从“饮瘀交阻”理论探讨经方治疗肺结节思路

Discussion on the idea of treating pulmonary nodule with classical prescriptions from the theory of‘obstruction in retained fluid and blood stasis’

近年来,随着肺部计算机断层扫描(CT)检查手段的普及,肺结节的检出率明显上升。手术切除、定期做肺CT检查虽为肺结节的主要治疗及随访手段,但中药干预已经逐渐在肺结节治疗中占据重要地位。张立山教授认为“饮瘀交阻”为肺结节的重要病机,若此基础上运用经方治疗肺结节可取得一定效果。文章通过介绍“饮瘀交阻”这一理论,探讨“饮瘀交阻”与肺结节在病机、症状及影像特点方面的联系,分析经方治疗肺结节的思路,并附1则验案加以佐证。

In recent years,with the popularization of computed tomography(CT)scanning of the lungs,the detection rate of pulmonary nodule has increased significantly.Although surgical resection and regular lung CT examination are the main treatment and follow-up methods for pulmonary nodule,traditional Chinese medicine(TCM)intervention has gradually taken an important role in the treatment of pulmonary nodule.Professor ZHANG Lishan,believes that‘obstruction in retained fluid and blood stasis’is an important pathogenesis of pulmonary nodule,and the use of TCM in the treatment of pulmonary nodule on the basis of this pathogenesis can achieve certain results.This article introduces the theory of‘obstruction in retained fluid and blood stasis’,discusses the connection between‘obstruction in retained fluid and blood stasis’and pulmonary nodules in terms of pathogenesis,symptoms and radiographic characteristics,analyzes the idea of treating pulmonary nodules with TCM,and includes a case study to support it.