弥漫性间质性肺疾病中医病机之气运失常理论探析

Diffuse pulmonary interstitial disease and disorder of qi activity in TCM pathogenesis theory

目前弥漫性间质性肺疾病呈现逐年多发态势,本文着重从中医病机层面探讨本病的发生发展,发现"气运失常"贯穿间质性肺疾病始终,"气运失常"是指气的生化不足,或耗散过多而致气的不足,或气的功能减退,以及气的运动失常的病理状态,而由此产生痰、虚、瘀等病理产物,并在本病的发生发展中占主导因素。笔者从痰、虚、瘀对本病的发生、发展中的独立因素和相互作用,探讨"气运失常"在间质性肺疾病中的影响,为中医临床辨证论治间质性肺疾病提供了理论依据。

The incidence of diffuse pulmonary interstitial disease （DPID） is rising year by year at present. The article discussed emphatically the occurrence and development of DPID at the level of TCM pathogenesis, and found out that disorder of qi activity runs throughout DPID. The disorder of qi activity refers to qi deficiency, qi insufficiency or abnormal activity of qi induced by weak engendering transformation of qi or overconsumption of qi, and its pathological products such as phlegm, deficiency and stasis are the dominant factors in the development of DPID. The authors discussed the influence of disorder of qi activity on DPID from the aspects of the independent factors （phlegm, deficiency and stasis）, and offered the theory basis for syndrome differentiation and treatment of DPID.