基于“肺为血脏”探讨肺血虚与肺间质纤维化  

Discussions on the relationship between lung blood deficiency and pulmonary interstitial fibrosis from“lung being blood viscera”

作　　者：田梅[1] 臧国栋 张伟[1] 郑建 TIAN Mei;ZANG Guodong;ZHANG Wei;ZHENG Jian(Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学附属医院,济南250011

出　　处：《吉林中医药》2022年第7期762-764,共3页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金(81874442);“泰山学者”建设工程专项经费资助(ts201712096);山东省肺系病热毒流派工作室建设项目(鲁卫函〔2021〕45号)。

摘　　要：肺间质纤维化,历代医家对其病机的认识多从“痰”“虚”“瘀”“毒”等角度论述,其中“虚”多提及肺、脾、肾气、阴虚为主,而鲜有提及肺血虚者。在肺间质纤维化发病各阶段中均有肺血虚病理变化的存在,治疗中宜注重补肺养血。Pulmonary interstitial fibrosis is one of the respiratory refractory diseases,belonging to the category of“lung flaccidity”or“lung bi”in traditional Chinese medicine.Although the understanding of its pathogenesis varies among experts of different generations,most of them often discuss it from the perspectives of phlegm,deficiency,blood stasis and toxin.What’s more,what they refer to by“deficiency”involves mostly the deficiency of lung,spleen,kidney qi,and yin,yet rarely involves the syndrome of lung blood deficiency.In this study,the author proposes that the syndrome of lung blood deficiency is present in each stage of the disease,and its treatment should focus on invigorating the lung and nourishing blood.

关 键 词：肺为血脏 肺血虚 肺间质纤维化 病机 血虚致哮 

分 类 号：R256.1[医药卫生—中医内科学]