CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency

CHEN Hongli; ZHANG Hongchun

doi:10.13288/j.11-2166/r.2025.13.003

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CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency

更新时间：2025-06-27

- CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency
- Journal of Traditional Chinese Medicine Vol. 66, Issue 13, Pages: 1317-1321(2025)
- 作者机构：
  
  1.北京市朝阳区中医医院，北京市朝阳区工体南路6号，100020
  2.中日友好医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.13.003
  CLC：
- Received：30 April 2024，
  
  Revised：2024-06-16，
  
  Published：02 July 2025
- 稿件说明：
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陈宏丽,张洪春,晁恩祥.晁恩祥从热、痰、瘀、虚分期辨治特发性肺含铁血黄素沉着症经验[J].中医杂志,2025,66(13):1317-1321.

CHEN Hongli,ZHANG Hongchun.CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency[J].Journal of Traditional Chinese Medicine,2025,66(13):1317-1321.
陈宏丽,张洪春,晁恩祥.晁恩祥从热、痰、瘀、虚分期辨治特发性肺含铁血黄素沉着症经验[J].中医杂志,2025,66(13):1317-1321. DOI： 10.13288/j.11-2166/r.2025.13.003.

CHEN Hongli,ZHANG Hongchun.CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency[J].Journal of Traditional Chinese Medicine,2025,66(13):1317-1321. DOI： 10.13288/j.11-2166/r.2025.13.003.

摘要

总结晁恩祥教授从热、痰、瘀、虚分期辨治特发性肺含铁血黄素沉着症的临证经验。认为本病以血热痰瘀、气阴两虚为核心病机，其中急性肺出血期病机以血热炽盛为主，方用十灰散加减以清热和营、降火安络；肺出血静止期病机以痰热壅肺为主，方用清肺定咳汤加减以清肺化痰、和络止血；慢性期急性发作病机以气阴两虚、血热痰瘀为主，方用生脉散、十灰散合清肺定咳汤加减以益气养阴、清热化痰祛瘀；慢性迁延后遗期病机以气阴两虚为主，方用生脉散加减以益气养阴、润肺宁血。

Abstract

To summarise the clinical experience of Professor CHAO Enxiang in treating idiopathic pulmonary hemosiderosis （IPH） by staging from heat， phlegm， stasis and deficiency. It is believed that IPH has blood-heat and phlegm-stasis， and deficiency of

and

yin

as the core pathomechanisms， in which the pathomechanism of acute pulmonary haemorrhage is based on intense blood heat， and modified

Shihui Powder

（十灰散） is used to clear heat and regulate

ying qi

（nutrient

）， and reduce fire to settle the collaterals. The pathomechanism of pulmonary haemorrhage in the static stage is based on phlegm-heat obstructing the lungs， and modified

Qingfei Dingke Decoction

（清肺定咳汤） is used to clear the lungs and dissolve phlegm， harmonize the collaterals to stop haemorrhage. The pathomechanism of acute exacerbation at chronic stage is based on deficiency of

and

yin

， and also blood-heat and phlegm-stasis， modified

Shengmai Powder

（生脉散），

Shihui Powder

plus

Qingfei Dingke Decoction

should be used to benefit

and nourish

yin

， clear heat， resolve phlegm and eliminate blood stasis. In the chronic prolongation period， the pathogenesis of the disease is based on the deficiency of

and

yin

， modified

Shengmai Powder

may be used to benefit

and nourish

yin

， moisten the lungs and rest blood.

关键词

Keywords

references

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