基于“心肺同歸一治”學(xué)術(shù)思想論治慢阻肺并發(fā)失眠

【摘 要】 “心肺同歸一治”學(xué)術(shù)思想認(rèn)為心肺位置毗鄰，兩臟之病可通治。慢阻肺以肺氣虛為本，痰、水、瘀兼交為患，病久遷及于心，心神不寧或心神失養(yǎng)而發(fā)失眠，在治療上需兩臟統(tǒng)籌一治。文章從實(shí)邪外擾、五行乘侮、氣血同歸、陰陽(yáng)失衡角度探討慢阻肺并發(fā)失眠的病機(jī)及診治，旨在為此病的發(fā)生發(fā)展提供診療思路借鑒。

【關(guān)鍵詞】 心肺同歸一治;慢阻肺;肺脹;失眠

【中圖分類(lèi)號(hào)】R259 【文獻(xiàn)標(biāo)志碼】 A 【文章編號(hào)】1007-8517（2022）15-0001-04

Treat Chronic Obstructive Pulmonary Disease Concurrent Insomnia Based on the Co-therapy of Lung and Heart

HU Yuedi1 YANG Qinjun2，4 ZHU Jie1，2* LI Zegeng2，3，4 WANG Xiaole2，4 TONG Jiabing2，3，4

1.School of Integrated Chinese and Western Medicine，Anhui University of Chinese Medicine，Hefei 230038，China;2.Institute of Traditional Chinese Medicine Prevention and Control on Respiratory Disease，Anhui Academy of Chinese Medicine，Hefei 230038，China;3.First Affiliated Hospital of Anhui University of Traditional Chinese Medicine，Hefei 230031，China;4.Key Laboratory of Xin'An Medicine， Ministry of Education， Hefei 230012， China

Abstract：The“Co-therapy of Lung and Heart”thoughts suggests that the heart and lung position is adjacent， and thereby co-therapeutic strategies should be administrated in either pulmonary diseases or heart diseases. Lung qi deficiency is the primary factor of causing COPD， which also accompanies with phlegm， water， and blood. As long illness will implicate the heart， which lead to restless or unconscious and further result in insomnia， co-therapy of Lung and heart is necessary. This paper discusses the pathogenesis and treatment of COPD concurrent insomnia in terms of the invasion of exopathogens， the inter-invasion and reverse restriction of five elements，the Qi and blood sharing the same source and imbalance of yin and yang， which aims to provide more diagnosis and treatment ideas for the disease.

Key words：The co-therapy of Lung and heart;Chronic Obstructive Pulmonary Disease;Lung Distension;Insomnia

慢性阻塞性肺疾?。╟hronic obstructive pulmonary disease，COPD），以下簡(jiǎn)稱(chēng)慢阻肺，是世界范圍內(nèi)死亡率和發(fā)病率最高的疾病之一[1-2]。（剩余7324字）