肺痨的中医药临床研究进展.pdfVIP

　辽宁中医杂志 20 10年第 37卷第 1期 　 ·185 · 肺痨的中医药临床研究进展 黄世敬 (中国中医科学院广安门医院 ,北京 100053) ( ) 摘 　要 :参阅了近 10年来有关中医药治疗肺痨 肺结核 方面的相关文献 ,认为肺痨主要为感染痨虫 、正气虚弱而发 病 ,病位在肺 , 以阴虚多见 ,病久可累及脾肾等脏 。辨证分型尚不统一 , 以脏腑气血阴阳亏损证候为主 ,或兼有气滞血瘀 痰阻等证 。治疗当以补虚培元 、抗痨杀虫为总则 。中医药在针对耐药性肺痨的治疗 、减轻抗痨药的毒副作用等方面具有 明显优势 ,提出临床研究与基础研究相结合 ,现代科技与传统方法相结合 ,研制出高效 、安全的抗痨药物及中西医抗痨治 疗方案将是今后中医药防治肺痨的研究方向。 关键词 : 中医药 ;肺痨 ;综述 中图分类号 : R 52 1　　文献标识码 : A 　　文章编号 : 1000 - 1719 (2010) 0 1 - 0185 - 03 Tuberculo sis in C lin ica l Research of Ch ine se M ed ic ine HUAN G S h ij ing ( Guang A n M en H osp ita l of Ch ina A cadem y of Ch inese m ed ica l sciences, B eij ing 100053, Ch ina) Ab stract:R eferring to the relevant docum en t about the treatm ent of tubercu lo sis ( TB ) in the Ch ine se m edicine in the last 10 years, it is con sidered the m ain cau se of tubercu lo sis is infected TB bug and qi deficiency. The location of disease is the lung, w ith Yin deficiency often. It can be involved such a s sp leen disea se or k idney disease after a long tim e. Syndrom e D ifferentiation is not un ity, and the m ain ly syndrom e is deficiency of yin, yang, qi, b lood and viscera, or w ith qi and b lood stasis and ph legm ob struc tion. The m ain treatm en t is reinforcing the deficiency, benefiting vital qi and an tiTB. Ch inese m edicine for the treatm en t of tuber cu lo sis drug re sistance and reducing the an titubercu lo sis drugs such as drug side effects has obviou s advantage s. It w ill be the fu tu re of Ch ine se m ed