范伏元教授治疗结缔组织相关性肺间质病变经验
〔摘要〕 范伏元教授認为结缔组织相关性肺间质病变治疗需分三期论治：初期治以疏风宣肺、止咳化痰;中期治以清热化痰、活血化瘀;晚期治以补脾肺肾、理气通络。临床运用疏风宣肺汤、柴芩温胆汤、归芪补肺汤等方临证加减治疗结缔组织相关性肺间质病变获满易疗效。
〔关键词〕 结缔组织相关性肺间质病变;分期论治;疏风宣肺;止咳化痰;清热化痰;活血化瘀
〔中图分类号〕R259 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.07.017
〔Abstract〕 To summarize Professor FAN Fuyuan"s experience in the treatment of connective tissue associated interstitial lung diseases. Professor FAN believes that the treatment of the diseases should be divided into 3 stages： the initial treatment is dispersing wind and ventilating lung as well as relieving cough and resolving phlegm; the middle treatment is clearing heat and resolving phlegm as well as activating blood and resolving stasis; the late treatment is tonifying spleen， lung and kidney as well as regulating Qi and dredging collaterals. Clinically， to treat the connective tissue associated interstitial lung diseases， Shufeng Xuanfei Decoction， Chaiqin Wendan Decoction， Guiqi Bufei Decoction and others are used by modification according to syndromes with satisfying efficacy.
〔Keywords〕 connective tissue associated interstitial lung diseases; staging treatment; dispersing wind and ventilating lung; relieving cough and resolving phlegm; clearing heat and resolving phlegm; activating blood and resolving stasis
结缔组织相关性肺间质病变（connective tissue related interstitial lung disease， CTD-ILP）是巨噬细胞、被活化的淋巴细胞等共同参与的一种具有自身免疫特征的病变，基本病理表现为弥漫性肺泡炎、肺实质炎症以及间质纤维化，最终呈蜂窝样肺或肺大泡，因呼吸衰竭而死亡[1]。临床早期多无明显的症状和体征常被忽视，中晚期以刺激性的干咳伴进行性劳力性气促为主要症...
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