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从"浊伏肺络"论治肺结节

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总结探讨从"浊伏肺络"论治肺结节.认为肺结节病的诊疗当从宏观处出发,在认识肺结节病核心病机的基础上以辨病论治为主.总结出以肺络为病位,浊邪为病理因素,气血津液代谢异常为基本病机,"浊伏肺络"为核心病机,"黜浊散结"为治则的肺结节病中医诊疗思路.以此为基础,根据浊邪特点与临床表现具体运用化痰祛浊、解毒清浊、化瘀散浊、散结化浊、旺气磨积5种治法,以期在较长的观察等待期达到拔本塞源、消散结节的目的.
Treatment of pulmonary nodules from"turbidity lurking in the lung collaterals"
This article summarizes and discusses the treatment of pulmonary nodules from the perspective of"turbidity lurking in the lung collaterals".It suggests that the diagnosis and treatment of pulmonary nodules disease should start from a macroscopic approach,focusing on disease differentiation and treatment based on understanding the core pathogenesis of pulmonary nodules disease.The summary concludes that the lung collaterals are the disease location,turbid evil is the pathological factor,and abnormal metabolism of qi,blood,body fluids are the basic mechanism,with"turbidity lurking in the lung collaterals"as the core pathogenesis and"Chuzhuo and dispersing nodules"as the treatment principle in the traditional Chinese medicine diagnosis and treatment approach for pulmonary nodules disease.Based on this,five treatment methods are specifically applied according to the characteristics of turbid evil and clinical manifestations:transforming phlegm and expelling turbidity,detoxifying and clearing turbidity,dissolving stasis and dispersing turbidity,dispersing nodules and transforming turbidity,and enhancing qi to grind accumulation.The goal is to eradicate the root cause and dissolve the nodules over a longer observation and waiting period.

pulmonary nodulesturbid evilChuzhuo and dispersing nodules

张淑芮、程闻、廖冬颖、张豪健、贾英杰

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天津中医药大学第一附属医院,天津 300381

国家中医针灸临床医学研究中心,天津 300381

天津中医药大学,天津 301617

肺结节 浊邪 黜浊散结

第二届全国名中医传承工作室建设项目—贾英杰全国名中医传承工作室天津市研究生科研创新项目

9740222022BYK198

2024

天津中医药
天津市中医药大学,天津中西医结合学会,天津中医药学会

天津中医药

CSTPCD
影响因子:0.998
ISSN:1672-1519
年,卷(期):2024.41(8)