武维屏教授应用桑苏桂苓饮治疗慢性肺原性心脏病经验

Professor WU Weiping's experience in treating chronic pulmonary heart disease with the prescription of Sangsu Guiling Yin

关键词:  慢性肺源性心脏病  肿喘  桑苏桂苓饮  治疗经验  武维屏

Key words:  chronic pulmonary heart disease  edema and dyspnea  Sangsu Guiling Yin  treatment experience  Wu Weiping

摘要:

武维屏教授将慢性肺原性心脏病归纳为三期十候，分为悸、痰、肿、绀4型，并认为阳虚饮停是肿喘型肺心病患者的基本体质，临床以桑苏桂苓饮为基本方辨证加减。感邪而发，重视因势利导，合用麻黄剂，驱邪外出，防止"闭门留寇"；无感而作，强调分辨寒热，合用瓜蒌、半夏，调节阴阳，宣畅气机；症状平稳，肿喘不甚，以五苓散温阳化饮，调理体质；久病及肾，命门火衰，合用附子，以助气化，并继之以阴阳同补之品缓缓图之。武维屏教授在使用桑苏桂苓饮的过程中，重视阴阳平衡，强调气机升降，顾护脾胃功能，药少方精，灵活变化，效如桴鼓。

Abstract:

Professor WU Weiping reduced the phenotype of chronic pulmonary heart disease to three stages and ten syndromes. It can be divided to 4 types according to the concomitant symptoms, respectively were palpitation, phlegm, edema and cyanosis. Morbid fluid retention due to deficiency of yang is the basic traditional Chinese medicine constitution of the patients of chronic pulmonary heart disease. Professor WU Weiping used the prescription of Sangsu Guiling Yin as the basic prescription to treat the syndrome characterized by dyspnea and edema. The prescription of ephedra could be jointly used when it was caused by exogenous factors. It should regulate the balance of yin, yang and qi activity when it was caused by internal factors. The prescription of Wuling San could be used in a stable condition, while Fupian was needed in the stage of decline of vital gate fire. Professor WU Weiping attached importance to the balance of yin and yang and paid much attention to the qi activity regulation during the use of the prescription of Sangsu Guiling Yin which brought about a striking effect.