张晓梅结合CT影像辨治肺结节

Syndrome differentiation and treatment of pulmonary nodules by ZHANG Xiao-mei combined with CT images

肺结节是肺系疑难疾病,随着影像学技术的发展,肺结节的检出率逐年升高,由于患者无临床症状,给中医药传统辨证论治体系带来了新的挑战,张晓梅教授根据肺CT影像对肺结节的危险程度进行分级,并将其纳入中医望诊范畴,通过辨识肺结节CT影像和患者舌脉征象,从患者综合状态进行辨治,认为肺结节的基本病机属于正气亏虚、痰瘀互阻,治疗原则以活血化痰、散结扶正为主,在益肺散结方的基础上根据患者整体状态灵活加减,临床疗效显著。

Pulmonary nodules are a difficult disease of the lung system,with the development of imaging technology,the detection rate of pulmonary nodules is increasing gradually by years.As the patients have no clinical symptoms,new challenges were brought on the traditional Chinese medicine(TCM)syndrome differentiation and treatment.Professor ZHANG Xiao-mei grades the risk level of pulmonary nodules based on the CT images of the lungs and includes them in the scope of TCM sight-seeing.She identifies the pulmonary nodule CT images and the patient’s tongue and pulse signs,and treated them based on the comprehensive status of the patient.She believes that the pathogenesis of pulmonary nodule is deficiency of vital qi,stasis of phlegm and blood.The principle of treatment is based on promoting blood circulation and dissipating phlegm,resolving masses and strengthening vital qi.On the basis of Yifei Sanjie Formula,the herbs are flexibly added and subtracted according to the state of patients,and the effect is remarkable.