陈沁教授治疗肺结节临床经验总结

Professor Chen Qin's Clinical Experience in the Treatment of Pulmonary Nodules

随着低剂量肺部螺旋CT的普及和百姓对健康体检的重视,近年来肺结节检出率总体呈上升趋势。中医中药在病灶的缩小消除、预防结节恶变、外科术后复发等方面疗效显著,减轻了心理及经济负担。陈沁教授认为肺结节基本病机可概述为肺、脾、肝三脏气血津液输布失常,邪聚于肺。性质多本虚标实,以虚为本,痰瘀气滞热毒为标。治疗上应以化痰祛瘀、疏肝理气、清热解毒治其标,益肺健脾治其本,在辨证论治的基础上,软坚散结治疗贯穿始末,本文对陈沁教授治疗肺结节的临证经验进行总结。

With the popularity of low-dose pulmonary spiral CT and people's attention to physical examination,the detection rate of pul-monary nodules has been on the rise in recent years.Traditional Chinese medicine has a significant effect on the reduction and elimina-tion of lesions,prevention of malignant nodules and recurrence after surgery,which reduces the psychological and economic burden.Pro-fessor Chen Qin believes that the basic pathogenesis of pulmonary nodules can be summarized as abnormal transfusion of qi,blood and body fluid in the lungs,spleen and liver.The nature of many deficiency and real,based on deficiency,phlegm and blood stasis,qi stagna-tion and heat toxin as the standard.The treatment should be treated by resolving phlegm and blood stasis,soothing the liver and regulat-ing qi,clearing heat and detoxification,tonifying the lung and invigorating the spleen.On the basis of syndrome differentiation and treat-ment,Ruanjian Sanjie treatment runs through the beginning and end.This paper summarizes Professor Chen Qin's clinical experience in the treatment of pulmonary nodules.