基于肺气虚证四级分度理论探讨“以证统病”的肺病管理模式

Exploration on the ‘syndrome dominating disease’ management model of lung diseases based on the four-level classification theory of lung-qi deficiency syndrome

肺气虚是肺系疾病发生发展过程中的重要的共性病机,表现为渐进性,常伴有水湿、痰饮、瘀血等病理产物的出现。通过肺气虚证的四级分度理论,初步揭示了肺气虚证在肺系疾病中发生发展的内涵,并结合“气虚-痰饮-血瘀”三角理论对肺系疾病的中医证候演变规律进行归纳总结,在此基础上提出“以证统病”的肺病管理模式,以期弥补现代病证结合“以病统证”以病为核心模式的不足,为建立中医特色的肺病管理模式提供可行的思路,进一步优化中医临证思维。

Deficiency of lung qi is an important common pathogenesis in the occurrence and development of pulmonary diseases. It is gradual and often accompanied by the appearance of pathological products such as wetness, phlegm, and blood stasis. By lung qi deficiency syndrome of four-level classification theory, preliminary reveals the connotation of lung qi deficiency syndrome, and the TCM syndrome evolution law of lung diseases was summarized in combination with the triangle theory of ‘qi deficiency-phlegm-blood stasis’. Based on this research, ‘syndrome dominating disease’ mode of pulmonary disease management is put forward, to make up for the deficiency of the ‘disease dominating syndrome’ mode of combining modern disease and syndrome with a disease as the core, and provide feasible ideas for the establishment of TCM characteristic lung disease management mode, and further optimize TCM clinical thinking.