| 王金娥,王林洋,蔡松,等.基于“虚气留滞”理论探讨肺部结节病机[J].浙江中医药大学学报,2023,47(3):241-245. |
| 基于“虚气留滞”理论探讨肺部结节病机 |
| Discussion on the Pathogenesis of Pulmonary Nodules Based on“Deficient Qi Stagnation” |
| DOI：10.16466/j.issn1005-5509.2023.03.003 |
| 中文关键词: 虚气 留滞 肺部结节 病机 正虚 气滞 痰瘀 毒邪 |
| 英文关键词: deficient Qi stagnation pulmonary nodules pathogenesis deficiency of vital Qi Qi stagnation phlegm and blood stasis toxic pathogens |
| 基金项目:2019年度北京中医药大学基本科研业务费项目(2019-JYB-JS-069) |
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| 摘要点击次数: 1950 |
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| 中文摘要: |
| [目的] 探析“虚气留滞”理论辨治肺部结节的核心病机观内涵，为肺部结节的预防和治疗拓展思路。[方法] 基于王永炎院士根据其多年脑病学临床实践经验提出的“虚气留滞”理论，通过查阅中医古籍和现代文献资料，搜集部分医家对于“虚气留滞”理论的学术观点，并结合临床实践经验总结，探讨肺部结节的核心病机。[结果] “虚气留滞”理论符合肺部结节起病隐匿、病程日久等临床发病特征及病机要点，虚实夹杂、本虚标实是肺部结节的病机特点，正气亏虚(虚气)是肺部结节发病的内在病机基础，是发病之本；气机阻滞、痰瘀凝聚、毒邪损肺(留滞)是该病发生与发展的重要环节，是发病之标；“虚气”与“留滞”互为因果，相互影响，共同致病。[结论] 基于“虚气留滞”理论，探讨肺部结节核心病机合理可靠。建立肺部结节辨证体系，有助于弥补现代医学对肺部结节诊治体系的不足，可为今后中医药早期干预与治疗肺部结节提供更为广阔的思路和方法，提高临床疗效。 |
| 英文摘要: |
| [Objective] To explore the connotation of the core pathogenesis of the theory of “Deficient Qi Stagnation” in the differentiation and treatment of pulmonary nodules， so as to expand ideas for the prevention and treatment of pulmonary nodules. [Methods] Based on the theory of “Deficient Qi Stagnation” proposed by Academician WANG Yongyan based on his many years of clinical experience in encephalopathy， consulting ancient Chinese medicine books and modern literature， and collecting some physicians， academic views on the theory of “Deficient Qi Stagnation”， combined with clinical practice experience， to explore the core pathogenesis of pulmonary nodules. [Results] The theory of “Deficient Qi Stagnation” is applicable to the clinical characteristics and pathogenesis of pulmonary nodules such as insidious onset and long course of disease. The article expounds that deficiency of Qi(deficient Qi) is the intrinsic pathogenesis of pulmonary nodules； stagnation of Qi， phlegm and blood stasis coagulation， and damage by toxic pathogens(stagnation) are important links in the occurrence and development of the disease. In addition， “Deficient Qi”and “stagnation”are cause and effect of each other， influence each other， and cause disease together. [Conclusion] Based on the theory of “Deficient Qi Stagnation”， it is reasonable and reliable to explore the core and pathogenesis of pulmonary nodules. And the establishment of characteristic syndrome differentiation and treatment system of pulmonary nodules is helpful to make up for the lack of modern medicine in the diagnosis and treatment system of pulmonary nodules and provides broader ideas and methods to improve clinical efficacy. |
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