A summary of experiences of chief physician Wang Fade in treating patients with stroke-associated pneumonia based on syndrome differentiation / 中国中西医结合急救杂志

ABSTRACT

Chief physician Wang Fade is involved in the third and fourth batches of instructors to inherit the academic experiences of veteran Chinese medicine in China, and he is good at treating stroke and related diseases. The stroke-associated pneumonia (SAP) refers to the stroke patients originally without pulmonary infection contract the pulmonary parenchymal inflammatory infection, and the stroke patients are in the SAP onset crowd group. There is no name of SAP in traditional Chinese medicine (TCM). Chief physician Wang Fade believes that SAP belongs to the categories of "cough syndrome" or "asthma syndrome" in TCM. From the etiological analysis, SAP is neither due to external cause nor internal cause, but belongs to not internal and external cause. Strictly speaking, SAP is due to an external cause. The pathogenesis of SAP is due to the mistake of inhalation and accumulation, evil toxins directly enter into the lungs, obstructing the lung qi, transforming into heat and production of phlegm, phlegm and heat together forming obstruction of Qi mechanism, inducing loss of lung clearance, leading to the occurrence of cough, asthma, phlegm, fever and other syndromes. Although the location of SAP is mainly in the lungs, the spleen, stomach, liver, kidney, large intestine and other visceral organs can also be involved. According to clinical experiences, SAP can be divided into 3 types of syndrome phlegm-heat obstructing the lung, phlegm-dampness obstructing the lung and lung-yin deficiency. In the treatment of acute stage, eliminating pathogens is the main method, such as clearing heat, resolving phlegm, eliminating dampness and depressing qi, etc, while in the middle and late stages, eliminating pathogens and strengthening qi are combined. According to which being the priority, the healthy energy or the evil, the following measures can be used when evil being significant in the disease and the patient's health basically alright, eliminating evil is the main therapy and promoting the healthy energy secondary; when the evil is not very obvious in the disease, and the patient's general condition is relatively weak, consolidating the healthy energy is the main therapy, and eliminating evil secondary.