HAN Mingxiang's Experience in Staged and Syndrome-Based Treatment of Chronic Obstructive Pulmonary Disease
10.13288/j.11-2166/r.2025.08.004
- VernacularTitle:韩明向分期分证治疗慢性阻塞性肺疾病经验
- Author:
Jian DING
1
;
Hui TAO
1
;
Gang CHENG
1
;
Weizhen GUO
1
;
Zegeng LI
2
;
Ya MAO
3
;
1
Author Information
1. Anhui University of Chinese Medicine，Hefei，230038
2. The First Affiliated Hospital of Anhui University of Chinese Medicine
3. Hospital of Traditional Chinese Medicine of Ankang City，Shaanxi Province
- Publication Type:Journal Article
- Keywords:
chronic obstructive pulmonary disease;
lung distension;
experience of famous doctors;
HAN Mingxiang
- From:
Journal of Traditional Chinese Medicine
2025;66(8):780-785
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarizes Professor HAN Mingxiang's clinical experience in treating chronic obstructive pulmonary disease （COPD）. He believes that the key pathomechanism of COPD in the acute exacerbation stage is the invasion of external pathogens triggering latent illness， while lung qi deficiency is the primary mechanism in the stable stage. The core pathological factors throughout disease progression are deficiency， phlegm， and blood stasis. Treatment emphasizes a staged and syndrome-based approach. During the acute exacerbation stage， for wind-cold invading the lung syndrome， the self-formulated Sanzi Wenfei Decoction （三子温肺汤） is used to relieve the exterior， dispel cold， warm the lung， and resolve phlegm. For phlegm-dampness obstructing the lung syndrome， Huatan Jiangqi Fomulation （化痰降气方） is prescribed to warm the lung， transform phlegm， descend qi， and calm wheezing. For phlegm-heat obstructing the lung syndrome， Qingfei Huatan Fomulation （清肺化痰方） is applied to clear heat， resolve phlegm， moisten the lung， and stop coughing. For phlegm and blood stasis interlocking syndrome， Qibai Pingfei Fomulation （芪白平肺方） is used to tonify qi， resolve phlegm， and activate blood circulation to remove stasis. During the stable stage， for lung qi deficiency syndrome， Shenqi Wenfei Decoction （参芪温肺汤） is employed to warm the lung， tonify qi， resolve phlegm， and eliminate turbidity. For lung-spleen qi deficiency syndrome， Shenqi Buzhong Decoction （参芪补中汤） is utilized to strengthen the spleen， tonify qi， and reinforce metal （lung） from earth （spleen）. For lung-kidney deficiency syndrome， Shenqi Tiaoshen Fomulation （参芪调肾方） is prescribed to tonify the lung， warm yang， and regulate kidney function to calm wheezing. These strategies provide insights into the traditional Chinese medicine treatment of COPD.
