首页|张之文"调气津、开玄府、透窠囊、防癌毒"治疗肺结节经验

张之文"调气津、开玄府、透窠囊、防癌毒"治疗肺结节经验

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总结张之文教授治疗肺结节的临证经验.认为肺结节病机为气津不布、玄府郁闭、痰瘀互结、蕴久化毒,气血津液运行失常为本,痰、瘀、毒为标.根据病机演变,提出"调气津、开玄府、透窠囊、防癌毒"的动态诊疗思路,包括调气津、安五脏,治以自拟方调气化痰汤加减;开玄府、通气血,治以自拟方开玄通郁汤加减;透窠囊、散结滞,治以自拟方透囊散结汤加减;扶正气、防癌毒,治以自拟方参芪扶正解毒汤加减.以上四法既可单独使用,亦可多法联用,或序贯使用,为肺结节中医辨治提供了思路.
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

陈敏、刘文平、余阳、冯全生、张之文

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成都中医药大学基础医学院,四川省成都市温江区柳台大道1166号,611137

宜宾市中西医结合医院

肺结节 玄府 窠囊 名医经验 张之文

教育部人文社会科学研究青年基金国家自然科学基金四川省自然科学基金成都中医药大学"杏林学者"学科人才科研提升计划成都中医药大学基础医学院传承创新发展科研基金

23YJC870002821050492022NSF-SC1578BSH2020012CCCXYB202205

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(14)