基于扶正调气法治疗肺结节的运用初探

Application of Fuzheng Tiaoqi Therapy in Treating Pulmonary Nodules

肺结节已经成为临床中极为常见的一种疾病,并且伴随着良恶性鉴别、治疗手段的困惑和不确定性,使得肺结节的临床管理成为一项颇具争议和挑战的话题。无论是良性,或是已经发生恶变的肺结节,其形成的根本是正虚和气、痰、瘀等病理因素的相互作用,其中后者以气机失调为主导。因此,中国中医科学院广安门医院花宝金教授团队提出了“扶正调气”法干预肺结节的治疗理念。益气养阴为主的扶正培本之法充养了肺脏,为其主气、行水、朝百脉的生理功能提供了源源不断的物质基础,使机体保持正常而高效的运行效态,减少了痰浊、瘀血的生成,并可以敏锐地检测到发生异变的不正常细胞,将其清除,减少恶变几率。调气为主,辅助化痰散结、活血化瘀的祛邪之法,共同消除肺结节形成和发展的病理因素以控制肺结节的发展,同时肺气宣降畅达可以使扶正“补而不滞”“滋而不腻”,更好地发挥补益作用。

Pulmonary nodule has become a very common clinical disease,and with the confusion and uncertainty of benign and malignant differentiation and treatment methods,the clinical management of pulmonary nodule has become a controversial and challenging topic.Whether benign or malignant pulmonary nodules,their formation is fundamentally due to the interaction of vital-Qi deficiency and Qi movement of disorder.Professor HUA Baojin’s team put forward the treatment concept of‘Fuzheng Tiaoqi’,which means strengthening viatl-Qi and regulating Qi movement,to intervene pulmonary nodules.The method of strengthening Qi and nourishing Yin enriches Lung and provides a continuous material basis for its physiological functions of governing Qi,promoting water metabolism and connecting all vessels,which can maintain the normal and efficient operation of the body,reduce the generation of phlegm and blood stasis,and can sensitively detect abnormal cells,remove them and reduce the probability of malignant transformation.Regulating Qi movement is helpful to eliminate or control the pathological factors in terms of the formation and development of pulmonary nodules,and at the same time,it’s a kind of supplement to strengthening viatl-Qi.