从“久卧伤气”论治肺癌晚期合并坠积性肺炎

On the treatment of advanced lung cancer with hypostatic pneumonia from “Excessive rest on bed impairing qi”

关键词:  久卧伤气  肺癌  坠积性肺炎

Key words:  excessive rest on bed impairing qi  lung cancer  hypostatic pneumonia

摘要:

“久卧伤气”相关理论起源于《黄帝内经》，中医认为患者久卧伤气，气伤则虚，气血运行受阻，经脉难以疏通，肢体肌肉官窍日趋衰弱，最终导致痰瘀互结，脏腑虚弱。坠积性肺炎是肺癌晚期的一个严重并发症，肺癌晚期患者久卧于床，在一定程度导致气的耗损，气血运行受阻，人体虚弱无力，患者无力将淤积在中小气管中的呼吸道分泌物排出体外，通气功能受阻，细菌得到充分的条件生长和繁殖，很容易诱发肺部炎症，从而并发坠积性肺炎。本文以“久卧伤气”为理论依据，从肺癌晚期合并坠积性肺炎的病机出发，论述“久卧伤气”与肺癌晚期合并坠积性肺炎的关系，以期为临床诊疗提供坚实的理论基础。

Abstract:

The theory of "long lying and injuring" originated from the Huangdi Neijing. Traditional Chinese medicine believes that the patients lying for long time would damage qi working, and blood was obstructed, the circulation of qi and blood were obstructed, the meridians were difficult to dredge, the body muscles were gradually weakened, and the phlegm and blood stasis were eventually linked, and the viscera was weak. Hypostatic pneumonia is a serious complication of advanced lung cancer, patients with advanced lung cancer for a long time in bed, resulting in a certain degree of gas consumption, blood run suffocate suffocate, body weakness, patients would be unable to deposit in the small airway secretions in the trachea excreted, ventilation blocked, bacterial growth and reproduction of sufficient conditions were obtained. It is easy to induce lung inflammation, which complicated with hypostatic pneumonia. Based on the "Excessive rest on bed impairing qi" as the theoretical basis, from advanced lung cancer with the pathogenesis of pneumonia in the fall of this product, "late long lay gas and lung cancer complicated with pneumonia falling Union, in order to provide a solid theoretical basis for the clinical diagnosis and treatment.