基于名老中医特发性肺纤维化因机证治规律初探  

Preliminary Study on the Rule of Pathogeny Pathogenesis Syndrome Differentiation and Treatment of Idiopathic Pulmonary Fibrosis Based on Famous Veteran Doctors of Traditional Chinese Medicine

作　　者：哈希睿 吕晓东[1] 庞立健[2] 臧凝子[1,2] 王天娇 HA Xirui;LYU Xiaodong;PANG Lijian;ZANG Ningzi;WANG Tianjiao(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,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医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2025年第4期170-174,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274440)。

摘　　要：特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)是一种病因未明的慢性、进行性、纤维化性间质性肺炎,发病率和病死率逐步上升,现已成为全球范围内重要的公共卫生问题,完善IPF因机证治体系构建对于该病的临床诊治具有重要意义和价值。IPF属于“肺痿”“肺痹”等范畴,国医大师、名老中医的丰富临证经验和学术思想是中医学的瑰宝,是促进现代中医药理论体系蓬勃发展的重要内容。近现代国医大师、名老中医治疗该病经验丰富、疗效显著。文章从因机证治角度对国医大师、名老中医认识IPF的相关文献进行梳理,探析国医大师、名老中医对该病的病因病机、辨证要点、治疗原则的相关理论,以期为传承发展名老中医治疗IPF学术思想奠定基础以及为IPF研究提供指导和思路。Idiopathic pulmonary fibrosis(IPF)is a chronic,progressive,fibrotic interstitial pneumonia with unknown etiology.The incidence and mortality of IPF are gradually increasing,and it has become an important public health problem worldwide.It is of great significance and value to improve the construction of pathogeny pathogenesis syndrome differentiation and treatment system of IPF for the clinical diagnosis and treatment.IPF belongs to the categories of“lung flaccidity”and“lung arthralgia”.The rich clinical experience and academic ideology of national Chinese medicine masters and famous veteran doctors of traditional Chinese medicine(TCM)are treasures of TCM and important elements in promoting the vigorous development of the modern theoretical system of TCM.Modern national Chinese medicine masters and famous veteran doctors of TCM have rich experience and significant therapeutic effects in treating IPF.From the perspective of pathogeny pathogenesis syndrome differentiation and treatment,this paper sorts out the relevant literature on the understanding of IPF by national Chinese medicine masters and famous veteran doctors of TCM and analyzes the relevant theories of famous veteran doctors of TCM on the etiology,pathogenesis,syndrome differentiation and treatment principles of IPF,in order to lay a foundation for the inheritance and development of the academic ideology of famous veteran doctors of TCM in the treatment of IPF and provide guidance and ideas for IPF research.

关 键 词：特发性肺纤维化 名老中医 因机证治 益气养阴 化痰祛瘀 解毒通络 

分 类 号：R259[医药卫生—中西医结合]