首页|从"肝为气化之始"论治肺结节

从"肝为气化之始"论治肺结节

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人体生命活动以气化为本,全身气血津液以通达为贵,本文基于张锡纯"肝为气化之始"理论,肝为气化之萌芽,疏达全身气机,布达元气至胸中,温养心肺;助脾散精,流通透达全身气血津液;疏达相火,温煦经络脏腑.肺结节是以肺气亏虚、痰瘀互结为核心病机,以虚-郁-瘀-毒动态病理过程,而肝为气化之萌芽,是其始动因素.以肝生发无力,大气下陷、肺络失养为发病基础,肝气郁结、痰瘀痹阻肺络为病机核心,疏泄过极、元气失固为病进转折,胸中大气亏虚贯穿疾病始终.因此,治疗以"调肝助化"为总则,调肝助化的关键在温补肝气、疏补以通、敛肝固元,以助升发、散郁滞、敛气血使其气机升降得畅,气血流通透达有度.
Treating lung nodules from"the beginning of liver for gasification"
The life activities of human body are based on gasification,and the whole body Qi,blood and body fluid are im-portant to be accessible.Based on Zhang Xichun's theory that"liver is the beginning of gasification",the liver is the bud of gasifi-cation,and the whole body Qi can be dispersed and the vitality reached to the chest to warm and nourish the heart and lung.Help the spleen loose essence,circulation through the whole body Qi blood body fluid;Shuda phase fire,warm meridians and viscera.Pulmonary nodules are the core pathogenesis of lung qi deficiency and phlegm stasis,dynamic pathological process of deficiency-stagnation-stasis-toxicity,and liver as the bud of gasification,which is the initial factor.The liver is weak,the atmosphere sinks and the lung collaterals are lost as the basis of the disease,the liver qi stagnation,phlegm-stasis obstruction of the lung collater-als are the core of the pathogenesis,the drainage is too extreme and the Qi is lost as the tuming point of the disease,and the at-mosphere deficiency in the chest is throughout the disease.The treatment is based on"regulating the liver and assisting the treat-ment"as the general principle.The key of regulating the liver and assisting the treatment is to warm and replenish the liver Qi,drain and replenish the liver to pass and collect the liver to consolidate the yuan,so as to help the rise,Qi and blood,and dis-perse stagnation to make the Yin and Yang flow smoothly.

pulmonary nodulesLiverThe beginning of gasificationRegulating the liver and helping to transformXichun Zhang

杨怡秋、李忠、国佳鑫、孙可意、贾沄、沈洋、董青

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北京中医药大学东直门医院,北京 100700

北京急救中心,北京 100031

肺结节 气化之始 调肝助化 张锡纯

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202169-006

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(2)
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