治喘之法, 不只在于肺肾亦在于脾

Experience of invigorating the spleen and lung on treating respiratory muscle fatigue of COPD

关键词:  喘证  慢性阻塞性肺疾病  健脾益肺法

Key words:  the syndrome of dyspnea  chronic obstructive pulmonary  invigorating the spleen and reinforcing the lung

摘要:

慢性阻塞性肺疾病(COPD)呼吸肌疲劳贯穿于慢性阻塞性肺疾病发生、发展甚至死亡的整个过程,是出现喘促等不适症状的重要因素之一。从肺、从肾入手治疗COPD所致喘证常不能取得理想效果。脾主肌肉,COPD呼吸肌疲劳常为脾气亏虚,肌肉不能得以充养所致,且脾为五脏的中心,脾气健,则五脏可得后天精气之充养。故治疗呼吸肌疲劳所致之喘证,从脾入手,往往可取得意想不到的佳效。

Abstract:

The fatigue of respiratory muscle can occur in all the process of chronic obstructive pulmonary diseases (COPD),including the onset,development and death and was one of important factors causing the symptom of dyspnea with rapid and short breath and some other complaint.The therapy that focused on the lung and kidney sometimes could not obtain a satisfactory curative effect.The spleen could nourish the muscle and the fatigue of respiratory muscle of COPD can be induced by deficiency of spleen QI and insufficient supply of nutrition.At the same time spleen was the center of five organs.If spleen was in good health other organs could get the nutrition from the essence acquired after birth.Therefore,when meeting a patient with the syndrome of dyspnea induced by the fatigue of respiratory muscle the treating should addressed on the spleen and unexpected satisfactory effect could be obtained.