从"痹"论治间质性肺疾病OA
Syndrome differentiation and treatment of interstitial lung disease based on the theory of"bi syndrome"
间质性肺疾病(ILD)是肺部弥漫性疾病,为呼吸系统疾病中的顽症,主要累及肺泡、肺间质和(或)细支气管.间质性肺疾病患者肺脏体用俱损,肺泡等组织功能与结构和中医学理论"络脉"理论吻合.王檀提出以肺痹论治间质性肺疾病学术思想,认为肺络痹阻为间质性肺疾病核心,痹者不通,"肺络痹阻、肺气郁闭"为间质性肺疾病肺部功能损害和形质改变的病机关键,治疗上从"痹"立论,以"宣络通痹"为治疗原则,根据具体辨证分为风寒湿痹、风湿热痹、痰瘀痹肺、风火痹肺,以"通痹"为治疗手段,使肺络得通,肺痹得除。
Interstitial lung disease(ILD)is a diffuse lung disease,a stubborn condition in the respiratory system,primarily affecting the alveoli,pulmonary interstitium,and/or bronchioles.Patients with ILD suffer from both physical and functional damage to the lungs,and the functional and structural changes in tissue such as alveoli caused by it are in line with the"collaterals"theory in traditional Chinese medicine and are in harmony with the pathogenesis connotation of"bi syndrome".Wang Tan proposes that the key to its pathogenesis lies in the obstruction of the lung collaterals and the stagnation of lung qi.The stagnation of lung qi leads to impaired lung function,while the obstruction of the lung meridians causes changes in the shape and texture of the lungs.Lung bi can be specifically classified into obstruction in the lung induced by wind,cold,and dampness,by wind,dampness,and heat,by phlegm and blood stasis,and by wind and fire.In treatment,the principle of"ventilating the lung collaterals and eliminating obstruction in them"is followed.
徐佳男;田琳;刘玉娇;赵于钧;尹慧萍
长春中医药大学附属医院肺肿瘤科,长春 130021长春中医药大学附属医院肺肿瘤科,长春 130021长春中医药大学附属医院肺肿瘤科,长春 130021长春中医药大学中医学院,长春 130117长春中医药大学中医学院,长春 130117
医药卫生
间质性肺疾病肺痹络脉
interstitial lung diseaselung bicollaterals
《吉林中医药》 2026 (1)
30-33,4
吉林省自然科学基金项目(YDZJ202201ZYTS188)
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