摘要
本文分析了75例肺心病死亡病例死亡前的症状、体征及实验室指标与辨证规律的关系,观察到肺肾气虚外感型以白细胞升高为主;心脾肾阳虚水泛型有中度的高碳酸血症及轻度低钠、低氯;痰浊闭窍型可见重度低氧,高碳酸血症及较重的低钠、低氯,并有较明显的血尿素氮升高。从而提出肺心病治疗的关键:肺肾气虚外感型以清热利痰为主;心脾肾阳虚水泛型温阳利水、益气养阴,痰浊闭窍型着重清热利痰、醒脑开窍。
The relationships among symptoms and signs, laboratory indexes and rules of differentiat of symptom-complex of 75 death cases of pulmonary heart disease before death had been a, lysed in this article. Exogenous affected type of deficient qi of lung and kidney was mainly creasing of white blood cell. Water flooding type of deficient yang of heart, spleen and kidney h moderate hypercapia, mild hyponatremia and hypochloremia. Closing orifice type phlegm-turbidity had severe hypoxemia, hypercapnia and more severe hyponatrem hypochloremia, and more obvious increasing of blood urea nitrogen. Therefore, the key links of treatment of pulmonary heart disease are clearing heat and resolving phlegm as a main method for exogenous affected type of deficient qi of lung and kidney; warming yang and removing water, tonifying qi and nourishing yin for water flooding type of deficient yang of heart, spleen and kid-ney; clearing heat and resolving phlegm as well as enlivening brain and opening orifice for closing orifice type of phlegm-turbidity.
出处
《中国医药学报》
CSCD
北大核心
1992年第4期17-19,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
