基于“脾为生痰之源”理论探析肺结节的治疗  

Study on the treatment of pulmonary nodules based on the theory of"spleen being source of phlegm"

作　　者：刘宁[1] 于白莉[1] 廖涛[2] LIU Ning;YU Bai-li;LIAO Tao(Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;不详)

机构地区：[1]成都中医药大学附属医院,成都610075 [2]内江市中医医院,四川内江641000

出　　处：《医师在线》2023年第3期33-35,共3页Journal of Doctors Online

摘　　要：肺结节是肺部常见病理改变,以中医治未病理念出发,可一定程度改善肺结节进展及患者状态,基于“脾为生痰之源”理论,认为脾主运化、主升清、喜燥恶湿的生理特性、生理功能及肺脾关系是肺结节形成演变的病机基础。本文通过分析肺结节“虚、湿、痰、瘀、结”的形成演变过程,认为肺脾气虚,湿蕴痰阻,痰瘀互结是肺结节的病机,并提出“补脾益肺、化痰散结”的肺脾同治原则,可为肺结节的临床治疗提供思路。Pulmonary nodule is a common pathological change in the lung.Proceeding from the concept of"Preventive Treatment of Disease",it can improve the progress of pulmonary nodule and the status of patients to a certain extent.Based on the theory of"spleen being source of phlegm",it is believed that the physiological characteristics and functions of the spleen governing transport and transformation,the spleen governing clearing,preferring moisture to dryness,and the relationship between the lung and the spleen are the pathogenesis basis for the formation and evolution of pulmonary nodule.By analyzing the formation and evolution process of"deficiency,dampness,phlegm,blood stasis and nodules"of pulmonary nodules,it is concluded that the pathogenesis of pulmonary nodules is the deficiency of lung and spleen qi,the accumulation of dampness and phlegm resistance,and the interaction of phlegm and blood stasis.It is proposed that the principle of lung and spleen treatment of pulmonary nodules is"invigorating spleen for benefiting lung,resolving phlegm and dispersing nodules",which can provide ideas for clinical treatment of pulmonary nodules.

关 键 词：肺结节 脾为生痰之源 肺脾同治 

分 类 号：R73[医药卫生—肿瘤]