基于络病“络息成积”理论中医诊疗肺结节辨治思路探析  

TCM Clinical Thinking on Differentiation and Treatment of Pulmonary Nodules Based on the Theory of“Collateral and Breath Accumulation”in Collateral Diseases

作　　者：彭博[1,2] 庞立健 藏凝子[2] 吕晓东 潘嘉祥[1,2] PENG Bo;PANG Lijian;ZANG Ningzi;LYU Xiaodong;PAN Jiaxiang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2023年第4期52-55,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金项目(82004294);辽宁省教育厅重点项目(L202067);肺络病证治体系构建及应用创新团队项目(XLYC1808011)。

摘　　要：肺结节是由影像检查所发现的现代疾病,部分结节有恶变倾向。目前,现代医学对该病缺乏早期内科干预手段。临病时,应用络病理论辨治肺结节,可使中医对肺结节的认识更加系统、立体,可填补非手术患者随访过程中的治疗空窗,为超早期干预可能恶变的结节提供中医理论依据。“络息成积”是络病理论对慢性组织、器官结构性改变,尤其是对机体形成有形实邪过程的高度概括。文章基于对络病“络息成积”理论的基本认识,对肺结节的中医病名范畴、中医辨证(病位、病因、病机、病性)、治疗建议及用药禁忌进行论述,为肺结节的中医临床诊疗提供思路。Pulmonary nodules are modern diseases found by imaging examination.Some nodules tend to become malignant.Modern medicine lacks early medical intervention for the disease.When facing the disease,the application of collateral disease theory to guide the identification and treatment of pulmonary nodules can make TCM's understanding of pulmonary nodules more systematic and three-dimensional,and provide TCM theoretical basis for filling the treatment window in the follow-up process and ultra early intervention of possible malignant pulmonary nodules.“Collateral and breath accumulation”is a high generalization of collateral disease theory on the structural changes of chronic tissues and organs,especially on the process of the formation of tangible real evil in the body.Based on the basic understanding of the“collaterals and breath accumulation”of collateral diseases,this paper discusses the TCM disease name category,TCM syndrome differentiation(disease location,etiology,pathogenesis,disease nature),treatment suggestions,medication taboos and of pulmonary nodules,so as to provide ideas for the TCM clinical diagnosis and treatment of pulmonary nodules.

关 键 词：络病理论 肺络病 络息成积 肺结节 

分 类 号：R563[医药卫生—呼吸系统]