“肺为娇脏”在内伤杂病中的内涵  

On the Connotation of"Lung is a Delicate Organ"in Internal Injuries and Miscellaneous Diseases

作　　者：潘赐明 方会 周丽莉 曹蓓苓 徐寻 陈文慧 PAN Ciming;FANG Hui;ZHOU Lili;CAO Beiling;XU Xun;CHEN Wenhui(Yunnan University of TCM,Kunming 650500,China;Anhui University of Chinese Medicine,Hefei 230038,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]安徽中医药大学,安徽合肥230038 [3]辽宁中医药大学,辽宁本溪110847

出　　处：《西部中医药》2025年第3期27-30,共4页Western Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金地区科学基金(81760818);云南省科学技术厅科技计划项目——中医联合重点项目(2018FF001-006);云南省教育厅科学研究基金研究生项目(2021Y486)。

摘　　要：从内伤杂病的角度出发,探讨肺与脏腑的内在联系。认为“五脏六腑皆令人咳,非独肺也”所阐述的是病情之程度,五脏六腑之疾各有症状,咳提示病情较轻,泄、痛提示病情较重。肺与其他四脏以升降相因、生克制化相互影响,肺脏与大肠腑以表里关系互为因果。肺主气、朝百脉、行水,故在内伤杂病中气病、血病及痰饮首先损害肺脏,此外肺脏本身清虚,更容易被损伤。脏腑之间的关联性是肺在内伤杂病的生理基础,而肺的生理功能与特性则是肺在内伤杂病的病理关键,内伤杂病主要与脏腑关系失调、气滞、血瘀、痰饮等病理产物的影响相关;气滞、血瘀、津液代谢障碍及痰饮等的发生肺脏首当其冲。The intrinsic connection between the lung and the viscera is discussed from the angle of internal injuries and miscellaneous diseases."Five viscera and six Fu-organs may cause cough,not only the lung disease",the idea expounded the extent of the disease,the diseases of five viscera and six Fu-organs present their own symptoms,cough suggests a mild condition,diarrhea and pain indicate more serious condition.The lung and the other four viscera interact with each other by ascending and descending,reinforcing,overcoming and restraining,the lung and large intestine are related to each other in an external and internal relationship.The lung regulates Qi,connects all the vessels and transports water,therefore,among the internal injuries and miscellaneous diseases,Qi disease,blood disease and phlegm-drink initially damaged the lung,in addition,the lung is a delicate organ,easily being damaged.The connection between the internal organs is the physiological foundation of lung among internal injuries and miscellaneous diseases,while the physiological function and the characteristics of lung is the key to the pathology of lung in internal injuries and miscellaneous diseases,internal injuries and miscellaneous diseases are mainly related to visceral dysfunction,pathological products including Qi stagnation,blood stagnation and phlegm drink;the lung bears the formation of Qi stagnation,blood stagnation and fluid metabolism disorder,phlegm drink.

关 键 词：肺为娇脏 内伤杂病 内涵 机制 临床应用 

分 类 号：R2-09[医药卫生—中医学]