浅议肺饮病之论治

Discussion on the treatment of Feiyin disease

关键词:  肺饮病  肺水肿  肺阳虚  温法

Key words:  Feiyin disease  pinocytosis  pulmonary edema  lung yang deficiency  warm method

摘要:

肺饮病病位在肺，涉及脾、肾、心等脏，病性为本虚标实之证，病机以肺阳亏虚为本，气、血、水紊乱为标，西医中的肺水肿即属于肺饮病范畴。肺水肿是指肺内组织液的生成和回流平衡失调，大量肺毛细血管内的组织液经过外渗，积聚在肺泡、肺间质和细支气管内，使肺血管外液量增多，从而造成肺的通气与换气功能严重障碍的病理状态。中医在治疗上需要分清标本虚实，注重肺与其他脏腑联系，急性期以温阳利水、化痰理气为主，缓解期以温肺助阳、健脾益肾为主，突出“以温药和之”的治疗原则，用药应标本兼顾、补虚泄实，使得复杂病症得以合理有效的治疗。

Abstract:

Feiyin disease is located in the lung and involves the spleen，kidney，heart and other organs. The nature of the disease is the syndrome of deficiency and excess. The disease mechanism is marked by the deficiency of lung yang，as well as the disturbance of qi，blood and water. Pulmonary edema in modern medicine belongs to the category of “Feiyin”. Pulmonary edema refers to the imbalance between the generation and return of tissue fluid in the lung. A large number of tissue fluid in pulmonary capillaries accumulate in alveoli，pulmonary interstitium and bronchioles after extravasation，resulting in the increase of extravascular fluid，causing the pathological state of severe impairment of the ventilation and ventilation function of the lung. In the treatment of traditional Chinese medicine，it is necessary to distinguish the deficiency and excess of specimens，and pay attention to the connection between the lung and other viscera. In the acute stage，it is mainly to warm yang and promote water，remove phlegm and regulate qi，and in the remission stage，it is mainly to warm the lung and help yang，strengthen the spleen and benefit the kidney. It highlights the treatment principle of “combine it with warm medicine”. The medication should take into account the specimens，supplement deficiency and relieve excess，so that complex diseases can be treated reasonably and effectively.