【摘要】 慢性阻塞性肺疾病（COPD）是全球高致死率的慢性呼吸系统疾病，常与衰弱共存，导致一系列不良事件，严重影响患者健康。中医认为COPD合并衰弱属“肺胀”“虚劳”等范畴，病因涉及增龄、外感、五脏虚损、情志等，病机以气血阴阳亏虚为本，痰瘀为标。治疗上强调调补五脏、补气养血、调和阴阳，综合运用中药（如参苓白术散、固本培元汤）、传统运动疗法（如太极拳、八段锦）、针灸及膏方、食疗等，疗效显著。研究表明，中药可改善肺功能、抑制炎症；传统运动能增强肌力与耐力；针灸通过调节经络延缓肌萎缩。中医多途径干预不仅缓解症状，还提高生活质量，为COPD合并衰弱提供了安全有效的治疗方案，凸显了中医整体调理的优势。更多还原

【Abstract】 Chronic obstructive pulmonary disease(COPD) is a chronic respiratory disease with high mortality in the world. It often coexists with frailty, leading to a series of adverse events and seriously affecting the health of patients.Traditional Chinese medicine believes that COPD combined with frailty belongs to the categories of "lung distension" and "deficiency of labor", and the etiology involves aging, external infection, deficiency of five zang organs, and emotion. The pathogenesis is based on deficiency of qi, blood, Yin and Yang, and phlegm and blood stasis. The treatment emphasizes regulating and tonifying five zang organs, tonifying qi and nourishing blood, and mediating Yin and Yang.The comprehensive use of traditional Chinese medicine(such as Shenling Baizhu powder, Gubenpeiyuan decoction),traditional exercise therapy(such as Tai chi, Baduanjin), acupuncture, ointment and diet therapy is effective. Studies have shown that traditional Chinese medicine can improve lung function and inhibit inflammation. Traditional exercise can enhance muscle strength and endurance. Acupuncture delays muscle atrophy by regulating meridians. Multichannel TCM intervention not only relists symptoms, but also improves quality of life, and provides a safe and effective treatment for COPD combined with frailty, highlighting the advantages of holistic TCM conditioning.更多还原