| 引用本文: |
薛宇菲, 盛倩文, 王丛, 章匀, 唐艳芬, 史锁芳.史锁芳以“痰”为纲分期论治变应性支气管肺曲霉病经验[J].湖南中医药大学学报,2026,46(5):975-980[点击复制] |
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| 史锁芳以“痰”为纲分期论治变应性支气管肺曲霉病经验 |
| 薛宇菲,盛倩文,王丛,章匀,唐艳芬,史锁芳 |
| (南通市中医院肺病科, 江苏 南通 226000;江苏省中医院, 江苏 南京 210029) |
| 摘要: |
| 总结史锁芳教授从“痰”分期论治变应性支气管肺曲霉病经验。史锁芳教授认为急性发作期借鉴哮病治疗经验，病位在肺，病理因素以风痰为主，治以祛风解痉、清润化痰。临床缓解期借鉴肺痈治疗经验，病位在肺、脾，病理因素为顽痰，治以补肺健脾、涤痰泻浊。纤维化期借鉴肺痿治疗经验，病位在肺、肾，病理因素为痰瘀，治以补益肺肾、化痰祛瘀。附验案一则，以资佐证。 |
| 关键词: 变应性支气管肺曲霉病|痰|哮病|肺痈|肺痿|分期论治|名医经验|史锁芳 |
| DOI：10.3969/j.issn.1674-070X.2026.05.014 |
| 投稿时间：2026-01-26 |
| 基金项目:江苏省中医药科技发展计划项目（MS2025082）；南通市卫生健康委员会科研课题（QNZ2024033）；南通市中医医疗联盟课题（TZYK202432）。 |
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| SHI Suofang's experience in stage-based treatment of allergic bronchopulmonary aspergillosis with "phlegm" as the guiding principle |
| XUE Yufei, SHENG Qianwen, WANG Cong, ZHANG Yun, TANG Yanfen, SHI Suofang |
| (Department of Pulmonology, Nantong Hospital of Traditional Chinese Medicine, Nantong, Jiangsu 226000, China;Jiangsu Provincial Hospital of Chinese Medicine, Nanjing, Jiangsu 210029, China) |
| Abstract: |
| To summarize Professor SHI Suofang's clinical experience in stage-based treatment of allergic bronchopulmonary aspergillosis (ABPA), with "phlegm" as the guiding principle. Professor SHI holds that, in the acute exacerbation stage, therapeutic strategies may draw on the treatment principles for wheezing disorder, where the disease is located in the lung, with wind phlegm as the principal pathological factor. The treatment principle is to eliminate wind, relieve convulsions, as well as clear and moisten the lung to resolve phlegm. In the clinical remission stage, treatment may draw on the therapeutic experience for lung abscess, with the disease primarily involving the lung and spleen and stubborn phlegm as the main pathological factor. The corresponding treatment should aim to tonify the lung and strengthen the spleen, transform phlegm, and drain turbidity. In the fibrotic stage, treatment may draw on the therapeutic principles for atrophy of the lung lobes, where the disease mainly involves the lung and kidney, with phlegm and blood stasis as the key pathological factors. The treatment should focus on tonifying the lung and kidney, resolving phlegm, and removing blood stasis. A verified medical record is appended as supporting evidence. |
| Key words: allergic bronchopulmonary aspergillosis|phlegm|wheezing disorder|lung abscess|atrophy of the lung lobes|stage-based treatment|famous physician's experience|SHI Suofang |
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