首页|基于"龙虎回环"论治特发性肺纤维化

基于"龙虎回环"论治特发性肺纤维化

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特发性肺纤维化是呼吸系统常见疾病,其中医病机总属本虚标实,以肺气虚损为本,以痰、瘀为标.气虚血瘀,痰瘀互结,痹阻肺络."龙虎回环"依靠肝升肺降、中气斡旋作用,左路升发,右路敛降,以中土脾胃为枢轴,则全身气机周流运转,若肝肺气机升降失常,中气斡旋失司,则肺叶失于濡养,痰瘀痹阻,终致肺叶痿废不用.因此,基于"龙虎回环"理论,在治疗特发性肺纤维化时要重视恢复气机之升降,采用调肝理肺、健脾和胃、益气养血之法,配伍化痰祛瘀、活血通络,以复中气斡旋,肝升肺降,使坎离交媾,龙虎回环.
Treatment of Idiopathic Pulmonary fibrosis Based on "Dragon-Tiger Loop"
Idiopathic pulmonary fibrosis is a common disease of the respiratory system. The pathogenesis of tradi-tional Chinese medicine is always deficiency and excess, with lung Qi deficiency as the root and phlegm and blood sta-sis as the symptoms. Qi deficiency and blood stasis, phlegm and blood stasis clump together, causing paralysis and ob-struction of the lung collaterals. The "Dragon-Tiger Circle" relies on the liver's ascending and descending lungs and the mediating effect of the middle Qi. The left path ascends and the right path converges and descends. With the middle earth spleen and stomach as the pivot, the whole body's Qi circulates. If the liver and lung Qi rise and fall abnormally, If the central Qi fails to mediate and circulate, the lung lobes will lose moisture and nourishment, resulting in phlegm and blood stasis, which will eventually cause the lung lobes to become ineffective and useless. Therefore, based on the "dragon-tiger cycle" theory, when treating idiopathic pulmonary fibrosis, attention should be paid to restoring the rise and fall of Qi, using methods such as regulating the liver and lungs, strengthening the spleen and stomach, replenish-ing qi and nourishing blood, and combining it with phlegm and blood stasis. , activating blood circulation and dredging collaterals, mediating with the rejuvenation of Qi, causing the liver to rise and the lungs to fall, causing Kanli to conjure and the dragon and tiger to turn around.

Idiopathic pulmonary fibrosisDragon-tiger loopLiver ascends and lung descendsMiddle-Qi mediation

刘石、罗生坪、吴趋荟、李妲、范伏元

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湖南中医药大学 湖南长沙 410208

湖南中医药大学第一附属医院 湖南长沙 410007

特发性肺纤维化 龙虎回环 肝升肺降 中气斡旋

湖南省卫生健康委员会科研计划课题项目长沙市自然科学基金项目

202203023299kq2202455

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(3)
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