摘要
肺结节症状隐匿,性质有炎性结节,炎性肉芽肿,早期浸润性癌,肺癌之分,临床鉴别诊断仍有困难。对大多数肺结节开展定期的CT随访观察为中医药干预肺结节提供了“窗口期”。本文从外寒袭肺、寒湿氤氲的地理环境、寒凉饮食、夏日空调等方面分析认为寒邪浸淫是肺结节形成的基本病因,寒痰是肺结节的基本病机。从临床有症可辨和无症可辨的两种实际情况概括了肺结节的临床表现。提出麻黄附子细辛汤和三子养亲汤加味为基本方,温阳散寒以治本,化痰软坚以治标的肺结节基本治疗大法,探讨提高肺结节的中医诊治能力。
The symptoms of pulmonary nodules are insidious,with inflammatory nodules,inflammatory granuloma,early invasive cancer and lung cancer,and the clinical differential diagnosis is still difficult.Regular CT follow-up observation of most pulmonary nodules provides a"window period"for TCM Intervention in pulmonary nodules.From the aspects of external cold attacking the lung,dense cold and humid geographical environment,cold diet,summer air conditioning,etc.,this paper considers that the soaking of cold pathogenic factors is the basic cause of the formation of pulmonary nodules,and cold phlegm are the basic pathogenesis of pulmonary nodules.The clinical manifestations of cold phlegm in pulmonary nodules are summarized from the two actual situations that can be distinguished from clinical symptoms and no symptoms.It is proposed that Mahuang Fuzi Xixin Decoction and Sanzi Yangqin decoction are the basic formulas,Discussion on the treatment of pulmonary nodules by warming yang and dispelling cold to cure the root cause,eliminating phlegm and softening hard mass to treat the symptoms;Improve the ability of TCM diagnosis and treatment of pulmonary nodules.
作者
任丹丹
李炜弘
吕尚斌
罗招亮
王杰鑫
李家良
赵智慧
Ren Dandan;Li Weihong;Lyu Shangbin;Luo Zhaoliang;Wang Jiexin;Li Jialiang;Zhao Zhihui(College of Basic Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第10期3322-3327,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家科学技术部国家重点研发计划(2017YFC1703304):面向重大疾病的舌象智能诊断模式与临床评价,负责人:李炜弘
国家自然科学基金委员会面上项目(81873204):自发性肾阳虚体质大鼠模型强化肾阳虚性状稳定传代的遗传学机制研究,负责人:李炜弘
关键词
肺结节
寒痰
温阳散寒
化痰软坚
Lung nodule
Cold phlegm
Warming Yang to expel coldness
Eliminate phlegm and soften hard mass
作者简介
通讯作者:李炜弘,教授,博士研究生导师,主要研究方向:呼吸系统疾病的诊治与康复
