基于“脾为五脏之使”探讨肺结节“结-癌”转化及防治思路  

Discussion on the transformation,prevention,and treatment of“nodule-cancer”of pulmonary nodule based on“the spleen is the helper of the five zang organs”

作　　者：张悦 王雪慧[2] 陈叶 刘松江[3] ZHANG Yue;WANG Xuehui;CHEN Ye;LIU Songjiang(Graduate School,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;Department of Pneumology,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;Department of Oncology,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China)

机构地区：[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院呼吸科,黑龙江哈尔滨150040 [3]黑龙江中医药大学附属第一医院肿瘤科,黑龙江哈尔滨150040

出　　处：《中国医药导报》2024年第33期175-179,共5页China Medical Herald

基　　金：黑龙江省中医药管理局省级名中医专家传承工作室建设项目;黑龙江省中医药科研项目(GY2022-05);黑龙江省2023年青年岐黄学者培养项目。

摘　　要：“脾为五脏之使”是对脾为他脏提供水谷精微及脾是他脏之气周流中枢的高度概括。基于此理论,脾土虚弱、气机失调是肺结节“结-癌”转化的核心,脾虚气弱,他脏失养,气运无力,聚湿成痰,气停血滞,痰湿瘀血,阻于肺络,发为结节,胶结日久,郁而化热,酿成癌毒,终成肺癌。因此,治疗中应将补脾调气贯穿始终,结合各阶段特点灵活运用祛湿、化痰、行气、活血、清热、解毒、散结等法,以期减缓或截断转化进程。“The spleen is the helper of the five zang organs”is a high summary of the fact that the spleen provides the nutrition for the other zang organs and that the spleen is the center of qi circulation of the other zang organs.Based on this theory,the weakness of spleen and the imbalance of qi circulation are the core of the transformation of“nodule-cancer”of pulmonary nodules.Spleen deficiency and qi weakness,loss of nourishment of the other zang organs,weakness of qi movement,accumulation of dampness into phlegm,qi stagnation and blood stasis,phlegm and blood stasis,obstruction in lung collaterals,turning into nodules,cementation for a long time,depression turns into heat,turning into cancer toxin and lung cancer eventually.Therefore,tonifying spleen and regulating qi should be carried through all the time,and the methods of removing dampness,resolving phlegm,activating qi,activating blood circulation,clearing heat,detoxification,and dispersing nodule should be flexibly used in the treatment combined with the characteristics of each stage,so as to slow down or cut off the process of nodule-cancer transformation of pulmonary nodules.

关 键 词：“脾为五脏之使” 肺结节 “结-癌”转化 理论探讨 

分 类 号：R259[医药卫生—中西医结合]