基于“心肺同归一治”学术思想论治慢阻肺并发失眠

【摘 要】 “心肺同归一治”学术思想认为心肺位置毗邻，两脏之病可通治。慢阻肺以肺气虚为本，痰、水、瘀兼交为患，病久迁及于心，心神不宁或心神失养而发失眠，在治疗上需两脏统筹一治。文章从实邪外扰、五行乘侮、气血同归、阴阳失衡角度探讨慢阻肺并发失眠的病机及诊治，旨在为此病的发生发展提供诊疗思路借鉴。

【关键词】 心肺同归一治;慢阻肺;肺胀;失眠

【中图分类号】R259 【文献标志码】 A 【文章编号】1007-8517（2022）15-0001-04

Treat Chronic Obstructive Pulmonary Disease Concurrent Insomnia Based on the Co-therapy of Lung and Heart

HU Yuedi1 YANG Qinjun2，4 ZHU Jie1，2* LI Zegeng2，3，4 WANG Xiaole2，4 TONG Jiabing2，3，4

1.School of Integrated Chinese and Western Medicine，Anhui University of Chinese Medicine，Hefei 230038，China;2.Institute of Traditional Chinese Medicine Prevention and Control on Respiratory Disease，Anhui Academy of Chinese Medicine，Hefei 230038，China;3.First Affiliated Hospital of Anhui University of Traditional Chinese Medicine，Hefei 230031，China;4.Key Laboratory of Xin'An Medicine， Ministry of Education， Hefei 230012， China

Abstract：The“Co-therapy of Lung and Heart”thoughts suggests that the heart and lung position is adjacent， and thereby co-therapeutic strategies should be administrated in either pulmonary diseases or heart diseases. Lung qi deficiency is the primary factor of causing COPD， which also accompanies with phlegm， water， and blood. As long illness will implicate the heart， which lead to restless or unconscious and further result in insomnia， co-therapy of Lung and heart is necessary. This paper discusses the pathogenesis and treatment of COPD concurrent insomnia in terms of the invasion of exopathogens， the inter-invasion and reverse restriction of five elements，the Qi and blood sharing the same source and imbalance of yin and yang， which aims to provide more diagnosis and treatment ideas for the disease.

Key words：The co-therapy of Lung and heart;Chronic Obstructive Pulmonary Disease;Lung Distension;Insomnia

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD），以下简称慢阻肺，是世界范围内死亡率和发病率最高的疾病之一[1-2]。（剩余7324字）