刘良徛“全程温法治疗肺纤维化”思想在系统性硬化症相关间质性肺病中的应用  

Application of LIU Liangji's Thought of"Treating Pulmonary Fibrosis with Warming Therapeutic Method Throughout the Entire Treatment Period"in Systemic Sclerosis-associated Interstitial Lung Disease

作　　者：莫丽莎[1] 肖晨晓 朱卫娜[1] 柯诗文 朱国双 刘良徛[1] 邱明亮[1] MO Lisha;XIAO Chenxiao;ZHU Weina;KE Shiwen;ZHU Guoshuang;LIU Liangji;QIU Mingliang(The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China;Jiangxi University of Chinese Medicine,Nanchang 330004,China)

机构地区：[1]江西中医药大学附属医院,南昌330006 [2]江西中医药大学,南昌330004

出　　处：《江西中医药大学学报》2024年第2期21-25,共5页Journal of Jiangxi University of Chinese Medicine

基　　金：国家自然科学基金项目(82305162);江西省自然科学基金项目(20212BAB206061,20224BAB216098,20232BAB206145);江西省科技厅应用研究培育项目(20212BAG70038);江西省教育厅科学技术研究重点项目(GJJ2200912);江西省教育厅科学技术研究项目(GJJ211220);江西省卫生健康委科技计划项目(202210778)。

摘　　要：刘良徛在继承国医大师洪广祥“治肺不远温”思想基础上,创新提出“全程温法治疗肺纤维化”的学术观点,认为“阳虚寒凝、痰滞血瘀”为肺纤维化的核心病机。系统性硬化症相关间质性肺病属于慢性肺纤维化的范畴,其中医病机与上述相一致。治疗上予以温阳散寒、涤痰行瘀,温肺化纤汤为其有效方剂。现总结刘良徛诊治系统性硬化症相关间质性肺病的学术思想及临床经验,以期为该病的中医治疗提供参考。HONG Guangxiang,a master of Traditional Chinese Medicine(TCM),put forward the academic ideology,which is called"treating pulmonary diseases with warming therapeutic method".Based on the academic ideology,LIU Liangji advocates the"Treating pulmonary fibrosis with warming therapeutic method throughout the entire treatment period"for those patients with key pathogenesis,believing that"yang deficiency and cold coagulation,phlegm stagnation and blood stasis"are the core pathogenesis of pulmonary fibrosis.Systemic sclerosis-associated interstitial lung disease(SSc-ILD)belongs to the category of chronic pulmonary fibrosis,which is highly consistent with the TCM pathogenesis of pulmonary fibrosis.In terms of treatment,it is recommended to warm Yang and disperse cold,eliminate phlegm and promote blood stasis,and Wenfei Huaxian Decoction is effective for SSc-ILD.The article summarizes LIU Lianggui's academic ideas and clinical experience in the diagnosis and treatment of systemic sclerosis related interstitial lung disease to provide reference for the traditional Chinese medicine treatment of this disease.

关 键 词：系统性硬化症相关间质性肺病 全程温法 温肺化纤汤 

分 类 号：R256.42[医药卫生—中医内科学]