基于“辨体、辨病、辨证”诊疗模式的肺结节辨证探析  

An Analysis of Syndrome Differentiation for Pulmonary Nodules Based on the"Differentiating Constitution,Disease,and Syndrome"Diagnostic and Treatment Model

作　　者：柴智琦 田紫阳 柴树艳 赵悦[1] 庞敏[2] CHAI Zhiqi;TIAN Ziyang;CHAI Shuyan;ZHAO Yue;PANG Min(Liaoning University of Traditional Chinese Medicine,Shenyang110847,Liaoning,China;The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang110034,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属第二医院,辽宁沈阳110034

出　　处：《实用中医内科杂志》2025年第2期68-71,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家重点研发计划项目(2018YFC1704100,2018YFC1704105)。

摘　　要：该文以“辨体、辨病、辨证”诊疗模式探析肺结节,肺结节为肺部CT检查中直径≤3 cm的实性或亚实性病变,肺结节常因无典型症状而在体检中发现,与肺癌关系密切。CT技术和人工智能的应用提高了检出率。考虑到西医治疗的观察随访方式可能导致患者情绪紧张和过度治疗,肺结节的临床病机复杂且体质因素与其密切相关,该文以“辨体、辨病、辨证”诊疗模式与肺结节防治相结合,对其辨证分型和治则用药进行分析。结合气虚质、阳虚质、气郁质、痰湿质等体质类型在辨证论治中的重要性,为肺结节的防治提供参考。This article explores the diagnosis and treatment of pulmonary nodules using the"differentiation of body,disease,and syndrome"model.Pulmonary nodules are solid or subsolid lesions with a diameter≤3 cm found on lung CT scans.They are often detected during physical examinations due to their lack of typical symptoms and are closely related to lung cancer.The application of CT technology and artificial intelligence has increased the detection rate.Considering that the observation and follow-up methods of Western medicine treatment may cause patient anxiety and overtreatment,this article combines the"differentiation of body,disease,and syndrome"model with the prevention and treatment of pulmonary nodules to analyze their differential diagnosis and treatment principles.By emphasizing the importance of constitution types such as qi deficiency,yang deficiency,qi stagnation,and phlegm dampness in the differentiation and treatment of diseases,it provides references for the prevention and treatment of pulmonary nodules.

关 键 词：肺结节 中医体质 辨质论治 气虚质 阳虚质 气郁质 痰湿质 

分 类 号：R259[医药卫生—中西医结合]