基于调气解毒学说论治玄府络脉并病之肺结节  

Treatment of Pulmonary Nodules Complicated with Sweet Pore-collateral Diseases Basedon the Theory of Regulating Qi and Removing Toxin

作　　者：李娟[1,2] 刘瑞 花宝金[2] LI Juan;LIU Rui;HUA Baojin(Beijing University of Chinese Medicine,Beijing 100029,China;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《世界中医药》2023年第18期2631-2634,共4页World Chinese Medicine

基　　金：国家自然科学基金面上项目(82174465,81774294);国家中医药管理局传承创新团队(ZYYCXTD-C-202205)。

摘　　要：肺结节的检出率逐年增加,但目前仍缺乏对于恶性结节的早期干预措施,中医药将其纳入“治未病”理念中“既病防变”范畴,多从痰瘀互结于肺认识其发生发展,但对于其发于细微,单发多发不定等方面仍缺乏论述。现从气机升降失调导致的玄府络脉并病入手,探讨肺结节的主要病机,并基于花宝金教授的调气解毒学说提出调气扶正、开玄通络、逐痰祛瘀以解细微之邪的论治思路。The detection of pulmonary nodules has been increasing year by year,but there is still a lack of early intervention measures for malignant nodules.In traditional Chinese medicine(TCM),malignant nodules belong to the category of“controlling development of existing disease”in“treating disease before its onset”,and was understood mainly from the perspective of combined phlegm and blood stasis in the lung.However,little is known about the subtle,single,multiple and indefinite occurrence of malignant nodules.In this paper,the main pathogenesis of pulmonary nodules was discussed based on the sweet pore-collateral diseases caused by the imbalance of qi movement.According to the theory of regulating qi and removing toxin by Professor Hua Baojin,this paper proposed the treatment ideas of regulating qi,reinforcing healthy qi,opening sweet pores,dredging collaterals,expelling phlegm and removing blood stasis to eliminate subtle evils.

关 键 词：肺结节 调气解毒 玄府 络脉 气机升降 痰瘀互结 学术思想 治未病 

分 类 号：R224[医药卫生—中医基础理论]