目的：观察清肺培元微丸对艾滋病肺部感染痰热壅肺证患者主要症状的影响。方法：141例艾滋病肺部感染痰热壅肺证患者，随机分为对照组（47例）和治疗组（94例），对照组给予西医基础治疗，治疗组给予基础西医治疗加用清肺培元微丸。治疗4周后，观察患者主要症状的变化。结果：第28 天时，与对照组相比，治疗组在咳嗽、喘息、胸闷等症状的改善疗效更优（P<0.05）；各时期的咳痰程度比较，治疗组明显优于对照组（P<0.05）；第7天时治疗组在降低体温方面优于对照组（P<0.05）。结论：清肺培元微丸可以改善艾滋病肺部感染患者咳嗽、喘息、胸闷、咳痰等症状。

This study was aimed to observe influence on clinical symptoms of Qing-Fei Pei-Yuan Wei-Wan (QFPYWW) for pulmonary infection HIV/AIDS cases with the syndrome of phlegm-heat obstructing the lung. A total of 141 pulmonary infection HIV/AIDS cases with the syndrome of phlegm-heat obstructing the lung were randomly divided into the treatment group (94 cases) and the control group (47 cases). The treatment group was given basic western medication combined with QFPYWW. The control group was given basic western medication. After 4 weeks treatment, observation was made on changes of main symptoms. The results showed that on the 28th day, compared with the control group, there was improvement on symptoms such as cough, breathing and chest tightness(P < 0.05). Comparison on coughing up phlegm degree showed that the treatment group was significantly better than the control group (P < 0.05). On the 7th day treatment, the treatment group had better effect on lowering body temperature than the control group (P < 0.05). It was concluded that QFPYWW can improve symptoms such as cough, breathing, chest tightness and cough up phlegm among pulmonary infection HIV/AIDS patients.

卫生部和解放军总后卫生部国家“十一五”科技重大专项（2008ZX10005-003G）：艾滋病和病毒性肝炎等重大传染病防治-艾滋病机会性感染和减少HAART 毒副作用中医药治疗方案/方法研究，总课题负责人：毛羽，子课题负责人：徐立然。