ZHANG Zhiwen's Experience in Treating Pulmonary Nodules with"Regulating Qi and Body Fluid,Opening Sweating Pores,Penetrating Kenang(窠囊),and Preventing Cancer Toxin"
This paper summarized Professor ZHANG Zhiwen's clinical experience in treating pulmonary nodules.Professor ZHANG proposed that the pathogenesis of pulmonary nodules is impairment of qi and body fluid distribu-tion,sweating pores constraint and block,binding of phlegm and stasis,and long-term accumulation transforming into toxin,with abnormal circulation of qi,blood and body fluid as the root,and phlegm,stasis and toxin as the branch.According to the evolution of pathogenesis,a dynamic diagnosis and treatment idea of"regulating qi and body fluid,opening sweating pores,penetrating kenang(窠囊),and preventing cancer toxins"is proposed,including the methods of regulating qi and body fluid,and calming the five zang(脏)organs with the modified self-prescribed Tiaoqi Huatan Decoction(调气化痰汤),opening sweating pores and unblocking qi and blood with the modified self-prescribed Kaixuan Tongyu Decoction(开玄通郁汤),penetrating kenang and dissipating masses and stagnation with the modified self-prescribed Tounang Sanjie Decoction(透囊散结汤),rectifying the healthy qi and preventing cancer toxins with the modified self-prescribed Shenqi Fuzheng Jiedu Decoction(参芪扶正解毒汤).These four methods can be used alone,in combination,or in sequence,and can provide ideas for the diagnosis and treatment of pulmonary nodules with traditional Chinese medicine.
pulmonary nodulessweat poreskenang(窠囊)experience of famous doctorsZHANG Zhiwen