Chronic obstructive pulmonary disease is a common respiratory disease in clinic.Persistent respiratory symptoms and airflow limitation are its characteristics.Using drugs like bronchodilator and glucocorticoid is the major measure to control clinic conditions.The FuXie theory is an important part of etiology and pathogenesis of traditional Chinese medicine.It also has significant guidance for clinical diagnosis and treatment of acute diseases and chronic diseases.This article refers to sorting out the origin and development of this theory and summarizing its connotation,definition and pathogenic characteristics by reviewing the literature studies,and recent study progress.It is a major purpose to propose the diagnosis and treatment of chronic obstructive pulmonary disease with the FuXie theory by combining the clinical practice and the mechanism of the occurrence and development of the disease.In this article,we can find out the pathogenic mechanism is closely related to many factors such as the accumulation of internal evils or exogenous pathogenic factors,insufficiency of healthy energy,and changes in the natural or social environment.The dysfunction of organs and lack of Qi are the essence.Internal evils and exogenous pathogenic factors staying in human bodies are vital reasons cause the disease.The cold and heat properties of the evil can be converted into each other;the pathogenic evils are mainly accumulating in the deep.Strengthening vital energy and eliminating evil factors should be fundamental principles to treat FuXie.Insufficiency of pulmonary Qi,spleen Qi,kidney Qi and accumulation of phlegm,blood stasis,cold,fire in the lung is the root cause of chronic obstructive pulmonary disease.The clinical diagnosis is based on actual conditions,location of disease,and cold or heat performance.Treatment should be based on the principles as replenishing righteousness and eliminating evil spirits.In acute exacerbation,dispelling pathogenic factors is the main therapy while in stable period strengthening body resistance is the most important thing.Nourishing lung Qi,spleen qi,kidney Qi and expelling phlegm,blood stasis,cold,fire are major method to treat chronic obstructive pulmonary disease based on the FuXie theory.It points out that using FuXie theory may provide a good therapy for clinical treatment of chronic obstructive pulmonary disease. |