从肺脾为核心脏腑整体观辨治间质性肺疾病  

Syndrome Differentiation and Treatment of Interstitial Lung Disease from Perspective of Lung and Spleen Being the Core

作　　者：李尚点 李友林[2] 阎玥[2] LI Shangdian;LI Youlin;YAN Yue(Beijing University of Chinese Medicine,Beijing China 100029;Pulmonary Disease Department of Integrated Traditional Chinese and Western Medicine,China-Japan Friendship Hospital/Key Laboratory of State Administration of Traditional Chinese Medicine(Chronic Cough and Asthma of Lung Disease)/Beijing Key Laboratory of TCM Prevention and Treatment of Allergic Diseases(No.BZ0321)/National Clinical Research Center for Respiratory Diseases,Beijing China 100029)

机构地区：[1]北京中医药大学,北京100029 [2]中日友好医院中西医结合肺病科/国家中医药管理局重点研究室(肺病慢性咳喘)/中医药防治过敏性疾病北京市重点实验室(No.BZ0321)/国家呼吸疾病临床研究中心,北京100029

出　　处：《中医学报》2024年第6期1209-1213,共5页Acta Chinese Medicine

基　　金：2022年中央财政转移支付地方项目(肺病慢性咳喘重点研究室)。

摘　　要：肺脾为核心脏腑整体观是李友林教授基于整体观念及脏腑辨证思想结合临床实际提出的慢性咳喘类肺系疾病的辨证观,能够体现肺系疾病特点,突出肺脾两脏核心地位。李友林教授提出间质性肺疾病(interstitial lung disease,ILD)应基于“肺脾为核心脏腑整体观”进行辨证,该病以虚实寒热错杂、肺脾两虚为主,涉及多脏腑功能虚损,治疗应使用“温润辛金培本”的方药,在此基础上研制出治疗ILD的中药复方,方药组成为生黄芪、桂枝、杜仲、干姜、附子、三七、五味子、白芍、甘草,组方整体以补肺益气、温阳通脉为主,适用于肺脾肾多脏虚损所致ILD。The holistic view of Lung and Spleen as the core Zang organs,which was proposed by Professor Li Youlin based on the holistic concept and Zang and Fu syndrome differentiation thought combined with clinical practice,is a dialectical view of Lung disease such as chronic cough and asthma.It can reflect the characteristics of Lung disease and highlight the core position of Lung and Spleen.Identifying the pathogenesis and clinical treatment of interstitial Lung disease(ILD)from the holistic view of Lung and Spleen as the core is significant,which is of guiding significance for the differentiation and treatment of ILD.To further clarify the similarities and differences in TCM syndromes of different types of ILD and guide clinical practice,the clinical information database of ILD can be further established,the characteristics of TCM syndromes of different types of ILD can be deeply explored,and clinical research related to syndrome and treatment can be strengthened.

关 键 词：间质性肺疾病 慢性咳喘 肺脾为核心脏腑整体观 辨证论治 

分 类 号：R256.1[医药卫生—中医内科学]