清肺解毒、化痰散瘀辨治肺炎性假瘤(咳嗽)2月内占位影像消失1例报告

One Case of Space Occupying Image Disappearance within 2 Months after Treatment of Pneumonic Pseudotumor( Cough) by Clearing Lung and Detoxifying and Resolving Phlegm and Dispersing Blood Stasis Method

肺炎性假瘤可能与免疫因素(变态反应),与抗生素的大量使用或滥用有关。症状及X线、CT表现很难与肺癌相鉴别,极易误诊,西医治疗以手术为主,但有复发可能。从中医角度可归属为积聚范畴,与正气亏虚,外邪入侵,气机不畅,痰血搏结有关,临床诊治围绕痰凝血瘀为机理,治以消痰化瘀,清肺解毒,短期肺内瘤体消失,治疗效果佳,可为临床治疗提供有效方法。附验案1则。

Pulmonary inflammatory pseudotumor may be related to immune factors( allergy) and the use or abuse of antibiotics. Its symptoms,X-ray and CT manifestations are difficult to distinguish from lung cancer and it is easily misdiagnosed. Surgery is the main Western medicine treatment with a possibility of recurrence. From the perspective of traditional Chinese medicine,it can be classified as accumulation,related with deficiency of vital energy,invasion of exogenous pathogens,Qi movement obstruction,phlegm and blood stasis. Clinical diagnosis and treatment centers on the mechanism of eliminating phlegm and removing blood stasis,clearing the lung and detoxifyingso as to make short-term lung tumor disappear. Chinese medicine has a good therapeutic effect and provides an effective method for clinical treatment and there is oneclinical case in the paper.