| 贺晋芳,晏军.从奇经论治结缔组织相关间质性肺疾病[J].浙江中医药大学学报,2020,44(10):967-972. |
| 从奇经论治结缔组织相关间质性肺疾病 |
| Treatment of Connective Tissue Disease-related Interstitial Lung Disease with the Theory of Extra-meridians |
| DOI：10-16466/j.issn1005-5509-2020-10-009 |
| 中文关键词: 结缔组织相关间质性肺疾病 肺痹 体痹 奇经八脉 温督祛寒 补益奇经 通调阴阳之络 医案 |
| 英文关键词: connective tissue disease-related interstitial lung disease pulmonary arthralgia body arthralgia eight extra-meridians warm Du channel to remove cold tonify the extra-meridians regulate collaterals of Yin and Yang medical cases |
| 基金项目:国家自然科学基金项目(81373589) |
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| 中文摘要: |
| [目的]探讨应用奇经理论治疗结缔组织相关间质性肺疾病的合理性和可行性。[方法]通过临床学习，结合奇经理论，解析结缔组织相关间质性肺疾病相关奇经医理，从病象特征、病因病机、治疗方法等方面分析运用奇经理论治疗结缔组织相关间质性肺疾病的学术观点和临床经验，并列举古今验案佐证。[结果]查结缔组织相关间质性肺疾病病位，可为奇经诸脉所部，循疾病传变，累及奇经是其最终转归；析临床症状，可谓奇经诸脉交病之象。寒遏督阳、奇经虚损、奇络瘀滞是其重要病因病机。临证施治时可从督脑内外之寒论治，予温督祛寒；从奇经虚损论治，予补益奇经、通阳摄阴；从奇经血络论治，予通调阴阳之络诸法。所举验案分别为悲伤耗气及年老正虚，外邪侵袭，郁遏督阳，凝滞气血，更伤气阳，虚、邪、瘀胶结不去，深入骨节、脏腑发为痹证，治疗分别以清燥汤祛奇邪、补奇虚，以玉屏风散合二陈汤加减补肺化浊、通和奇脉，临床疗效显著。[结论]从奇经论治结缔组织相关间质性肺疾病是从脏腑论治的有效补充和完善。 |
| 英文摘要: |
| [Objective] To explore the rationality and feasibility of treating the connective tissue disease-related interstitial lung disease(CTD-ILD) with the theory of extra-meridians. [Methods]Through clinical studying and combining the theory of extra-meridians， it summed up the academic viewpoints and clinical experiences of using the theory of extra-meridians for treating CTD-ILD from the aspects of physiological and pathological traits， etiology and pathogenesis， and ancient and modern medical records were enumerated to prove.[Results]The location of the disease can be parts of the extra-meridians， and after the disease transmission， the involvement of the extra-meridians are the final outcome of the disease. The clinical symptoms can be described as the phenomenon of diseases of extra-meridians. Cold restrains Yang Qi of Du channel and the deficiency and stasis in extra-meridians are its important etiology and pathogenesis， it can be treated with warming Yang Qi of Du channel and expelling cold; nourishing and mediating Yang and collecting Yin from deficiency in extra-meridians; and dredging Yin and Yang collaterals from the blood collaterals.The patients of the cases were sadness causing Qi consumption and old age with deficiency，external evil invaded Du channel causing stasis of blood and deficiency of Yang in extra-meridians，stagnation of Qi and blood， and even injury of Qi and Yang. Deficiency， evil and blood stasis cannot be cemented，which were stalemated in muscle and viscera finally leading to arthralgia in body and lung. The patients both achieved good results after treated with Qingzao Decoction to eliminate the evils and to supply the deficiency of extra-meridians， and with Yupingfeng Powder combined with Erchen Decoction modified to nourish the lungs， resolve the phlegm and to reconcile the extra-meridians. [Conclusion]Treatment of CTD-ILD from extra-meridians theory is an effective complement and improvement of the previous treating system from the viscera. |
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