•2613•中华中医药杂志(原中国医药学报)2011年11月第26卷第11期CJTCMP,November2011,Vol.26,No.11FebrileDiseasesClinicalGuidance.Beijing:ChinaAcademyPress,2006:153[2]刘渡舟,傅士垣.伤寒论诠解.天津:天津科学技术出版社,1983:96LIUDu-zhou,FUShi-yuan.TreatiseonExogenousFebrileDiseasesInterpretation.Tianjin:TianjinScienceandTechnologyPress,1983:96[3]王庆国.伤寒论讲义.北京:高等教育出版社,2007:116WANGQing-guo.TreatiseonExogenousFebrileDiseasesLecture.Beijing:HigherEducationPress,2007:116[4]刘敏,刘英锋.《伤寒论》寒热夹杂证的六经辨治.中华中医药杂志,2009,24(3):297LIUMin,LIUYing-feng.Treatmentbasedondifferentiationofcold-heatcomplicationsyndromewithsixmeridiantheoryinTreatiseonColdPathogenicDiseases.ChinaJournalofTCMandPharmacy,2009,24(3):297[5]王庆国.伤寒论新释.北京:中国中医药出版社,2005:137WANGQing-guo.TreatiseonExogenousFebrileDiseasesNewInterpretation.Beijing:ChinaPressofTCM,2005:137[6]温桂荣.浅谈临床应用经方的点滴体会.中华中医药杂志,2009,24(11):1468WENGui-rong.Clinicalexperienceinapplyingclassicprescriptions.ChinaJournalofTCMandPharmacy,2009,24(11):1468(收稿日期:2010年11月26日)·临证经验·苏丽玲中医食疗治疗慢性阻塞性肺疾病的体会赵小青1,邓芳柏1,高志娟1,苏丽玲2(1广东省中医院消化内科,广州510120;2广州市中医院呼吸内科,广州510130)摘要:文章介绍苏丽玲教授在临床诊治过程中,运用中医食疗辅助治疗慢性阻塞性肺疾病(COPD)缓解期的经验体会。苏教授针对地域特点、病人体质特点、疾病的证候特点的不同进行治疗,以辨证论食为首要原则,虚则以补脾为重,实则去宿痰为要,合理评估营养需求,并注重患者的饮食禁忌,对病人实施个体化的饮食调节,改善营养状况,充分运用本地药材,提高疗效,改善预后,因此值得借鉴。关键词:中医食疗;慢性阻塞性肺疾病;苏丽玲TheSULi-ling’sexperienceonthetreatmentofCOPDusingTCMdietZHAOXiao-qing1,DENGFang-bai1,GAOZhi-juan1,SULi-ling2(1DepartmentofGastroenterology,TheTraditionalChineseMedicineHospitalofGuangdongProvince,Guangzhou510120,China;2DepartmentofRespiratoryMedicine,TheTraditionalChineseMedicineHospitalofGuangzhou,Guangzhou510130,China)Abstract:ThisarticledescribestheSULi-ling’sexperienceonthetreatmentofCOPDusingTCMdietduringherprocessofclinicaldiagnosisandtreatment.ProfessorSuapplieddifferentdietfortreatingaccordingtotheregionalcharacteristics、patients’physicalcharacteristicsanddiseasessyndromefeatures.Syndromedifferentiationisthefirstimportantprinciple,shethougtthatit’simportanttocomplementspleenwhenthepatientsfeelweak,andweshouldgetrideofthesputumasitwastooexcessive.Shealsoassessedeverypatientstogettheirreasonableassessmentofnutritionalneeds,shepaiedattentiontopatients’diettaboos,gavetheindividualizeddiettoeverydifferentpatients,andshemadefulluseoflocalmedicine.Throughthis,shecouldimprovethepatients’nutritioncondition,increasethecurativeeffectandimprovetheprognosis.So,itisworthforreferencing.Keywords:TCMdiettherapy;COPD;SULi-ling慢性阻塞性肺疾病(COPD)容易反复发作,其原因与患者反复感染、营养不良、体质差等因素密切相关。据统计COPD患者约有20%-70%合并营养不良,因此,COPD患者在抗感染、改善肺通气治疗的同时,加强营养支持治疗已成为共识。中医认为土生金,金生水,肺脾肾3脏虚损为COPD稳定期之本,治疗遵循“未发以扶正气为要,已发以攻邪气为主”原则,扶正关键在于脾肾。中医讲究医食同源,药食同用,寓治于食,在此方面有其独特的优势,在日常生活中进行食疗调理,可提高疗效,减少复发,提高生活质量,改善预后。广州市中医院呼吸内科苏丽玲主任从事呼吸系统疾病的中、西医诊治30余年,擅长运...