肺痨
Alias肺结核
Traditional Chinese Medicine Definition
Lung Consumption (Tuberculosis): Lung Consumption, also known as tuberculosis in traditional Chinese medicine, falls under the category of lung-related diseases. According to textbooks such as "Internal Medicine of Traditional Chinese Medicine," Lung Consumption is a chronic infectious disease characterized by clinical manifestations such as cough, hemoptysis, feverishness, and night sweats. The pathogenesis primarily involves the deficiency of lung yin, which, over time, can lead to an excess of fire due to yin deficiency, thereby affecting the functions of multiple organs such as the lung, spleen, and kidney.
In the clinical practice of traditional Chinese medicine, the core pathogenesis of Lung Consumption is the deficiency of lung yin. Common precipitating factors include prolonged illness and exhaustion, irregular diet, and emotional disharmony. During the differentiation of symptoms, attention should be paid to distinguishing the properties of cold and heat, and the虚实, with key points including:
1. Lung Yin Deficiency Syndrome: Manifested by dry cough with little phlegm, short, rapid coughing, blood-tinged sputum, dry mouth and throat. Patients of this type often suffer from insufficient lung yin, which fails to moisten the lung and relieve cough.
2. Yin Deficiency with Excess of Fire Syndrome: Manifested by coughing with shortness of breath, scanty, sticky sputum, recurrent hemoptysis, feverishness, and night sweats. Patients of this type often suffer from lung yin deficiency, fire excess that injures the collaterals, and uncontrolled blood flow.
Overall Treatment Approach: In the clinical management of Lung Consumption, traditional Chinese medicine adheres to the principles of nourishing yin and moistening the lung, eliminating worms, and relieving cough. Depending on the varying conditions, flexible application of methods such as nourishing yin to subdue fire and moistening the lung to relieve cough is employed. Traditional Chinese medicine holds that the treatment of Lung Consumption requires comprehensive adjustment, emphasizing dietary nourishment, strengthening the constitution, and, at the same time,配合 appropriate medication.
Common Syndrome Types and Key Points of Differentiation
肺阴亏损证
Main Manifestations：干咳少痰，咳声短促，痰中带血，口干咽燥
Management Approach：滋阴润肺，杀虫止咳
阴虚火旺证
Main Manifestations：咳呛气急，痰少质黏，反复咳血，潮热盗汗
Management Approach：滋阴降火，润肺止咳
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
The physician's insight: Patients with Lung Consumption often exhibit cough with blood-tinged sputum, with a flushed face and a red tongue with little coating. It is often necessary to nourish yin and clear heat to combat tuberculosis.
— 王正香 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)