基于“肺为贮痰之器”理论探讨洗肺汤治疗肺结节  

Discussing the Treatment of Lung Nodules by Xifei Decoction Based on the Theory of“Lung as Container of Phlegm”

作　　者：苏红梅 季章龙 肖泓[1] 宁亚功 苏白梅 SU hongmei;JI zhanglong;XIAO hong;NING yagong;SU baimei(Yunnan Provincial Hospital of Traditional Chinese Medicine,Kunming 650000,China;Kunming Hospital of Chinese Medicine,Kunming 650000,China;Yi santang Traditional Chinese Medical Clinic,Kunming 650000,China;The health center of Yunxian Aihua Town,Lincang 675800,China)

机构地区：[1]云南省中医医院,云南昆明650000 [2]昆明市中医医院,云南昆明650000 [3]一三堂国医馆,云南昆明650000 [4]云县爱华镇卫生院,云南临沧675800

出　　处：《中国民族民间医药》2024年第19期84-87,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：云南省“万人计划”名医专项人才项目(云卫人发〔2019〕35号);2023年云南中医药大学校院联合基金项目(项目编号:XYLH2023116)。

摘　　要：随着人们对健康的重视及低剂量胸部CT检查的广泛应用肺结节患病率明显升高,大多数肺结节属于良性,部分肺结节可能进展为肺癌。中医及早介入、全程参与可达到“结者散之”“既病防变”的目的。文章介绍基于“肺为贮痰之器”理论,认为顽痰积肺是肺结节的核心病机,“气、痰、瘀、毒”裹挟推演病情。治疗上以“涤痰散结”为主,以洗肺汤为基础方灵活应用于临床,为诊治肺结节提供新思路。With people s attention to health and by widely used of low-dose chest CT,the prevalence of pulmonary nodules has increased significantly.Most lung nodules are benign,and some may progress to lung cance.Early intervention and full participation of TCM can achieve the purpose of“dispersing the knot”and“preventing the disease from exacerbating”.Based on the theory of“lung as container of phlegm”,Stubborn phlegm accumulates in the lung is a principal pathogenesis of pulmonary nodule,be mingled with“Qi,phlegm,stasis,poison”.Promoteing disease progression.The main treatment is“removing phlegm and dispersing knot”,The Xifei Decoction can be applied in clinic flexibly.It provides a new ideas for diagnosis and treatment of pulmonary nodules.

关 键 词：肺结节 洗肺汤 肺为贮痰之器 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]