基于“肺脾阴肤–玄府–络脉轴”探究从肠论治慢性阻塞性肺病

Discussion on Treatment of Chronic Obstructive Pulmonary Disease from Intestine Based on the Theory of “Feipi Yinfu-Xuanfu-Collaterals-Axis”

摘要: 慢性阻塞性肺病(Chronic obstructive pulmonary disease, COPD)是当今常见疾病之一，其发病率和死亡率在逐渐上升。但现今的医疗水平对COPD基本无法治愈，只能改善症状，延缓发展。“肺脾阴肤–玄府–络脉轴”属于中医的微观结构理论，与西医学中的气道、肠道微观结构及功能类似，故本文基于“肺脾阴肤–玄府–络脉轴”学说为基础并结合现代医学研究，提出从肠论治COPD，并且其治疗关键在于改善气道重塑。治疗上可通过振奋脾系玄府，化瘀散浊治其本；通腑化浊，肃清肠道阴肤；培土生金，恢复肺脾玄府的气化功能三个方面进行。

Abstract: Chronic obstructive pulmonary disease (COPD) is one of the most common diseases today, and its morbidity and mortality are gradually increasing. However, the current level of medical treatment is basically unable to cure COPD, only to improve symptoms and delay development. “Feipi Yinfu- Xuanfu-Collaterals-axis” belongs to the micro-structure theory of traditional Chinese medicine, which is similar to the micro-structure and function of airways and intestines in Western medicine. Therefore, based on the theory of “Feipi Yinfu- Xuanfu-Collaterals-axis” and combined with modern medical research, this paper proposes to treat COPD from the intestine, and the key to its treatment is to improve airway remodeling. The treatment can be through invigorating the spleen system Xuanfu, dissipating stasis and turbidizing to cure its root; Direct bowel movements and eliminate turbid pathogens, clear intestinal Yin skin; Reinforcing earth to generate metal and restoring the pneumatolytic function of lung and spleen Xuanfu are carried out in three aspects.