Experience of HE Chengshi in differentiating and treating chronic obstructive pulmonary disease-associated tracheobronchomalacia from the perspective of tonifying the kidney and strengthening the bone

ZHOU Pengcheng; SHEN Junru; YU Wei; HE Chengshi

doi:10.16025/j.1674-1307.2026.04.013

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Experience of HE Chengshi in differentiating and treating chronic obstructive pulmonary disease-associated tracheobronchomalacia from the perspective of tonifying the kidney and strengthening the bone

更新时间：2026-06-10

- Experience of HE Chengshi in differentiating and treating chronic obstructive pulmonary disease-associated tracheobronchomalacia from the perspective of tonifying the kidney and strengthening the bone
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 4, Pages: 493-498(2026)
- 作者机构：
  
  1.成都中医药大学附属医院呼吸内科，成都 610072
  2.成都中医药大学临床医学院，成都 610072
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.04.013
  CLC：
- Received：12 March 2025，
  
  Published：25 April 2026
- 稿件说明：
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周鹏程，沈峻如，余薇，等.何成诗基于“补肾壮骨”辨治慢性阻塞性肺疾病相关的气管支气管软化症经验［J］.北京中医药，2026，45（4）：493-498.

ZHOU Pengcheng,SHEN Junru,YU Wei,et al.Experience of HE Chengshi in differentiating and treating chronic obstructive pulmonary disease-associated tracheobronchomalacia from the perspective of tonifying the kidney and strengthening the bone[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):493-498.
周鹏程，沈峻如，余薇，等.何成诗基于“补肾壮骨”辨治慢性阻塞性肺疾病相关的气管支气管软化症经验［J］.北京中医药，2026，45（4）：493-498. DOI： 10.16025/j.1674-1307.2026.04.013.

ZHOU Pengcheng,SHEN Junru,YU Wei,et al.Experience of HE Chengshi in differentiating and treating chronic obstructive pulmonary disease-associated tracheobronchomalacia from the perspective of tonifying the kidney and strengthening the bone[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):493-498. DOI： 10.16025/j.1674-1307.2026.04.013.

摘要

慢性阻塞性肺疾病相关的气管支气管软化症是一种临床常见但易漏诊误诊的良性中央气道狭窄性疾病，主要由气道软骨软弱，不能支撑正常的管腔结构引起。何成诗教授基于临床经验认为，该病基本病机为肺肾亏虚、骨软气陷，从“补肾壮骨”的角度出发，确立了肺肾同治、壮骨填精、健脾养肝、活血化痰的主要治法，以经验方调补肺肾方为基础，灵活化裁，临床收效明显，为慢性阻塞性肺疾病相关的气管支气管软化症提供了新的诊治思路。

Abstract

Tracheobronchomalacia associated with chronic obstructive pulmonary disease （COPD） is a common but easily overlooked and misdiagnosed benign central airway stenotic disease， mainly caused by weakened airway cartilage that is unable to support the normal airway lumen structure. Professor HE Chengshi， based on his clinical experience， believes that the fundamental pathogenesis of this disease is deficiency of the lung and kidney， accompanied by bone weakness and sinking of

. From the perspective of "tonifying the kidney and strengthening the bone"， he established the principal therapeutic methods of simultaneous treatment of the lung and kidney， strengthening bones and replenishing essence， invigorating the spleen and nourishing the li

ver， and promoting blood circulation and resolving phlegm. Based on the empirical

Tiaobu Feishen Formula

and through flexible modifications according to clinical presentation， Professor HE Chengshi has achieved remarkable clinical efficacy， providing a new approach for the diagnosis and treatment of COPD-associated tracheobronchomalacia.

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references

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