首页|基于"结者散之"辨治肺结节痰瘀互结证

基于"结者散之"辨治肺结节痰瘀互结证

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肺结节之病机为肺气亏虚,外邪入体,肺之气络、血络先后受邪,气络生痰,血络生瘀,气络之痰与血络之瘀搏结成块,发而为病。从《黄帝内经》"结者散之"理论入手,治以清肺通络、祛痰化瘀为主,佐以疏肝理气,健脾渗湿之法,为肺结节的中医辨证及组方思路提供一定的借鉴与参考。
Syndrome differentiation and treatment of pulmonary nodules with syndrome of intermingled phlegm and blood stasis based on the theory of treating pathogen accumulations-caused disease with therapy of dispersion
The pathogenesis of pulmonary nodules is characteristic of deficiency of lung qi and exopathogens invading the interior,so as to affect qi collaterals and blood collaterals of the lung by pathogens successively,still further to form the phlegm in qi collaterals and the blood stasis in blood collaterals,while intermingled phlegm in qi collaterals and blood stasis in blood collaterals form blood agglomeration,which leads to the disease finally.Based on the theory of treating pathogen accumulations-caused disease with therapy of dispersion in The Yellow Emperor's Classic of Medicine,the treatment should focus on clearing away lung-heat and dredging collaterals as well as eliminating phlegm and removing blood stasis mainly,supplemented by the methods of soothing the liver and regulating circulation of qi as well as invigorating the spleen and eliminating dampness,which provides some enlightenments and references for TCM syndrome differentiation and prescription ideas of pulmonary nodules.

pulmonary nodulestreating pathogen accumulations-caused disease with therapy of dispersionlung collateralintermingled phlegm and blood stasis

黄月云、李希、张旺生、石传水、陈宇林、黄依晴

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福建中医药大学附属第二人民医院(福州 350003)

福建省明溪县总医院

福建省福州市鼓楼区五凤街道社区卫生服务中心

肺结节 结者散之 肺络 痰瘀互结

福建省卫生健康委员会中医药科研项目

2021zyjc16

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(2)
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