基于“虚、痰、瘀、毒”探讨论治肺结节的理法方药  

Discussion on principle-method-recipe-medicines of treating pulmonary nodules based on“deficiency,phlegm,stasis,toxicity”

作　　者：党淑媛 邵灿灿[1] 孟鹏飞[2] 李亮平[2] 徐立然[2] DANG Shuyuan;SHAO Cancan;MENG Pengfei;LI Liangping;XU Liran(The First Clinical Medical College,Henan University of Chinese Medicine,Henan Province,Zhengzhou450046,China;Acquired Immune Deficiency Syndrome Research Center,the First Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou450002,China)

机构地区：[1]河南中医药大学第一临床医学院,河南郑州450046 [2]河南中医药大学第一附属医院艾滋病研究中心,河南郑州450002

出　　处：《中国医药导报》2022年第32期122-125,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(U1604287)。

摘　　要：统一、规范的理论体系是理论创新和突破的前提,也是提高临床疗效的基石和关键。本文在全面系统分析现代医家对肺结节理法方药的论述和专家经验的总结基础上,总结中医药治疗肺结节的理法方药,认为“虚、痰、瘀、毒”是肺结节的核心病机,不同体质、不同时期的病机表现形式及侧重点不同,但总的来说其病机可归纳概括为寒热两类。肺结节的辨证分型多围绕虚证、痰证、瘀证及毒证展开,治疗多从肺脾肝肾论治,以宣肺、健脾、平调寒热为主。The unified and standardized theoretical system is the prerequisite for theoretical innovation and breakthrough,and also the cornerstone and key to improve clinical efficacy.Based on the comprehensive and systematic analysis of modern physicians’discussion on principle-method-recipe-medicines of pulmonary nodules and the summary of experts’experience,this paper summarizes principle-method-recipe-medicines of traditional Chinese medicine in treating pulmonary nodules.It is believed that“deficiency,phlegm,stasis,toxicity”are the core pathogenesis of pulmonary nodules.Different constitutions and different periods of pathogenesis have different manifestations and focuses,but generally speaking,its pathogenesis can be summarized as cold and hot.The syndrome differentiation and classification of pulmonary nodules mainly focus on deficiency syndrome,phlegm syndrome,stasis syndrome,and toxicity syndrome.The treatment of pulmonary nodules mainly focuses on the treatment of lung,spleen,liver and kidney,and mainly focuses on ventilating the lung qi,strengthening the spleen,and regulating the cold and heat.

关 键 词：肺结节 虚 痰 瘀 毒 寒 热 

分 类 号：R256.1[医药卫生—中医内科学]