首页|基于六经辨证思想探讨肺结节治疗经验撷菁

基于六经辨证思想探讨肺结节治疗经验撷菁

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伤寒当统六气,六经乃百病之提纲.六经受邪皆可导致肺结节的发生,通常表现为一经、两经或者三经合病、并病.肺结节病的本质是少阴先虚,虚寒为本,本虚标实,病变以太阳经受邪为先,太阳失和致肺气失宣,邪气内陷,夹杂痰湿;水从寒化,阴成形,形成结节;水从火化,阳盛阴虚则结节发展加快.治疗上需把握肺结节核心病机,早期干预肺结节的发生发展,切断演变趋势,减少肺结节恶变至肺癌的发生.文章基于《伤寒论》六经辨证理论探讨徐书教授治疗肺结节的思路,总结肺结节中医辨证规律和理法方药.
Exploration on the treatment experience of pulmonary nodules based on the thought of six meridians differentiation
The typhoid fever should unify the six qi,and the six meridians are the outline of all diseases.The occurrence of pulmonary nodules can be caused by the evils of the six meridians,usually manifested as one,two,or three meridians combined diseases and concomitant diseases.The essence of pulmonary nodules is the deficiency of Shaoyin first,deficiency and cold as the root,deficiency in origin and excess in superficiality,the lesion is mainly caused by the Taiyang suffering from evil,and the loss of harmony of the Taiyang causes the loss of lung qi,internal evil qi,mixed with phlegm and dampness;water from cold transformation,yin takes shape and nodules are formed;water is transformed from cremation,and when yang is strong and yin is deficient,the development of nodules is accelerated.In terms of treatment,it is necessary to grasp the core pathogenesis of pulmonary nodules,intervene in the occurrence and development of pulmonary nodules early,cut off the evolution trend,and reduce the occurrence of malignant transformation of pulmonary nodules to lung cancer.Based on the syndrome differentiation theory of the six meridians in Treatise on Cold Damage,this article discusses professor XU Shu's thinking on the treatment of pulmonary nodules,and summarizes the laws of traditional Chinese medicine syndrome differentiation and rationale,methods and prescriptions for pulmonary nodules.

Pulmonary nodulesTreatise on Cold DamageSix meridians differentiationShaoyin diseaseCombined diseasesConcomitant diseasesExperience

徐樱、衣凯、李京、李庆瑜、曹辉、徐书、许斌

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辽宁中医药大学,沈阳 110000

肺结节 《伤寒论》 六经辨证 少阴病 合病 并病 经验

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(12)