基于《黄帝内经》有者求之无者求之理论探讨无症状肺结节的中医药治疗

Discussion on Traditional Chinese Medicine in the Treatment of Asymptomatic Pulmonary Nodules Based on the Theory of You Zhe Qiu Zhi and Wu Zhe Qiu Zhi in Huangdi Neijing

近年来,无症状肺结节检出率日益增加,此病通过影像学确诊,尚无特效药物治疗。中医治疗需要辨证论治,但此病临床表现大多不典型,常导致“无证可辨”。“有者求之,无者求之”就是强调在症状不典型的情况下,推求病机的重要性。肺结节常常症状较少或无证可辨。此时,认识和理解其本虚标实核心病机对探求其防治方案具有重要临床价值。

In recent years,the detection rate of asymptomatic pulmonary nodules is increasing.The disease is diagnosed by imaging.There is no specific drug treatment except follow-up.Traditional Chinese medicine treatment needs syndrome differentiation,but most of the clinical manifestations of this disease are atypical,which often leads to“no evidence to distinguish”.“You zhe qiu zhi and wu zhe qiu zhi”emphasizes the importance of deducing the pathogenesis in the case of atypical symptoms.Pulmonary nodules are often asymptomatic or indistinguishable.At this time,understanding and understanding its core pathogenesis is of great clinical value to explore its prevention and treatment plan.