| 钟佳燕,倪锴文,王雅琴,等.从“阳化气，阴成形”论治肺结节[J].浙江中医药大学学报,2022,46(4):424-427. |
| 从“阳化气，阴成形”论治肺结节 |
| Analysis of Treatment of Pulmonary Nodules Based on “Yang Transforming Qi， Yin Constituting the Body” |
| DOI：10.16466/j.issn1005-5509.2022.04.013 |
| 中文关键词: 肺结节 阳化气 阴成形 气化 痰 瘀 中医 王真 |
| 英文关键词: pulmonary nodules Yang transform Qi Yin constituting the body Qi transformation phlegm blood stasis TCM WANG Zhen |
| 基金项目:浙江省中医药科学研究基金项目(2021ZB124) |
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| 中文摘要: |
| [目的] 探究从“阳化气，阴成形”论治肺结节的思路和方法，为肺结节的辨治提供新的思路。[方法] 以中医古籍为基础，结合现代医学相关理论认识、临床研究及王真教授治疗肺结节经验，探讨“阳化气，阴成形”功能失调与肺结节发病的关联性，提出相应的治则治法，并附医案一则予以佐证。[结果] “阳化气”不及，“阴成形”太过，为肺结节的基本病机。“阳化气”不及，或为阳虚，或为气虚，或伴气滞，致气化功能失调；“阴成形”太过，痰浊、瘀血、毒聚等阴邪相互胶结，凝滞于肺部，肺络阻塞发为肺结节。王师认为，治疗应平衡调动阳气与缓消阴邪之权重，纠正“阳化气”不及，“阴成形”太过的失衡状态。所举验案中患者证属肺脾气虚、痰瘀互结，治以健脾益肺、化痰消瘀，投以自拟方，疗效佳。 [结论] 从“阳化气，阴成形”论治肺结节紧扣病机，疗效可观，为中医辨治肺结节提供了新思路，丰富了中医论治肺结节的理论内容。 |
| 英文摘要: |
| [Objective] To explore the ideas and methods of treating pulmonary nodules from the perspective of “Yang transforming Qi， Yin constituting the body”， and provide new ideas for the differentiation and treatment of pulmonary nodules. [Methods] Based on the ancient books of traditional Chinese medicine(TCM)， combined with the relevant theoretical understanding of modern medicine， clinical research and Professor WANG Zhen's experience in treating pulmonary nodules， this paper discussed the correlation between the dysfunction of “Yang transforming Qi， Yin constituting the body” and the incidence of pulmonary nodules. Accordingly， the corresponding therapeutic principles and methods were put forward， and a medical case was attached as evidence. [Results] The basic pathogenesis of pulmonary nodules is that “Yang transforming Qi” is insufficient， and “Yin constituting the body” is too excessive. Insufficiency of “Yang transforming Qi”， or manifested as Yang deficiency， or manifested as Qi deficiency， or accompanied by Qi stagnation， results in dysfunction of Qi transformation. Excess of “Yin constituting the body”， causing the cementation of Yin evils such as phlegm， blood stasis and toxic and the obstruction of lung meridian， results in pulmonary nodules. Professor WANG believes that the treatment should focus on balancing the weight of transferring Yang Qi and relieving Yin evil， to correct the imbalance of “Yang transforming Qi” and “Yin constituting the body”. In the case， the patient was characterized by deficiency of the lung-spleen Qi and inter-combination of phlegm and blood stasis. The treatment was performed by strengthening the spleen and invigorating the lung， resolving phlegm and removing blood stasis， and the self-made prescription was given with good curative effect. [Conclusion] The treatment of pulmonary nodules from the perspective of “Yang transforming Qi， Yin constituting the body” is closely related to the pathogenesis and has considerable curative effect， which provides a new idea for the treatment of pulmonary nodules in TCM and enriches the theoretical content of the treatment of pulmonary nodules in TCM. |
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