Professor Rong Nini 's Experience In Treating Chronic Obstructive Pulmonary Disease Based On "Indications Of The Lung"

Purpose:This study explored and summarized the clinical diagnosis and treatment thinking and herbal application rules of chronic obstructive pulmonary disease from Professor Qv Nini in order to promote her academic thinking. And it would provide new ideas and methods for the treatment of chronic obstructive pulmonary disease.Method:By the practice of following Professor Qv Nini in outpatient and ward, meanwhile based on relevant literature review of the treatment of chronic obstructive pulmonary disease, the way of thinking for clinical diagnosis, treatment, and herbal application rules was summarized.Conclusion:The theory of lung governing management and regulation was the summary of physiological function for lung, mainly including regulated Qi, blood, and body fluid. On the contrary, lung dysfunction would lead to the disorder of Qi, blood, and body fluid that induced the pathological product such as phlegm and blood stasis. Professor Qv Nini considered chronic obstructive pulmonary disease belonged to "lung inflation" in traditional Chinese medicine theory which was caused by a variety of lung diseases. In early period, the main lesions in lungs, spleen, liver and intestine, while involving heart and kidney in late period. The disease was characterized by mixed with deficiency and sthenia syndrome, and several organs would be damaged. Professor Qv provided that lung governing management and regulation made a very important role in the occurrence, development and treatment of chronic obstructive pulmonary disease. Qi dysfunction was the basic condition and pathogenesis. Body fluid and blood might form as phlegm and stagnated blood when the occurrence of Qi dysfunction which was basic pathogenesis for COPD. Dysfunctional of organs was the inherent nature of COPD progression. Invasion of outside pathogenic elements were important factors in acute exacerbation of COPD. Interactions among Qi, phlegm, and stagnated blood led to the occurrence, development and aggravation of this disease. In the treatment, Professor Qv offered to take regulating Qi as the most important method, then dissipating phlegm, promoting blood flow to assist, and using opening, dropping, chilling and heating together. Also, the difference of people’s nature, place of permanent residence, and visiting time should be considered. Regulating the movement of Qi, and combination the difference of organs and outside elements, last, solved problems on the surface and substance together and achieved good clinical efficacy.