皮痹-肺痹转归认知下系统性硬化症相关弥漫性实质性肺疾病的病理演变与临证探讨

Exploration on the pathologic process and clinic of systemic sclerosis-diffuse parenchymal lung disease from the theory of skin impediment-lung impediment transformation

皮痹与肺痹在病因病机上具有高度的相关性,并在一定条件下出现前者向后者的转归,此过程体现了肺主皮毛的理论,在中医经典中也有比较明确的记载与描述。现代医学对二者的临床认知日臻成熟,并进行了明确的病理类型的划分,与中医学对二者的认识不谋而合。探究二者在病因病机、临床症状、病理进程的进展和治疗方式上的密切联系是认识这两种疾病并获得疗效的关键。临床论治时立足于疾病的病程阶段,把握病情变化时机,活用多种治疗方法,方可取得成效。

There is a high correlation between skin impediment and lung impediment in etiology and pathogenesis,and the former turns to the latter under certain conditions.This process reflects the theory of lung governing fur,and it is also clearly recorded and described in traditional Chinese medicine(TCM)classics.The clinical cognition of the two in modern medicine is becoming more and more mature,and the logical classification of pathological types coincides with the understanding of TCM.To explore the close relationship between them in etiology and pathogenesis,clinical symptoms,the progress of pathological process and the mode of treatment is the key to understand these two diseases and obtain curative effect.Clinical treatment is based on the stage of the course of the disease,grasp the opportunity of the change of the disease,and actively use a variety of treatment methods in order to achieve results.