基于气血水火理论从三焦论治肺纤维化  

Discussion on the Treatment of Pulmonary Fibrosis from the Perspective of Sanjiao Based on the Theory of“Qi,Blood,Water,Fire”

作　　者：蔡松 张立山[1] 孙放 伍照楚 王婧[1] 徐雨辰 CAI Song;ZHANG Lishan;SUN Fang;WU Zhaochu;WANG Jing;XU Yuchen(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《世界中医药》2024年第6期822-825,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(82274453)--大黄虫丸调控巨噬细胞M1/M2型极化减少ECM沉积干预肺纤维化的机制研究。

摘　　要：肺纤维化是一种临床常见的严重影响患者生命质量的呼吸系统疾病,属于中医“肺痿”“肺痹”范畴,与痰饮、瘀血、火热等密切相关。基于唐宗海在《血证论》中提出的气血水火理论,通过总结气血水火与三焦的联系,结合肺纤维化的病位在三焦腠理,临床上从气血水火的角度出发,根据气病治火、气病治水、血病治火、血病治水的不同治法,探讨从三焦论治肺纤维化的治疗思路。临床上可选用柴胡类方合用其他方剂,以达到通利三焦、调气和血的目的,从而治疗肺纤维化。Pulmonary fibrosis is a common clinical respiratory system disease that seriously affects the quality of patient′s life.Pulmonary fibrosis belongs to“lung atrophy”and“lung impediment”in traditional Chinese medicine,and is closely related to phlegm fluid,blood stasis,and fire-heat.Based on the theory of“qi,blood,water,fire”put forward by TANG Rongchuan in“Theory of Blood Syndrome”,the relationship between“qi,blood,water,fire”and Sanjiao is summarized.Combining with the fact that the location of pulmonary fibrosis is Sanjiao Couli,from the perspective of“qi,blood,water,fire”in clinical practice,according to the different treatment methods of qi disease treatment by fire,qi disease treatment by water,blood disease treatment by fire,and blood disease treatment by water,the treatment of pulmonary fibrosis is explored from the perspective of Sanjiao.In clinical practice,Chaihu analogous prescriptions can be used in combination with other formulas to achieve the purpose of removing obstruction of Sanjiao,and regulating qi and blood,thereby treating pulmonary fibrosis.

关 键 词：肺纤维化 肺痿 肺痹 气血水火理论 三焦 

分 类 号：R256.1[医药卫生—中医内科学]