首页|国医大师韩明向基于"虚-郁-瘀-毒"治疗肺结节经验探析

国医大师韩明向基于"虚-郁-瘀-毒"治疗肺结节经验探析

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中医学理论认为,肺结节的形成与多种因素相关,包括先天禀赋不足、饮食失宜、情志失调、个体体质差异以及环境因素等.随着现代生活环境和体质变化,肺结节检出率呈现增高趋势.当前亚健康普遍化,饮食不良习惯人群增多,生活环境易被不良空气、烟雾等刺激环绕,高脂血症、高尿酸血症患者增多,形成偏颇体质,易患结节,因此早期防治肺结节大有裨益,诊疗方式亦有待进一步优化.韩明向教授认为,肺结节病因关键为肺气虚.肺宣肃失常,五脏气机失调,其中尤以肝失疏泄为主,肝主藏血功能失职,气血运化失调加重,痰湿内生,久而结瘀;又正气虚易致邪毒积聚耗伤肺阴,与痰瘀等病理因素胶着,进一步化瘀、化毒致结节恶变.韩明向教授治疗肺结节基于"虚-郁-瘀-毒"理论,以益气扶正、标本兼顾为要点;清热解毒、软坚散结为基础;以化痰通络、活血行瘀为主线,从证候、体质论治肺结节,达到"未病先防,既病防变""治病求本"的目的.
Analysis of master of Chinese medicine Han Mingxiang's experience in treating pulmonary nodules based on"deficiency-depression-blood stasis-toxin"
Traditional Chinese medicine theory believes that the formation of pulmonary nodules is related to many factors,including congenital constitutional insufficiency,improper diet,emotional disorders,individual physical differ-ences and environmental factors.With the changes of modern living environment and constitution,the detection rate of pul-monary nodules shows an increasing trend.At present,sub-health is common,the number of people with bad eating habits increases,the living environment is easily stimulated by bad air and smoke,and the number of patients with hyperlipidemia and hyperuricemia increases.People develop a biased constitution and are prone to nodules.Therefore,early prevention and treatment of pulmonary nodules is of great benefit,and the diagnosis and treatment methods also need to be further opti-mized.Professor Han Mingxiang believes that the key cause of pulmonary nodules is lung-Qi deficiency.The failure of dis-persing and descending function of the lung will lead to disorder of Qi activity of five zang-organs,especially the failure of dispersing and discharging of the liver.The dysfunction of storing blood of the liver and aggravated disorder of transportation and transformation of Qi and blood will bring endogenous phlegm-dampness,which will become the stagnation at last.In addition,the deficiency of healthy Qi is easy to cause the accumulation of pathogenic factors and damage the lung-Yin,which is closely linked with pathological factors such as phlegm and blood stasis,and further reduces blood stasis and poi-sons leading to malignant nodules.Based on the theory of"deficiency-depression-blood stasis-toxin",Prof.Han Mingxiang treats pulmonary nodules from the point of syndrome and constitution with supplementing and strengthening healthy Qi and treating both manifestation and root cause of disease as the key points,with clearing heat and detoxifying,softening hard-ness and dispersing mass as the basis,and with dissipating phlegm and dredging collaterals,promoting blood circulation and removing blood stasis as the main line,which can achieve the purposes of"preventing disease first,preventing disease from changing"and"seeking the root of disease".

pulmonary noduleslung-Qi deficiencyHan Mingxiangmaster of Chinese medicine

张尤、陈炜

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安徽中医药大学第一临床医学院,安徽 合肥 230031

安徽中医药大学第一附属医院,安徽 合肥 230031

肺结节 肺气虚 韩明向 国医大师

国家中医药管理局青年岐黄学者人才支持项目安徽省自然科学基金委员会面上基金资助项目安徽省高校自然科学研究项目安徽省中医药高水平传承人才支持项目安徽省首届青年江淮名医人才项目安徽省红十字会中医药传承创新发展研究项目安徽中医药大学临床科研项目

国中医药人教发[2020]7号文1808085MH264KJ2021A0554皖卫传[2023]451号皖卫函[2022]392号2021ZYYB052021yfylc05

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(4)