CHAO Enxiang's Experience in Treating Idiopathic Pulmonary Hemosiderosis by Staging：from the Perspective of Heat，Phlegm，Stasis and Deficiency
10.13288/j.11-2166/r.2025.13.003
- VernacularTitle:晁恩祥从热、痰、瘀、虚分期辨治特发性肺含铁血黄素沉着症经验
- Author:
Hongli CHEN
1
;
Hongchun ZHANG
2
Author Information
1. Beijing Chaoyang District Hospital of Traditional Chinese Medicine，Beijing，100020
2. China-Japan Friendship Hospital
- Publication Type:Journal Article
- Keywords:
idiopathic pulmonary hemosiderosis;
heat;
phlegm;
stasis;
deficiency;
famous doctors' experience;
CHAO Enxiang
- From:
Journal of Traditional Chinese Medicine
2025;66(13):1317-1321
- CountryChina
- Language:Chinese
-
Abstract:
To summarise the clinical experience of Professor CHAO Enxiang in treating idiopathic pulmonary hemosiderosis （IPH） by staging from heat， phlegm， stasis and deficiency. It is believed that IPH has blood-heat and phlegm-stasis， and deficiency of qi and yin as the core pathomechanisms， in which the pathomechanism of acute pulmonary haemorrhage is based on intense blood heat， and modified Shihui Powder （十灰散） is used to clear heat and regulate ying qi （nutrient qi）， and reduce fire to settle the collaterals. The pathomechanism of pulmonary haemorrhage in the static stage is based on phlegm-heat obstructing the lungs， and modified Qingfei Dingke Decoction （清肺定咳汤） is used to clear the lungs and dissolve phlegm， harmonize the collaterals to stop haemorrhage. The pathomechanism of acute exacerbation at chronic stage is based on deficiency of qi and yin， and also blood-heat and phlegm-stasis， modified Shengmai Powder （生脉散）， Shihui Powder plus Qingfei Dingke Decoction should be used to benefit qi and nourish yin， clear heat， resolve phlegm and eliminate blood stasis. In the chronic prolongation period， the pathogenesis of the disease is based on the deficiency of qi and yin， modified Shengmai Powder may be used to benefit qi and nourish yin， moisten the lungs and rest blood.
