陈中沛从"三隧""九窍"治疗肺结节经验

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中文摘要：陈中沛主任认为，人有"三隧"，体有"九窍"，"三隧"即元气之隧、津液之隧、糟粕之隧，"九窍"是一种既宏观又微观的孔窍及门户结构，人体之腧穴、玄府、腠理、膜原等皆属于"九窍"。基于上述观点，陈主任提出元气虚弱是肺结节形成的先决条件，上焦元气之隧与津液之隧不利是肺结节的核心病机，痰瘀互结和窍闭络阻是肺结节的致病特点。治疗方面，当以补益元气与调畅两隧为主，辅以化痰散结、行瘀开窍，标本兼顾，可明显缩小或消除肺结节。附验案1则。

外文标题：CHEN Zhongpei's Experience in Treatment of Pulmonary Nodules from"Three Tunnels"and"Nine Orifices"

外文摘要：Director CHEN Zhongpei believes that humans have"three tunnels"and"nine orifices".The"three tunnels"refer to the tunnel of original qi,the tunnel of body fluid,and the tunnel of waste materials.The"nine orifices"refer to macroscopic and microscopic structures of pores and gateways,including acupuncture points,sweat pore,interstices,and membrane source in the human body.Based on the above views,CHEN Zhongpei proposes that weak original qi is a prerequisite for the formation of pulmonary nodules,and the obstruction of the tunnel of original qi and the tunnel of body fluid in the upper energizer is the core pathogenesis of pulmonary nodules.The mutual combination of phlegm and blood stasis as well as the blockage of orifices and collaterals is the pathological characteristics of pulmonary nodules.In terms of treatment,it is proposed to focus on tonifying original qi and regulating the two tunnels,and supplemented by resolving phlegm,dissipating mass,promoting blood circulation,and opening up the orifices.By addressing both the root causes and symptoms,lung nodules can be significantly reduced or eliminated.One proved case is attached.

外文关键词：

pulmonary nodulesthree tunnelsnine orificestonifying original qiregulating the two tunnelsresolving phlegm and dissipating masspromoting blood circulation and opening up the orificesXiaochaihu Decoction(小柴胡汤)

作者：

黄帅、陈茜、李道端、袁秒、周青山、陈中沛

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作者单位：

成都中医药大学,四川成都 610075

重庆市中医院,重庆 400021

关键词：

肺结节三隧九窍补益元气调畅两隧化痰散结行瘀开窍小柴胡汤

基金：

陈中沛西俭脉法市级技能大师工作室项目

项目编号：

CQSZYY1590

出版年：

2024

DOI：

10.16295/j.cnki.0257-358x.2024.06.013

山东中医杂志

山东中医药学会山东中医药大学

山东中医杂志

CSTPCD

影响因子：0.431

ISSN：0257-358X

年,卷(期)：2024.43(6)