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久病咳血病因病机及辨证分型
引用本文:杨顺智,曲妮妮.久病咳血病因病机及辨证分型[J].实用中医内科杂志,2009,23(6):45-46.
作者姓名:杨顺智  曲妮妮
作者单位:辽宁中医药大学,辽宁沈阳,110032
摘    要:久病咳血的病因病机:肺肾两虚,阴虚火旺,肺脾气虚,气不摄血,瘀血内停,血溢脉外。分三型:肺肾两虚,阴虚火旺;治宜清热润肺,滋补肾阴;方用百合固金汤加减;肺脾气虚,气不摄血,治宜培土生金,补气摄血,方用六君子汤加减;瘀血内停,血溢脉外,治宜行气活血,祛瘀止血,方用血府逐瘀汤加减。

关 键 词:久病  咳血  病因病机  辨证治疗

The etiology,pathogenesis ,Syndrome differentiation and therapy about chronic hemoptysis
Authors:Yang Shun-zhi  Qu Ni-ni
Institution:Yang Shun - zhi, Qu Ni - ni ( Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning, China)
Abstract:The etiology and pathogenesis of chronic hemoptysis : fire due to the deficiency of the lung - Yin and kidney -Yin. Failure of the deficient lung - Qi and spleen - Qi to control blood flowing within the vessels . Blood stasis lead to outward extravasation of blood . It can be treated in three methods according to syndrome differentiation : nourishing lung - Yin and kidney - Yin to subdue the pathogenic fire, treated by Baihegujin tang ; strengthening earth to generate metal, treated by Liujunzi tang ; promoting blood circulation to remove blood stasis, treated by Xuefuzhuyu tang.
Keywords:hemoptysis  etiology and pathogenesis  syndrome differentiation and therapy
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