疏调肺络、内外同治法综合治疗肺结节经验  

Experience in Treating Lung Nodules Using the Method of Dredging and Regulating the Lung Collaterals and Combined Internal-External Treatment

作　　者：汤雨 黄金昶 TANG Yu;HUANG Jinchang(Chaoyang District Hospital of Traditional Chinese Medicine,Beijing,100020;Beijing University of Chinese Medicine Third Affiliated Hospital;Institute of Acupuncture and Oncology,Beijing University of Chinese Medicine)

机构地区：[1]北京市朝阳区中医医院,北京市100020 [2]北京中医药大学第三附属医院 [3]北京中医药大学针灸肿瘤研究所

出　　处：《中医杂志》2025年第4期416-420,共5页Journal of Traditional Chinese Medicine

基　　金：北京市中医管理局第六批北京市级中医药专家学术经验继承工作项目。

摘　　要：肺结节病属虚实夹杂,认为其病位在肺,与脾肾关系密切。病机为肺、脾、肾功能失调,气滞、痰凝、血瘀胶着致络脉络阻,寒湿郁表、肺气不宣是肺结节的重要发病原因。临证以疏调肺络、内外同治为法综合调治:一疏运用刮痧、火针、毫刃针以疏通经络瘀滞,解表开郁;二贴运用穴位贴敷直达病所,以通络散结;三灸以艾灸温补,预防病邪再次聚集;四调以金水六君煎联合升陷汤加减为基础方内服,肺、脾、肾同调,恢复脏腑功能。Lung nodules are characterized by a mixture of deficiency and excess syndromes,with the primary disease location in the lungs and a close relationship to the spleen and kidneys.The pathogenesis involves dysfunction of the lungs,spleen,and kidneys,leading to qi stagnation,phlegm coagulation,and blood stasis,which obstruct the collaterals,and cold-dampness obstructing the surface and lung qi failing to disperse are important causes of lung nodules.The clinical treatment strategy focuses on regulating the lung collaterals and adopting an internal-external combined approach.Firstly,dredging-techniques such as scraping,fire needling,and filiform-shaped needling are used to unblock stagnation in the collaterals and relieve surface obstructions;secondly,plastering-acupoint application therapy targets the disease site to dissolve nodules and unblock collaterals;thirdly,moxibustion is employed to provide warmth and tonification,preventing the re-accumulation of pathogens;forthly,prescription is used based on the modified Jinshui Liujun Decoction(金水六君煎)combined with Shengxian Decoction(升陷汤)to harmonize the lungs,spleen,and kidneys and to restore organ function.

关 键 词：肺结节 疏调肺络 内外同治 

分 类 号：R259[医药卫生—中西医结合]