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