从“络以通为用”论治肺间质纤维化  

Application of “Collateral needs Circulation”in Treating Pulmonary Interstitial Fibrosis

作　　者：田丽 张伟[2] TIAN Li;ZHANG Wei(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Jinan,250014;Affiliated Hospital of Shandong University of Traditional Chinese Medicine)

机构地区：[1]山东中医药大学第一临床医学院 [2]山东中医药大学附属医院

出　　处：《中医杂志》2018年第19期1644-1646,共3页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81273704);"泰山学者"建设工程专项经费(ts201712096)

摘　　要：肺间质纤维化属"肺络病"范畴,为本虚标实之证,正虚邪实、肺失宣肃为发病的始动因素,而肺络气虚,痰、瘀、毒痹阻肺络为其基本病机。叶天士《临证指南医案》提出的"络以通为用"为络病常用治疗方法。针对肺间质纤维化本虚标实、肺络痹阻的疾病特点,制定"络以通为用"的基本治则,具体为络虚者宜通补、络痹者宜辛通,肺络通,气血行,则疾病向愈。Pulmonary interstitial fibrosis belongs to the category of ＂lung collateral disease ＂ in Traditional Chinese Medicine（ TCM）,which is the initial factor of disease such as deficient root and excessive superficial syndrome,body resistance weakened while pathogenic factors prevailing and impaired depurative descending of lung qi,and qi deficiency,phlegm resistance,blood stasis,toxicity,and phlegm stasis are the basic pathogenesis. The basic treatment principle of＂collateral needs circulation＂was put forward by YE Tianshi in his work Guide to Clinical Practice with Medical Records（ 《临证指南医案》）,and was commonly used in the treatment of collateral diseases. According to the disease characteristics of pulmonary interstitial fibrosis caused by deficient root and excessive superficial,the basic rule of ＂collateral needs circulation＂is formulated. Specifically,patients with lung deficiency need treatment of promoting menstruation and tonifying methods,and patients with obstruction of collaterals in lung need treatment of promoting menstruation with pungent drug. Once the obstruction of collaterals in lung was removed,and the flow of qi and blood was activated,the disease is about to heal.

关 键 词：肺间质纤维化 络病 肺络痹阻 通络法 

分 类 号：R259[医药卫生—中西医结合]