·906·2023年8月第43卷第8期JilinJournalofChineseMedicineAug.2023Vol.43No.8DOI:10.13463/j.cnki.jlzyy.2023.08.010蔡鸿彦教授根据“大气下陷”理论治疗慢性阻塞性肺疾病的学术思想及临床经验郭鹏1，李睿2，武晓璐3，白昕越1，贾馨蕊1，蔡鸿彦3*（1.长春中医药大学，长春130117；2.北京中医药大学，北京100105；3.吉林省中医药科学院，长春130021）摘要：文章总结了蔡鸿彦教授基于“大气下陷”理论治疗慢性阻塞性肺疾病（COPD）的学术思想及临床经验。蔡鸿彦教授认为本病为本虚标实证，并依据“大气下陷”理论提出，大气不足，上焦阳弱，为本病的发病基础；大气虚弱，宣降失司，为本病的起病之根；大气下陷，饮停痰阻，为本病的核心病机；大气虚脱，阴阳失维，为本病的危重之候。依此确立益气升阳、豁痰降气、止咳平喘贯穿疾病治疗始终的基本原则，用于临床，达到控制疾病进展，改善临床症状，提高患者生存质量的目的。关键词：慢性阻塞性肺疾病；大气下陷；蔡鸿彦；中医药疗法中图分类号：R562文献标志码：A文章编号：1003-5699(2023)08-0906-05ProfessorCaiHongyan'sacademicthoughtandclinicalexperienceinthetreatmentofCOPDbasedonthetheoryof"pectoralqisinking"GUOPeng1,LIRui2,WUXiaolu3,BAIXinyue1,JIAXinrui1,CAIHongyan3*(1.ChangchunUniversityofChineseMedicine,Changchun130117,China;2.BeijingUniversityofChineseMedicine,Beijing100105,China;3.JilinProvinceAcademyofTraditionalChineseMedicine,Changchun130021,China)Abstract:ThearticlesummarizesProfessorCaiHongyan'sacademicthoughtandclinicalexperienceintreatingchronicobstructivepulmonarydisease(COPD)basedonthetheoryof"pectoralqisinking".ProfessorCaiHongyanbelievesthatthisdiseaseischaracterizedbythesyndromeofdeficientvitalqiandexcessinmanifestations,andaccordingtothe"pectoralqisinking"theory,heproposesthatthebasisofthediseaseliesinaninsufficientpectoralqianddeficientyangintheupperjiao,whileitsrootcauseisthefailureofthedispersinganddescendingfunctionsofthelung,andthecorepathogenesisofthisdiseaseisthesubsidenceofthepectoralqi,whichinturnleadstothesuspensionofbodyfluidsandtheobstructionofphlegm,andthecriticalsymptomsofthisdiseasefeaturethedepletionofthepectoralqiandinturnyinandyanglosingnutrients.Accordin...
