刘建秋基于象思维理论治疗痰热郁肺兼气虚血瘀型肺胀经验撷菁  

LIU Jianqiu′s Application Research on Phlegm-Heat Stagnation of Lung and Qi Deficiency and Blood Stasis Type of Lung Distention Based on Xiang Thinking Theory

作　　者：王雪慧[1] 陈叶 张悦 乔羽[3] WANG Xuehui;CHEN Ye;ZHANG Yue;QIAO Yu(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China;Graduate School,Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China;Basic Medical College of Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [3]黑龙江中医药大学基础医学院,黑龙江哈尔滨150040

出　　处：《辽宁中医杂志》2023年第3期27-30,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(814032340);博士后研究人员落户黑龙江科研启动资助金项目(LBH-Q17172);中华中医药学会青年人才托举工程项目(CACM-2018-QNRC2-C15);黑龙江省第一批省级名中医师承工作;黑龙江中医药大学“双一流”中西医结合学科优秀青年基金面上项目(051022)。

摘　　要：目的 探讨刘建秋教授基于象思维论治痰热郁肺兼气虚血瘀型肺胀的临床经验。方法 通过临床跟师,将刘师基于象思维对肺胀的中医病名,肺胀的核心病因病机,临床诊断,辨证治疗规律及特色药对应用进行汇总分析,最后以案例一则进行佐证。结果 提出“象-取象比类”进行肺胀病名解释,应用“肺-金曰从革”理论衍生出肺失宣降,肾不纳气的核心病机,并提出气郁痰阻为发病关键,采取“象-司外揣内”的方式进行辨证分型,治疗上多采用“象-形同性近”方式运用特色药对,所举案例收效良好。结论 刘建秋教授基于象思维治疗痰热郁肺型肺胀,临床取效较好,值得进一步推广和研究。Objective To explore Professor LIU Jianqiu′s clinical experience on treating phlegm-heat stagnation of lung with Qi deficiency and blood stasis type of lung distension based on Xiang thinking theory.Methods Through clinical follow-up with the tutor, Professor LIU summarized and analyzed the TCM name, the core cause and pathogenesis of lung distension, clinical diagnosis, syndrome differentiation and reatment rules and the application of characteristic drugs based on Xiang thinking, and finally demonstrated it with a case.Results The “Xiang-analogy” is proposed to explain the name of lung distension, and the core pathogenesis of lung failing to disperse and descend and and kidney failing to receive Qi is derived from the theory of “lung-metal characterized by changing”.It is proposed that Qi stagnation and phlegm resistance are the key to the disease, and the syndrome differentiation classification is carried out in the way of “Xiang-governing exterior to infer interior”.In the treatment, more characteristic drug pairs are used in the way of “Xiang-the same form with similar natures”,and the cited cases have achieved good results.Conclusion Professor LIU Jianqiu′s treatment of phlegm-heat stagnation type of lung distension based on Xiang thinking has a good clinical effect and is worthy of further promotion and research.

关 键 词：刘建秋 象思维 肺胀 临床经验 

分 类 号：R256.14[医药卫生—中医内科学]