首页|基于"玄府-气液-肺络"理论探讨特发性肺纤维化的证治

基于"玄府-气液-肺络"理论探讨特发性肺纤维化的证治

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特发性肺纤维化(IPF)是一种慢性、进展性的间质性肺疾病,属"肺痹""肺痿"范畴.本文系统梳理IPF的辨治思路,从中医玄府理论、气液理论、络病理论角度出发,归纳IPF基本病机为玄府郁闭、肺失宣降为发病之因,气液不通、痰瘀痹阻为病变之枢,肺络瘀阻、肺失其用为病进之果,此病变过程与现代医学的肺部微循环改变、炎性微环境不谋而合.笔者探讨IPF与"玄府-气液-肺络"的关系,认为"气络-玄府-血络"结构高度契合肺脏与外界气体交换的生理特性及外邪由浅入深的传变规律.通过审机论治,以承制调平为立足点,分期论治IPF,抵御外邪、畅通玄府、输布气液、补肺通络、扶正调平.
Exploration of Syndrome Differentiation and Treatment of Idiopathic Pulmonary Fibrosis Based on the Theory of"Sweat Pores-Qi and Fluid-Lung Collaterals"
Idiopathic pulmonary fibrosis(IPF)is a chronic and progressive interstitial lung disease,belonging to the category of"lung Bi"and"lung Wei".This paper systematically reviews the syndrome differentiation and treatment strategies for IPF,starting from the perspective of traditional Chinese medicine theories such as the sweat pores theory,qi and fluid theory,and the theory of collateral diseases.The basic pathogenesis of IPF is that stagnation in the sweat pores leading to lung failing to diffuse and govern descent is the cause of the disease onset,qi and fluid stasis and phlegm and stasis obstruction is the pathological pivot,and lung collateral stagnation causing malfunction of the lung is the result of the progression.This pathological process aligns with modern medical understanding of changes in pulmonary microcirculation and inflammatory microenvironment.The author explores the relationship between IPF and the"sweat pores-qi and fluid-lung collateral"theory,suggesting that the structural alignment of"qi collateral-sweat pores-blood collateral"conforms to the physiological characteristics of gas exchange in the lungs and the progression of external pathogens from superficial to deep layers.Through syndrome differentiation and treatment,focusing on regulating and balancing,IPF can be treated in stages to resist external pathogens,promote sweat pores circulation,facilitate qi and fluid distribution,tonify the lungs and unblock the collaterals,and reinforce the healthy qi and support the body's balance..

Idiopathic pulmonary fibrosisSweat poresQi and fluidCollateral vesselSyndrome differentiation and treatment strategy

李金飞、肖世伟、朱亚楠、苏玉杰

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云南中医药大学第一附属医院,云南 昆明 650000

云南中医药大学,云南 昆明 650500

特发性肺纤维化 玄府 气液 络脉 辨治思路

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(8)