中医化痰散结化瘀联合审因论治肺小结节的思路探讨  

Thought Discussion of Resolving Phlegm,Dispersing Collaterals,Removing Blood Stasis and Treatment by Examining Causes on Treating Small Pulmonary Nodules

作　　者：曾丛桃 蔡成森[2] 王连忠[2] 李士涛[2] 邢介锋 王珺[2] ZENG Congtao;CAI Chengsen;WANG Lianzhong;LI Shitao;XING Jiefeng;WANG Jun(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Department of Respiratory and Critical Care,the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001,China)

机构地区：[1]山东中医药大学,山东省济南市250014 [2]山东中医药大学第二附属医院呼吸与危重症科,山东省济南市250001

出　　处：《实用心脑肺血管病杂志》2021年第8期99-103,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：近年来,肺小结节的检出率逐渐升高,鉴于西医检查诊断肺小结节的特异度不高,且随访、观察存在延误治疗的风险,手术切除的误切概率又高,因此充分发挥中医治未病的优势,寻求一条可行的中医治疗肺小结节的道路便显得尤为重要。目前,肺小结节审因论治尚未形成统一的中医指南,但在化痰散结化瘀治疗原则上达成了共识。因此,本文就化痰散结化瘀联合审因论治肺小结节的思路进行探讨,为临床治疗提供参考。In recent years,the detection rate of small pulmonary nodules is gradually increasing.In view of the low specificity of western medical examination,follow-up and observation have the risk of delaying treatment,and surgical resection has a high miscut rate,it is particularly important to seek a feasible road of traditional Chinese medicine(TCM)in the treatment of small pulmonary nodules.At present,a unified TCM guide has not yet formed about treatment by examining causes for small pulmonary nodules,but a consensus has been reached on the principle of resolving phlegm,dispersing blood stasis and removing blood stasis.Therefore,this paper discusses the thought of resolving phlegm,dispersing collaterals,removing blood stasis and treatment by examining causes on treating small pulmonary nodules,in order to provide reference for clinical treatment.

关 键 词：肺小结节 化痰散结化瘀 审因论治 综述 

分 类 号：R259[医药卫生—中西医结合] R273[医药卫生—中医内科学]