经方排脓散联合培土生金法论治无症状肺结节探讨

Approach to treatment of asymptomatic pulmonary nodules with Painong powder of classical prescription and method of“strengthening earth to generate metal”

无症状肺结节(直径﹤8 mm)检出率日益增高,多以定期复查随访胸部CT为主,无特效西药治疗,但部分检出者会出现悲伤、焦虑等心理变化,影响正常工作及生活。一般情况下多数结节是良性的,以感染性病灶和炎性结节最常见,同时机体往往出现免疫功能失调。对无症状肺结节(直径﹤8 mm)的诊疗,认为其归属肺积、息贲范畴,主要病机为“邪犯肺卫、脏腑失调”,提出“抗击肺脏炎症、调节机体免疫”的治疗思路,采用《金匮要略》排脓散加味治疗肺脏局部炎症,消结汤培土生金,调节人体免疫。

The detection rate of asymptomatic pulmonary nodules(diameter﹤8 mm)is increasing day by day.Regular reexamination and following-up of chest CT is the main method.Generally,there is no western medicine for the treatment.However,some detected patients will experience psychological changes such as sadness and anxiety,which affect their normal work and life.Most nodules are benign.Infectious lesions and inflammatory nodules are the most common,and the body often has immune dysfunction.Director Wang Dong-xu has unique insights into the diagnosis and treatment of asymptomatic pulmonary nodules(diameter﹤8 mm).He considers that it belongs to category of"lung lump"and"lung amassment",the main pathogenesis is"pathogen attacking lung with defensive qi and viscera disorders";and puts forward the central idea of"fighting against lung inflammation and regulating the body's immunity",and using modified Painong powder from Synopsis of the Golden Chamber for fighting against local inflammation of the lungs,then using Xiaojie decoction based on the theory of"strengthening earth to generate metal"for regulating human immunity.