1.北京中医药大学东直门医院,北京市东城区海运仓5号,100700
2.北京大学人民医院
fengcuiling@sina.com
收稿:2025-11-19,
修回:2026-05-10,
录用:2026-03-03,
纸质出版:2026-06-17
移动端阅览
吴爱嘉,马中彤,冯淬灵等.武维屏运用“半从络治,半从痈疗”论治支气管扩张症经验[J].中医杂志,2026,67(12):1262-1266.
WU Aijia,MA Zhongtong,FENG Cuiling.WU Weiping's Experience in Treating Bronchiectasis Based on the Thought of "Half Treating from Collaterals and Half Treating as Abscess"[J].Journal of Traditional Chinese Medicine,2026,67(12):1262-1266.
吴爱嘉,马中彤,冯淬灵等.武维屏运用“半从络治,半从痈疗”论治支气管扩张症经验[J].中医杂志,2026,67(12):1262-1266. DOI: 10.13288/j.11-2166/r.2026.12.004.
WU Aijia,MA Zhongtong,FENG Cuiling.WU Weiping's Experience in Treating Bronchiectasis Based on the Thought of "Half Treating from Collaterals and Half Treating as Abscess"[J].Journal of Traditional Chinese Medicine,2026,67(12):1262-1266. DOI: 10.13288/j.11-2166/r.2026.12.004.
总结武维屏教授运用“半从络治,半从痈疗”论治支气管扩张症的经验。临证将该病归为“肺络痈”范畴,认为肺脾气虚、痰瘀热蕴是其核心病机,提出“半从络治,半从痈疗”为治疗总则。根据疾病不同阶段病机特点进行辨治,急性加重期肺气虚损、痰热瘀胶结肺络成痈,应半从化瘀宣通以治络、半从清热涤痰排脓以疗痈,方用千金苇茎汤合漏芦连翘汤加减;慢性迁延期肺脾气虚、络虚痈伏,应半从调中行气固表以治络、半从理肺祛瘀化痰以疗痈,方用玉屏风散合六君子汤加减;同时重视对痰、血、咳的辨证加减用药。
This article introduces Professor WU Weiping's experience in treating bronchiectasis based on the thought of "half treating from collaterals and half treating as abscess". Professor WU classified this disease under the category of "lung collaterals abscess" and proposed the general principle of "half treating from collaterals and half treating as the abscess", based on the core pathogenesis of lung-spleen
qi
deficiency and phlegm-stasis heat accumulation. Treatment should be based on syndrome differentiation according to the pathological characteristics of the disease at different stages. During the acute exacerbation stage, when the lung
qi
depletion and phlegm-heat congestion obstruct the lung collaterals and form into lung abscess, the methods should therefore focus partly on resolving stasis and unblocking to treat from the collaterals, and partly on clearing heat, eliminating phlegm and draining pus to treat as the abscess. Modified
Qianjin Xiejing Decoction
(千金苇茎汤) and
Loulu Lianqiao Decoction
(漏芦连翘汤). During the chronic protracted stage, when there is lung-spleen
qi
deficiency, along with collateral deficiency and latent abscess, the main focus should be half on regulating the middle
jiao
(焦), moving
qi
and
consolidating the exterior to treat from collaterals, and half on rectifying lung, dispelling stasis and resolving phlegm to treat as the abscess, with modified
Yupingfeng Powder
(玉屏风散) and
Liujunzi Decoction
(六君子汤). At the same time, attention should be paid to differentiating phlegm, blood, and cough to tailor the prescription.
中国支气管扩张症临床诊治与研究联盟 , 中华医学会呼吸病学分会 . 成人支气管扩张症病因学诊断专家共识 [J]. 中华结核和呼吸杂志 , 2024 , 47 ( 10 ): 921 - 932 .
XU J F , GAO Y H , SONG Y L , et al . Research advances and clinical management of bronchiectasis: Chinese perspective [J]. ERJ Open Res , 2022 , 8 ( 2 ): 00017 - 2022 .
CHALMERS J D , MALL M A , MCSHANE P J , et al . A systematic literature review of the clinical and socioeconomic burden of bronchiectasis [J]. Eur Respir Rev , 2024 , 33 ( 173 ): 240049 .
LONG M B , CHOTIRMALL S H , SHTEINBERG M , et al . Rethinking bronchiectasis as an inflammatory disease [J]. Lancet Respir Med , 2024 , 12 ( 11 ): 901 - 914 .
王清 , 马浩然 , 王嘉懿 , 等 . 支气管扩张症发病机制及中医药干预研究进展 [J]. 现代中西医结合杂志 , 2024 , 33 ( 24 ): 3493 - 3499 .
苗青 , 袁沙沙 , 丛晓东 , 等 . 支气管扩张症的全程管理及中医诊治思路探讨 [J]. 中医杂志 , 2018 , 59 ( 18 ): 1560 - 1563,1573 .
罗慧 , 张立山 , 武维屏 . 武维屏教授治疗支气管扩张经验 [J]. 中华中医药杂志 , 2014 , 29 ( 3 ): 783 - 785 .
吴宇 , 武维屏 . 武维屏诊治支气管扩张症临证思路 [J]. 北京中医药 , 2021 , 40 ( 6 ): 595 - 597 .
黄茂 , 张立山 . 武维屏重脾胃思想治疗支气管扩张症经验撷英 [J]. 中华中医药杂志 , 2022 , 37 ( 4 ): 2039 - 2042 .
CHALMERS J D , METERSKY M , ALIBERTI S , et al . Neutrophilic inflammation in bronchiectasis [J]. Eur Respir Rev , 2025 , 34 ( 176 ): 240179 .
JOHNSON E , LONG M B , CHALMERS J D . Biomarkers in bronchiectasis [J]. Eur Respir Rev , 2024 , 33 ( 173 ): 230234 .
DICKER A J , MERTSCH P . Infection and the micro-biome in bronchiectasis [J]. Eur Respir Rev , 2024 , 33 ( 173 ): 240038 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号