基于“气主呴之”探讨肾阳在慢性阻塞性肺疾病炎癌转化中的作用

To explore the role of kidney yang in the"transformation of inflammation and cancer"of chronic obstructive pulmonary disease based on"Qi controlling Xu"

COPD炎癌转化是指肺部长期反复的慢性炎症的恶性转化。中医认为,COPD炎癌转化病因病机总属本虚标实。COPD致肺脾肾之气受损,气为阳,气虚则阳虚,阳虚温煦失常致气滞、痰凝、血瘀,为COPD炎癌转化的关键。肾阳为一身阳气之根,肾阳亏虚是COPD炎癌转化的始动因素;肺阳虚是COPD炎癌转化的根本因素;肾虚脾失温煦致脾阳虚是COPD炎癌转化推动因素。本文从“气主呴之”理论探讨肾阳在COPD炎癌转化中的作用,以期为该病的临床诊治拓宽思路。

Chronic obstructive pneumonia cancer transformation refers to the malignant transformation of long-term repeated chronic inflammation of the lung.Traditional Chinese Medicine believes that the etiology and pathogenesis of chronic obstructive pneumonia cancer transformation always belong to the deficiency of origin and excess of signs.Chronic obstructive pulmonary disease causes damage to the qi of the lung,spleen and kidney.Qi is yang,and qi deficiency leads to yang deficiency.Yang deficiency and abnormal warm would result in qi stagnation,phlegm coagulation and blood stasis.It is the key to the transformation of chronic obstructive pneumonia cancer.Kidney yang is the root of yang qi.Deficiency of kidney yang is the initiating factor for the transformation of chronic obstructive pneumonia cancer.Deficiency of lung yang is the fundamental factor for the transformation of chronic obstructive pneumonia cancer.Deficiency of kidney yang and deficiency of spleen yang are the driving factors for the transformation of chronic obstructive pneumonia cancer.Therefore,this article discussed the role of kidney yang in the transformation of chronic obstructive pneumonia cancer from the theory of"Qi Zhu Xu Zhi",in order to broaden the thinking of clinical diagnosis and treatment of the disease.