肺结节的中医诊治探讨

Traditional Chinese medicine diagnosis and treatment of pulmonary nodules

随着自然环境的恶化和低剂量螺旋CT扫描在全民体检中的普及,肺结节的发病率和检出率不断增高。肺结节属于临床难治性疾病,目前现代医学除随诊观察、活检与手术切除外,相对应的治疗措施有待于进一步研究。中医学者在不断地研究与诊疗实践过程中,对肺结节的病因病机有了一定的认识,亦取得了一定的临床效果。刘荣奎教授将肺结节地主要病机特点概括为“痰”“瘀”“毒”,指导肺结节的辨证治疗。目前,肺结节尚未形成完善的辨证论治体系,我们仍需不断钻研,总结临床经验,以提高肺结节的临床治疗效果。

With the deterioration of the natural environment and the popularity of low-dose spiral CT scanning in nationwide physical examination,the incidence rate and detection rate of pulmonary nodules are increasing.Pulmonary nodule is a clinical refractory disease.At present,in addition to follow-up observation,biopsy and surgical resection,the corresponding treatment measures still need to be further studied.In the process of continuous research and diagnosis and treatment practice,Chinese medicine scholars have a certain understanding of the etiology and pathogenesis of pulmonary nodules,and have achieved certain clinical effects.Professor Liu Rongkui summarized the main pathogenesis characteristics of pulmonary nodules as"Tan","Yu"and"Du"to guide the dialectical treatment of pulmonary nodules.At present,pulmonary nodules have not yet formed a perfect dialectical quality system,we still need to continue to study,sum up clinical experience,in order to improve the clinical treatment effect of pulmonary nodules.