中医杂志

总结张之文教授运用宣涤通隧、温潜归元法分期辨治慢性阻塞性肺疾病（COPD）的临证经验。认为COPD核心病机为元气亏虚、三焦气化无权、经隧闭阻，提出运用宣涤通隧、温潜归元法分期辨治本病。将COPD分为急性加重期和缓解期，急性加重期治宜宣肺涤浊、疏凿通隧，选用自拟宣涤通隧方；稳定期治宜三焦同治、温潜归元，选用自拟温潜归元方。同时强调慎护微阳、忌用敛涩、纳息归根的防、治、养全病程管理原则。

This paper summarizes the clinical experience of professor ZHANG Zhiwen in differentiating and treating chronic obstructive pulmonary disease(COPD) at stages,with the method of diffusing and clearing to unblock the channel pathways,while warming and subduing to restore the original qi.Professor ZHANG posits that the core pathogenesis of this disease lies in depletion of original qi,leading to impaired qi transformation of sanjiao（三焦）,and obstruction of channel pathways.Accordingly,a staged differentiation and treatment strategy based on the methods of diffusing and clearing to unblock the channel pathways,while warming and subduing to restore the original qi has been proposed.COPD was divided into the acute exacerbation stage and the stable stage.In acute exacerbation stage,priority is given to diffusing lung and clearing up turbidity,scatter and dredge the channel passages,using the self-formulated Xuandi Tongsui Formula（宣涤通隧方）.During the stable stage,the treatment should focus on simultaneously regulating sanjiao,warming and subduing yang to restore the original qi,using the self-formulated Wenqian Guiyuan Formula（温潜归元方）.In addition,the principles of carefully protecting mild yang,avoiding excessive astringent medicinals,and restoring respiration to its root are emphasized throughout the entire course of disease prevention,treatment,and rehabilitation.