首页|从"络损-络滞-络毒"病机演变探讨肺结节辨治思路

从"络损-络滞-络毒"病机演变探讨肺结节辨治思路

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从络病理论总结肺结节辨治思路.认为肺结节的发生、发展到恶变的病机演变主要经历正损(络损)、结形(络滞)、恶变(络毒)三个阶段,核心病机分别为气阳不足,肺虚络损;痰瘀凝聚,络滞郁痹;阴结蕴热,络毒亢变;辨治原则主要有益气扶正,温阳通络;化痰祛瘀,散结通络;养阴润肺,解毒通络.并分别从虫类药、藤类药、辛味药、通补药进一步探讨通络药在肺结节中的具体运用,以期为肺结节临床辨治提供参考.
To explore the differentiation and treatment of pulmonary nodules from the pathogenesis of"collaterals damage-collaterals stagnation-collaterals toxicity"
The differentiation and treatment of pulmonary nodules were summarized from collateral disease theory.It is con-cluded that the pathogenesis of pulmonary nodules from occurrence to malignant degeneration mainly goes through three stages:positive lesion(collaterals lesion),nodal shape(collaterals stagnation)and malignant lesion(collaterals toxin).The core patho-genesis is deficiency of Qi Yang and deficiency of lung collaterals.Phlegm stasis condensation,collaterals stagnation stagnation bi;Yin knot accumulated heat,collaterals toxic hyperactivity change;The principle of differentiation and treatment is mainly ben-eficial to fuzheng Qi,warming Yang and clearing collaterals;Dispelling phlegm and stasis,dispersing knots and collaterals;Nourishing Yin and moistening lung,detoxifying and clearing collaterals.The specific application of Tongluo drugs in pulmonary nodules was further discussed from insect drugs,rattan drugs,tangxin drugs and toning drugs,in order to provide reference for clinical differentiation and treatment of pulmonary nodules.

Collaterals theorypulmonary nodulespathogenesisdifferentiation and treatment

郁文越、朱佳

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南京中医药大学附属医院,江苏南京 210029

南京中医药大学第一临床医学院,江苏南京 210029

络病理论 肺结节 病机演变 辨治思路

江苏省名老中医药专家传承工作室建设项目(第四批)

苏中医科教[2021]7号

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(4)
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