Discussion on Traditional Chinese Medicine Differentiation and Treatment of Hypoxic Pulmonary Hypertension from the Perspective of Lung Being Responsible for Regulating Visceral Activities
10.13359/j.cnki.gzxbtcm.2024.07.037
- VernacularTitle:从肺主治节探讨低氧性肺动脉高压的中医辨治思路
- Author:
Qian-Qian LI
1
;
Yi FU
;
Xing FU
Author Information
1. 广东省中医院海南医院,海南海口 570203
- Keywords:
hypoxic pulmonary hypertension;
lung being responsible for regulating visceral activities;
qi deficiency;
blood stasis;
fluid retention;
replenishing qi;
activating blood to remove stasis;
promoting urination and expelling fluid retention
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(7):1905-1910
- CountryChina
- Language:Chinese
-
Abstract:
Hypoxic pulmonary hypertension(HPH)is common and is one of the critical diseases in clinic,and traditional Chinese medicine(TCM)has certain advantages in the treatment of HPS.By analyzing the regulatory effect of lung on qi,blood and water in the field of TCM,and based on the pathogenesis,symptoms and pathophysiological characteristics of HPH in the field of modern medicine,it is considered that the evolution of HPH is the process of lung's gradual dereliction of duty in the regulation of qi,blood and water.Qi deficiency is the fundamental pathogenesis of HPH patients,and qi deficiency,blood stasis and fluid retention contribute to the important pathogenesis of HPH.HPH in the early stage is due to qi deficiency,affects the lung,and is complicated with endogenous blood stasis and phlegm turbidity,which can be treated mainly by therapy of replenishing qi to restore the function of lung in regulating qi.HPH in the late stage is due to blood stasis and fluid retention,affects the heart from the lung,manifests as the acute syndrome of overflow of fluid retention complicated with qi deficiency.The treatment for HPH in the late stage can be achieved mainly by the methods of activating blood to remove stasis,promoting urination and expelling fluid retention,thus to restore the function of lung in regulating blood and water.In clinical practice,attention should be paid to the recovery of the function of lung in regulating qi,blood and water,and the dynamic evolution of qi deficiency,blood stasis and fluid retention in the course of disease should be mastered,and then staging treatment and treatment based on syndrome differentiation can be performed to restore the role of lung in regulating visceral activities,thus to improve the clinical efficacy of hypoxic pulmonary hypertension.
