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基于“六郁”理论辨治亚实性肺结节 被引量:4

Differentiation and Treatment of Subsolid Pulmonary Nodules Based on‘Six Depressions’Theory
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摘要 亚实性肺结节是近年来在西医学影像学快速发展的背景之下,对于部分肺癌早期病变的影像特征的综合判断,因此对于亚实性肺结节的早期治疗尤为重要。然西医学对其非手术治疗尚无明确特效药。本文试从朱震亨“六郁”理论着手,探讨亚实性肺结节与其相关性,六郁皆可致病,尤以气郁为先,诸郁相因,气、血、津液运行不畅,终致痰瘀凝滞于肺,结节乃成,治疗时可在宣肺理气解郁的同时,辅以清肺散火、化痰散结、行气祛湿、消食化滞、活血化瘀之法,以期为亚实性肺结节的系统防治提供理论依据。 In recent years,under the background of the rapid development of modern medical imaging,subsolid pulmonary nodules are a comprehensive judgment of the image characteristics of some early lung cancer lesions.Therefore,the early treatment of subsolid pulmonary nodules is particularly important.However,there is no specific medication for its non-operative treatment in modern medicine.This study tried to explore the correlation between subsolid pulmonary nodules and‘six depressions’theory in TCM,which is put forward by ZHU Zhenheng.The theory believes that all six depressions can cause disease,especially Qi stagnation;all depressions are related to each other,poor movement of Qi,blood,and body fluid can eventually result in phlegm and stasis in Lung,therefore nodules are formed.The treatment should be focusing on dispersing Lung and resolving depression,supplemented by clearing Lung-fire,resolving phlegm,promoting Qi to dispel dampness,promoting digestion to eliminate stagnation,as well as promoting blood circulation to remove blood stasis,so as to provide theoretical basis for systematic prevention and treatment of subsolid lung nodules.
作者 李烨 舒鹏 LI Ye;SHU Peng(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjing University of Chinese Medicine,Nanjing 210029,China)
出处 《中医药学报》 CAS 2023年第5期17-20,共4页 Acta Chinese Medicine and Pharmacology
基金 国家中医药管理局重大疑难疾病项目 国家中医药管理局《中医药循证能力建设项目》(2019XZZX-ZL003) 南京中医药大学中医学优势学科三期项目(ZYX03KF020)。
关键词 六郁 亚实性肺结节 中医药 Six depressions Subsolid pulmonary nodules TCM
作者简介 李烨(1998-),女,硕士研究生,研究方向:肿瘤内科学。;通讯作者:舒鹏(1970-),女,博士,主任中医师,研究方向:肿瘤内科学。
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