Xu J Z, Zhang J A
Xiyuan Hospital, China Academy of TCM, Beijing.
Zhong Xi Yi Jie He Za Zhi. 1991 Oct;11(10):595-7, 580.
This article is a retrospective summary of 419 cases of acute phase of cor pulmonale from 1978 to 1989. These patients were divided into 4 groups by various TCM therapy, as a part of whole treatment combining TCM with the western medicine. They were (1) clearing the lung heat and eliminating the phlegm; (2) clearing the lung heat, tonifying the Qi and activating the blood; (3) clearing the lung heat, tonifying the Qi and nourishing the Yin; (4) clearing the lung heat, nourishing the Yin, tonifying the Qi and activating the blood. Under a similar condition, comparing the effects of the 4 various therapies in clinical efficacy and blood gas analysis, the authors found that the 4th therapy was the best among the 4 groups. According to the relation of modern pharmacology study of each single therapy, the authors explored the principle of clearing the lung heat, nourishing the Yin, tonifying the Qi and activating the blood therapy. The authors held that the therapy is a better one to treat many pathological changes in acute phase of cor pulmonale.
本文是对1978年至1989年419例肺心病急性期病例的回顾性总结。作为中西医结合整体治疗的一部分，这些患者采用不同的中医疗法分为4组。它们分别是：（1）清肺化痰；（2）清肺益气活血；（3）清肺益气养阴；（4）清肺养阴益气活血。在相似条件下，比较4种不同疗法的临床疗效及血气分析结果，作者发现第4种疗法在4组中效果最佳。根据各单一疗法的现代药理研究关系，作者探讨了清肺养阴益气活血疗法的原理。作者认为该疗法是治疗肺心病急性期多种病理变化的较好方法。
