从六经传经之变探析炎性肺结节的发生发展

An analysis of the occurrence and development of inflammatory pulmonary nodules from the perspective of transmission rule of six-meridian disease

肺结节是随着现代检查技术广泛应用而发现的“潜疾”,相关研究表明,50%的肺结节的病理因素由炎症引起,长期慢性炎症刺激可增加肺结节癌变的危险。目前对肺结节的治疗以西医定期随访复查、抗炎及手术切除为主,中医研究比较少。六经辨证体系在临床上被用于指导治疗外感热病,也可用于治疗部分内伤杂病。笔者临床跟师学习,导师颜延凤认为部分炎性肺结节隶属于中医“外感邪气,痰瘀互结”,属于“内伤杂病”范畴,故有必要就肺结节的六经传经规律做一探讨,以期为炎性肺结节的临床诊疗提供一些新的思路。

Pulmonary nodules are“latent diseases”discovered by the widespread application of modern examination techniques.Relevant studies have shown that 50%of the pathological factors of pulmonary nodules are caused by inflammation,and long-term chronic inflammatory stimulation can increase the risk of lung nodules malignancy.At present,the treatment of pulmonary nodules is mainly based on Western medicine therapies such as regular following-up and reexamination,anti-inflammatory and surgical resection,and there are few studies on treating the disease in traditional Chinese medicine.The TCM six-meridian syndrome differentiation system is clinically used to guide the treatment of exogenous fever,and can also be used to treat some internal injuries and miscellaneous diseases.The author learned clinically from the tutor,Professor YAN Yanfeng,and the tutor believed that some inflammatory pulmonary nodules belong to“exogenous pathogenic Qi(气),mutual accumulation of phlegm and silt”of traditional Chinese medicine,and belong to the category of internal injuries and miscellaneous diseases.Therefore,it is necessary to discuss the six-meridian transmission rule of pulmonary nodules,in order to provide some new ideas for the clinical diagnosis and treatment of inflammatory pulmonary nodules.