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在临床治疗肺结节实践中,提倡运用整体观念和辨证论治思想,以明确病性证素为辨证立足点。临床辨证肺结节病机特点以气虚、阴虚、痰瘀证素为主,气郁证素贯穿病程始终。临证组方当以益气养阴、化痰消瘀、解毒散结为治则,并配用理气解郁以开肺中郁结,促进机体“阴阳平复”。采用辨病性证素论治的同时,要结合辨病论治的思想,运用解毒散结之品,直入肺结节病灶,俾肺络痹阻得通,促进结节消散。
Abstract:In the clinical practice of treating pulmonary nodules,the thought of holism and treatment based on syndrome differentiation was advocated,so as to clarify that the pathogenic syndrome factor is the basis of syndrome differentiation. The characteristics of disease mechanism for pulmonary nodules usually involve pathogenic syndrome factor,such as qi deficiency,yin deficiency,phlegm and stasis,and qi stagnation which involves the whole disease course. The treatment principle in the clinical treatment should be tonifying qi and nourishing yin,resolving phlegm and stasis,and removing toxin and dissipating mass,and regulating qi and relieving depression should be applied in combination to dissipate the stagnation in the lungs,so as to promote the “rebalance of yin and yang” of human body. Besides the differentiation of pathogenic syndrome factor,the thought of disease differentiation should be applied,to use the medicinals for removing toxin and dissipating mass,which could directly work on the pulmonary nodules,so as to unblock the obstruction of lung collaterals and promote the resolution of nodules.
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基本信息:
DOI:10.16295/j.cnki.0257-358x.2022.05.018
中图分类号:R259;R249
引用信息:
[1]丁振洋,孙子凯,瞿晨雪.运用病性证素思想辨证治疗肺结节经验[J],2022,41(05):556-559+582.DOI:10.16295/j.cnki.0257-358x.2022.05.018.
基金信息:
江苏省中医药管理局资助课题(编号:LZ11028);; 江苏省“十二·五”中医药重点学科建设项目(编号:js1302)