|
|
Application of twenty-four solar terms therapy in chronic disease management of chronic obstructive pulmonary disease |
WANG Jialing1 LIU Wenwen1 ZHENG Yanchan1 XU Yinji2▲ |
1.The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China;
2.Respiratory Department, Guangdong Hospital of Traditional Chinese Medicine, Guangdong Province, Guangzhou 510120, China |
|
|
Abstract Chronic obstructive pulmonary disease has relationship with five zang viscera, and acute exacerbation is clearly relevant to climates. According to the theory of six climatic factors, the twenty-four solar terms can be divided into six stages. During the first stage, the time of wind wood of jueyin, the patients can be easily affected by the over uprising of liver qi, so it is necessary to strengthen the regulation of qi movement of liver and lung. While in the second stage, the time of sovereign fire of shaoyin, the heart qi is getting hotter, the patients who have developed into pulmonary heart disease should strengthen the therapy of nourishing heart. In the third stage, the time of shaoyang assistant fire, summerheat dampness is striking, and the patients with chronic obstructive pulmonary disease are easily attacked by summerheat dampness, thus it is necessary to strengthen the therapy of clearing heat and eliminating dampness. In the fourth stage, the time of wet earth of taiyin, the spleen was disturbed by dampness pathogen, the patients with deficiency of both lung and spleen should nourish spleen based on syndrome differentiation. In the fifth stage, the time of dry gold of yangming, the main manifestation is lung dryness, so it is necessary to strengthen the therapy of clearing lung-heat and moistening dryness. In the sixth stage, the time of cold water of taiyang, the kidney begins to accumulate the needed essence, the patients with deficiency of both lung and kidney can invigorate lung and kidney based on syndrome differentiation. The chronic management of combining medicine and daily aftercare can achieve the purpose of improving the quality of life and prognosis of patients with chronic obstructive pulmonary disease.
|
|
|
|
|
[1] Vogelmeier CF,Criner GJ,Martinez FJ,et al. Global strategy for the diagnosis,management,and prevention of chronic obstructive lung disease 2017 report:gold executive summary [J]. American Journal of Respiratory & Critical Care Medicine,2017,195(5):557.
[2] 王永炎,严世芸.实用中医内科学[M].上海:上海科学技术出版社,2009.
[3] 崔红生,张文娟,杨建宇,等.慢性阻塞性肺疾病诊疗指南[J].中国中医药现代远程教育,2011,9(12):115-116.
[4] 巢元方.诸病源候论(新校版)[M].北京:人民军医出版社,2006.
[5] 李浩,韩淑花.黄帝内经·素问[M].北京:科学技术出版社,2014.
[6] 阴俊,谈建国,竺丽明,等.不同地区慢性阻塞性肺病与气象因子相关性分析[J].气象科技,2007,35(6):841-844.
[7] 李志斌,邹霞英.广州地区气象因子与呼吸疾病的关系[J].解放军预防医学杂志,1994(4):290-292.
[8] 周广强,陈敏.雾霾科学检测及其健康影响[J].科学,2013,4(65):56-59.
[9] 李颖.雾霾对呼吸系统疾病的影响[J].世界最新医学信息文摘,2015,29(15):174.
[10] 陈霖.从八卦太极图看二十四节气养生[J].中国医药导报,2010,7(3):100-102.
[11] 孙广仁,郑洪新.中医基础理论[M].北京:中国中医药出版社,2012.
[12] 张杰,李冬梅,曲妮妮.浅谈肺胀从肝论治[J].中国民族民间医药,2010,19(12):192.
[13] 张元兵,刘良徛.从肝论治慢性阻塞性肺疾病探讨[J].中医药通报,2008,7(4):22-23.
[14] 谢玉宝,赵朋涛,池晓玲,等.从六气理论探讨二十四节气与慢性乙型肝炎诊治的相关性[J].中国中医基础医学杂志,2012,18(11):1191-1192.
[15] 方贤.奇效良方[M].北京:商务印书馆,1959.
[16] 林珮琴.类证治裁[M].太原:山西科学教育出版社,2010.
[17] 曾红钢.浅论肺病治脾[J].江西中医药,1989(2):58-59.
[18] 李时珍,余瀛鳌.本草纲目精华本[M].北京:科学出版社,1998:344.
[19] 桂吟哲.肺肾同调治疗COPD稳定期的系统评价及临床研究[D].广州:广州中医药大学,2014.
[20] 王郁,张涛,阿迪拉·阿地江,等.慢性病管理中增加循证公共卫生应用的思考[J].中国现代医生,2017,55(6):137-139.
[21] 许银姬,罗一妍,吴蕾,等.强化中医慢病管理对慢阻肺患者知信行的影响[C]//第四届传统医学与现代医学比较国际学术大会暨中国中西医结合学会呼吸病专业委员会2015工作会议论文集,2015:897-904.
[22] 张红燕,陈红.新形势下体检机构健康管理服务模式探讨[J].中国现代医生,2017,55(31):122-125. |
|
|
|