摘要
肺结节可归属中医学"肺积"的范畴,主要病位在肺,涉及肝、脾、肾,以肺脾肾三脏气血阴阳虚弱为本,由外来六淫邪气或雾霾毒邪引发,以痰瘀互结为主要病理表现,虚实夹杂是其主要病机特点,现代医家认为肺结节的治疗宜扶正祛邪并举,提倡综合体质、因人制宜的辨证方法。攻补兼施应贯穿肺结节的治疗始终,根据虚实偏重合理遣方,对于无证可辨的患者,宜适当攻伐病灶,同时结合体质辨识调理。
Pulmonary nodule can be classified into the category of"accumulation in lung"in the field of traditional Chinese medicine.Pulmonary nodule is mainly located in the lung,involving liver,spleen and kidney.Its fundamental pathogenesis is due to the weakness of qi,blood,yin and yang of lung,spleen and kidney.Pulmonary nodule is usually induced by six exogenous pathogenic factors or haze toxin,and is characterized by the main pathological manifestations of the combination of phlegm and blood stasis and by the main pathogenesis of the mixture of deficiency and excess.Modern Chinese medicine practitioners believe that the simultaneous utilization of supporting healthy qi and eliminating pathogens should be carried out during the treatment of pulmonary nodule,and the syndrome differentiation method based on comprehensive physique and individual healthy conditions is advocated.Simultaneous application of purging and nourishing therapeutics should run throughout the treatment of pulmonary nodule.Prescriptions should be established based on the predominance of deficiency or excess,and for patients without obvious syndrome being differentiated,it is appropriate to attack the focus firstly,and the healthy regulation based on physical identification is also needed.
作者
刘城鑫
李泽云
余润佳
詹少锋
黄慧婷
庄轰发
刘小虹
LIU Cheng-xin;LI Ze-yun;YU Run-jia;ZHAN Shao-feng;HUANG Hui-ting;ZHUANG Hong-fa;LIU Xiao-hong(The First Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510504 Guangdong,China)
出处
《中医肿瘤学杂志》
2021年第2期85-89,共5页
Journal of Oncology in Chinese Medicine
基金
2019年国家自然基金面上项目(编号:81973814)
广州中医药大学第一附属医院院内制剂开发项目(编号:2019ZJ03)
刘小虹广东省名中医传承工作室(编号:粤中医办函[2018]5号)。
关键词
肺结节
综述
中医中药
辨证论治
中医体质
pulmonary nodule
review
traditional Chinese medicine
syndrome differentiation and treatment
traditional Chinese medicine constitution
