摘要
肺结节是当前呼吸科门诊常见就诊原因,其病因关键在于内之正气不足、七情气郁,外有烟毒雾霾、六淫侵袭,导致脏腑受累、肺络损伤,产生正虚而邪气留滞,气郁、痰阻、血瘀结聚的病理变化,甚至可能进一步化热、化毒。本病临证当以病证结合思想为指导,治疗上以扶正祛邪为原则,以补气健脾、理气通络、化痰逐瘀、清热解毒为大法,切合肺结节病证规律进行早期干预,避免其进展或癌变。
Pulmonary nodules(PN)are a common reason for patients to visit the respiratory outpatient department.The key cause of pulmonary nodules lies in the internal deficiency of vital qi and qi depression due to the abnormality of seven emotions,as well as the external invasion of smoke poisoning,smog and the six pathogenic factors.The internal organs are thereby affected and the lung collaterals are damaged,resulting in such pathological changes as pathogenic qi lingering due to vital qi deficiency,qi depression,phlegm obstruction and blood stasis,which may even transform into heat and/or toxicity.The treatment should be guided by the idea of combining disease identification and syndrome differentiation,with supporting the vital qi and dispelling the pathogenic qi as the treatment principle,tonifying qi and strengthening the spleen,regulating qi and unblocking collaterals,resolving phlegm and removing blood stasis,clearing heat and detoxifying as the treatment methods.Early intervention should be encouraged according to the disease-syndrome progressive pattern of lung nodules to avoid the progress or cancerization.
作者
陈飞飞
薛艳
张炜
史苗颜
张一乐
苏子舰
孙仕奇
CHEN Feifei;XUE Yan;ZHANG Wei;SHI Miaoyan;ZHANG Yile;SU Zijian;SUN Shiqi(Graduate School,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of Pulmonary Diseases,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药杂志》
2022年第3期22-25,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫计委临床重点专科建设项目(shslczdzk05101)
上海市卫健委东部中医医联体呼吸专科联盟项目(ZY[2021-2023]-0302)
上海市科委上海市中医临床重点实验室建设项目(20DZ2272200)
关键词
肺结节
咳嗽
病证结合
辨证论治
扶正祛邪
中医药疗法
络病
肺癌
lung nodule
cough
combination of disease identification and syndrome differentiation
syndrome differentiation and treatment
supporting the vital qi and dispelling the pathogenic qi
traditional Chinese medicine therapy
collateral disease
lung cancer
作者简介
陈飞飞,女,硕士研究生,主要从事中医药防治肺系疾病的临床研究工作;通信作者:张炜,主任医师,博士研究生导师,E-mail:zhangw1190@sina.com
