基于“肝肺气血循环轴”探析肺结节治疗思路  

Exploration on the Treatment Ideas of Pulmonary Nodules Based on the“Liver-lung Qi and Blood Circulation Axis”

作　　者：王温欣 罗潇潇 江婷 肖晶旻 罗胜[3] WANG Wenxin;LUO Xiaoxiao;JIANG Ting;XIAO Jingmin;LUO Sheng(Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China;Panyu District Hospital of Traditional Chinese Medicine,Guangzhou 511400,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广东省中医院,广东广州510120 [3]广州市番禺区中医院,广东广州511400

出　　处：《中国中医药图书情报杂志》2024年第6期253-256,共4页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基　　金：广东省中医院科学技术专项(YN2022ON22)。

摘　　要：罗胜教授认为,肝肺之间存在以气机为基础、气血经脉循环流注的综合轴,即“肝肺气血循环轴”,并提出肺结节的关键病机是肝主疏泄失职,气机血运失调。肝失疏泄,肺气受损,肝肺气机升降平衡失调,气血津液阻滞于肺络,导致气郁痰凝血瘀等病理因素产生,最终形成肺结节。基于肝肺气血循环轴,提倡疏肝理肺法,兼顾祛瘀化痰,扶正固本。附验案一则,为治疗肺结节提供思路。Professor Luo Sheng argues that there is a comprehensive axis between the liver and the lung based on qi,blood and meridian circulation,that is,the liver-lung qi and blood circulation axis and proposes that the liver failing to maintain dispersing and discharging and the activities of qi disordering of ascending and descending are the key pathogenesis of pulmonary nodules.The function of the liver in controlling the qi movement is disordered,then lung qi is damaged,with its consequent the balance of liver and lung qi ascending and descending is disordered and the qi,blood,and body fluid are blocked in the lung,resulting in pathological factors such as qi depression,phlegm coagulation and blood stasis,and finally the formation of pulmonary nodules.Based on the liver-lung qi-blood circulation axis,the methods of dispersing stagnated liver qi and regulating the lung qi,removing blood stasis and phlegm and reinforcing the healthy qi to restore the normal function are advocated,with one medical case attached,which could provide ideas and references for the treatment of pulmonary nodules.

关 键 词：肺结节 情志 肝肺气血循环轴 治疗思路 

分 类 号：R256.1[医药卫生—中医内科学]