肺血瘀证之复兴初探

Brief exploration on recovery of blood stasis in lung

关键词:  脏腑辨证  肺  血瘀  从瘀论治

Key words:  differentiation of Zang-Fu  lung  blood stasis  treatment from blood stasis

摘要:

肺血瘀证古之记载罕见，现行规划教材中亦弃而不载，然收集先哲所论，参以现代临床及实验研究，认为临床中肺病从瘀论治并不少见，肺血瘀证有其形成的生理基础、病理机制，临床多表现为咳痰喘伴有血瘀证，如咯血、胸痛有定处、口唇指甲紫绀，舌紫有瘀斑等。现代医学普遍认为，血黏度增高、肺间质纤维化、肺动脉高压为瘀血的病理表现，药理研究证实中药活血化瘀药可改善上述情况，亦证明肺血瘀证的客观存在。但肺血瘀证常兼见他证，易于被掩盖，肺血瘀证应得到复兴。

Abstract:

The records of blood stasis in lung is rarely found from the ancient time. It is also exposed and not recorded in the modern classic treating material. Through collecting the historical materials from the ancient doctors and referencing the modern clinical and experimental research the author has considered that the records of treating lung diseases from stasis is not rarely found. The syndrome of blood stasis in lung has their physiological basis, pathological mechanism. Clinically, it mainly manifested as coughing sputum combined with asthma, such as emptysis, chest pain in definite location, cyanotic lips and nail, purple tongue with ecchymosis etc. Popularly, current medicine thinks that elevated blood viscosity, fibrosis of pulmonary interstitial tissue and pulmonary arterial hypertension are seen as the pathological appearance of blood stasis. The pharmacological research demonstrated that the herbs having activating blood circulation and removing stasis of traditional Chinese medicine can improve above situations. It also proves the existence of lung blood stasis objectively. Some other syndromes could be seen with lung blood stasis simultaneously and the stasis sometimes is covered easily. The syndrome of lung blood stasis must be recovered.