶性循环，缠绵难愈。提出慢阻肺的治疗重在培扶宗元之气，可使五脏功能健旺，以终止正虚致邪实、邪实促正虚的恶性循环。宗元之气旺盛，脏腑功能健运，呼吸得司则宣肃得宜，津液得运，气机得畅，则痰、湿、瘀得化而散。培扶宗元的治法主要包括养元、布元、活元，即补益后天以养先天之气、宗气升转以输布元气、温阳益精以激活元气。

Abstract

This paper discussed the the pathogenesis， differentiation and treatment of chronic obstructive pulmonary disease （COPD） based on pectoral

and original

theory， so as to provide reference for clinical diagnosis and treatment. It is believed that the main pathogenesis of COPD is lung and spleen

deficiency resulting in pectoral

depletion， and chronic cough and asthma， with the kidneys damaged over time， and thereafter consuming original

； simultaneously， due to the dysfunction of lung， spleen and kidney. There is disordered transportation of the body fluid， and the phlegm， dampness and stasis are generated， obstructing the distribution and nourishment of original

； insufficient original

and weak dispersion aggravate the lung deficiency， and thereby increasing the severity of cough and asthma. With such a vicious cycle， the disease is lingering and difficult to be cured. It is proposed that the treatment of COPD should focus on banking up and reinforcing pectoral and original

， which can promote the well-functioning of the five zang organs， and end the vicious cycle that healthy

deficiency leading to pathogen excess， and pathogen excess promoting healthy

deficiency. When the pectoral

is vigorous， the zang fu organs well function in transportation， and the breathing is properly controlled， there will be appropriate diffusion and purification， and the body fluid is transported， and the

movement is smooth， and finally the phlegm， dampness and stasis are dissolved and dispersed. The method of banking up and reinforcing pectoral and original

mainly includes nourishing， dispersing and activating original

， which means supplementing the acquired

to nourish the congenital

， raising and transforming the pectoral

to transport and disperse the original

， warming

yang

and boosting essence to activate the original

关键词

Keywords

references

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Discussion on the Pathogenesis， Differentiation and Treatment of Chronic Obstructive Pulmonary Disease based on the Pectoral Qi and Original Qi Theory

DOI：10.13288/j.11-2166/r.2023.14.006

摘要

Abstract

关键词

Keywords

references