| 黄明明,李杰,彭桂英,等.基于中医伏邪理论探讨肺结节的辨治思路[J].浙江中医药大学学报,2022,46(11):1295-1300. |
| 基于中医伏邪理论探讨肺结节的辨治思路 |
| Discussion on Differentiation and Treatment of Pulmonary Nodules Based on the Hidden Pathogen Theory in TCM |
| DOI：10.16466/j.issn1005-5509.2022.11.021 |
| 中文关键词: 肺结节 伏邪 肺络 痰 瘀 热 毒 肺癌 |
| 英文关键词: pulmonary nodule hidden pathogen lung collateral phlegm blood stasis heat toxicity lung cancer |
| 基金项目:北京中医药大学2019年度基本科研业务费创新科研团队项目(2019-JYB-TD014)；国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) |
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| 中文摘要: |
| [目的] 基于中医伏邪理论探讨肺结节的辨治思路。 [方法] 从伏邪的角度出发，结合古籍文献及现有文献资料，考究伏邪致病的源流，探析伏邪致病与肺结节恶性转化过程的相关性，并对肺结节的治法及用药进行概括总结。[结果] 伏邪因虚而生，具有隐匿潜伏，逾期而发的致病特点，肺结节多因正虚邪伏而发病，正气亏虚，脏腑失衡是疾病发生的内在依据；痰瘀热毒积聚，伏于肺络，是肺结节恶性转化的病理基础。治疗上以扶正祛邪为主，把握核心病机，兼以顾护脾胃，予补肺健脾、化痰消瘀、清热解毒、散结通络等药物对肺结节进行早期干预，截断病势，扭转病情，以达到“既病防变”的目的，防止病情恶化。[结论] 从中医伏邪的角度探讨肺结节的辨治思路，能更全面地认识肺结节发病的本质，拓宽临床诊疗思路，有效地指导肺结节的预防与治疗。 |
| 英文摘要: |
| [Objective] To explore the thought of differentiation and treatment of pulmonary nodules based on the theory of hidden pathogen. [Methods] From the perspective of hidden pathogen， combined with ancient and existing literature， the origin of hidden pathogen was investigated， this paper analyzed the correlation between hidden pathogen and the transformation process of pulmonary nodules. Accordingly， the treatment and medication of pulmonary nodules were summarized. [Results] Hidden pathogen is caused by deficiency， which has the characteristics of hidden and overdue pathogenesis. Pulmonary nodules mostly develop due to the deficiency of healthy Qi and subdued pathogen， deficiency of healthy Qi and imbalance of viscera are the internal basis of pulmonary nodules； phlegm， blood stasis， heat and toxic accumulation hidden in the lung collateral are the pathological basis of pulmonary nodules carcinogenesis. Treatment is based on strengthening healthy Qi and eliminating pathogens， grasping the core pathogenesis， taking care of the spleen and stomach， and providing medicines to nourish the lung and strengthen the spleen， resolve phlegm and eliminate blood stasis， clear heat and detoxify， disperse nodules and dredge collateral to early intervene in pulmonary nodules， truncating the disease situation， reversing the disease， in order to achieve the purpose of “preventing disease from development” and preventing disease from worsening. [Conclusion] Exploring the thought of differentiation and treatment of pulmonary nodules from the perspective of hidden pathogen in traditional Chinese medicine(TCM) can more comprehensively understand the nature of pulmonary nodule pathogenesis， broaden clinical diagnosis and treatment ideas， and effectively guide the prevention and treatment of pulmonary nodules. |
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