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从虚、痰、瘀、毒论治肺部磨玻璃结节

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随着体检中胸部CT的普及,肺部磨玻璃结节(ground-glass nodule,GGN)的检出率越来越高,其具有一定比例的恶性概率,容易引起患者的恐慌,值得临床重视。目前对于无手术适应症的肺部GGN西医只是随访观察,而中医学对肺部GGN的研究尚不足,并且未形成统一的认识。通过查阅文献以及临床上四诊合参发现磨玻璃结节的病机特点多以虚痰瘀毒夹杂为主,基于虚、痰、瘀、毒讨论肺部GGN的病机特点及治疗方法,希冀为肺部磨玻璃结节的诊疗提供一定的思路。
Treatment of Ground Glass Nodules in the Lungs from the Perspectives of Deficiency,Phlegm,Blood stasis and Toxicity
With the popularization of chest CT in physical examinations,the detection rate of ground glass nodules(GGN)in the lungs is increasing.They have a certain proportion of malignant probability and can easily cause panic in patients,which deserves clinical attention.At present,Western medicine only conducts follow-up observations on pulmonary GGN without surgical indications,while Chinese medicine has insufficient research on pulmonary GGN and has not formed a unified understanding.The author found through literature review and clinical practice that the pathological characteristics of GGN are mainly characterized by a mixture of deficiency phlegm,blood stasis,and toxin.Based on the discussion of deficiency,phlegm,blood stasis,and toxin,the author hopes to provide some ideas for the diagnosis and treatment of GGN in the lungs.

Ground glass nodulesDeficiency phlegm,stasis and toxicityStrengthening the body resistancePromote blood circulation and remove blood stasisClearing the lungs and detoxifying

刘睿潮、周海伦、阿格尔、甘姗珊、姜婧洁、龚亚斌

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上海中医药大学附属岳阳中西医结合医院,上海 200437

磨玻璃结节 虚痰瘀毒 扶正 活血化瘀 清肺解毒

2025

陕西中医药大学学报
陕西中医学院

陕西中医药大学学报

影响因子:0.479
ISSN:2096-1340
年,卷(期):2025.48(1)