络病学说指导下的肺结节“肺气亏虚,毒阻肺络”病机探讨

Discussion on the pathogenesis of pulmonary nodules“deficiency of lung qi and obstruction of lung collaterals by toxin”under the guidance of collateral disease theory

随着检查技术的发展,越来越多的肺结节在更早期阶段被发现。李泉旺主任在长期的诊疗过程中,扎根中医经典的络病学说,结合肺结节的临床特点,认为肺结节属于肺络病。以肺结节流行病学资料和治疗进展为基础,结合患者心理与体质偏颇等因素,认为应将中医药应用于肺结节的早期诊断性治疗。提出肺结节病机为“肺气亏虚,毒阻肺络”,立“调气扶正,解毒通络”为治则。在临床中将络病、肺络、中医肺脏、肺结节有机结合,形成完善的“结构-功能-疾病”网络,为肺结节的中医药治疗拓宽思路并提供临床依据。

With the development of examination technology,more and more pulmonary nodules are found in the earlier stage.In the process of long-term diagnosis and treatment,director Li Quanwang takes root in the classical collateral disease theory of traditional Chinese medicine,combined with the clinical characteristics of pulmonary nodules,and thinks that pulmonary nodules belong to pulmonary collateral disease.Based on the epidemiological data and treatment progress of pulmonary nodules,combined with the psychological and physical bias of patients,it is considered that traditional Chinese medicine should be applied to the early diagnostic treatment of pulmonary nodules.It is put forward that the pathogenesis of pulmonary nodules is“deficiency of lung qi and obstruction of lung collaterals by toxin”,and the treatment principle of“regulating qi and strengthening vital qi,detoxification and dredging collaterals”.In clinic,collateral disease,lung collaterals,traditional Chinese medicine lung and pulmonary nodules are organically combined to form a perfect“structure-function-disease”network,which broadens the train of thought and provides clinical basis for the treatment of pulmonary nodules with traditional Chinese medicine.