中医杂志

总结晁恩祥教授从热、痰、瘀、虚分期辨治特发性肺含铁血黄素沉着症的临证经验。认为本病以血热痰瘀、气阴两虚为核心病机，其中急性肺出血期病机以血热炽盛为主，方用十灰散加减以清热和营、降火安络；肺出血静止期病机以痰热壅肺为主，方用清肺定咳汤加减以清肺化痰、和络止血；慢性期急性发作病机以气阴两虚、血热痰瘀为主，方用生脉散、十灰散合清肺定咳汤加减以益气养阴、清热化痰祛瘀；慢性迁延后遗期病机以气阴两虚为主，方用生脉散加减以益气养阴、润肺宁血。

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.