Exploration of olfactory dysfunction based on the theory of heart-lung correlation
Olfactory dysfunction refers to the decline,loss or abnormality of some or all olfactory functions.The clinical manifestations are hypoesthesia,anosmia and hallucination and so on.The theory of heart-lung correlation can be traced back to Huangdi Neijing(《黄帝内经》)and Nanjing(《难经》).Professor DENG Tietao summarized the theory of the Five Zang(五脏)organs after the exploration and research of doctors in all dynasties.Based on the holistic idea of TCM,Qi(气)and blood as the core,and Thoracic Qi as the basis,it explains the correlation between the position,Yin(阴)and Yang(阳),Five elements,meridians and collaterals,and functions of the heart and lung.In Suwen·five-zang organs(《素问·五脏别论篇》),the influence of heart and lung on nasal diseases was first pointed out.The interaction between heart and lung,transforming Qi into blood,forming pectoral Qi,and nose regulating olfaction,then the pathogenesis and treatment of olfactory dysfunction are closely related to heart and lung.In clinical practice,most TCM scholars believe that the disease of nasal anosmia lies in the lung,and most of them treat the lung only.Some doctors emphasize the relationship between the nose and the heart,focusing on the treatment of the heart,but these treatments ignore the correlation between the heart and the lung.The lung and heart both play an important role in the occurrence and development of anosmia.In treatment,olfactory dysfunction can be treated by dispersing lung pathogens,clearing heart fire and benefiting heart and lung.This paper analyzes the connotation of cardiopulmonary theory combined with cases,and discusses the pathogenesis and treatment of olfactory dysfunction from the perspective of cardiopulmonary disharmony,in order to expand ideas for clinical practice.
The theory of heart-lung correlationOlfactory dysfunctionQi and bloodPectoral Qi