基于"玄府-肺络"理论辨治病毒性肺炎OA
Syndrome Differentiation and Treatment of Viral Pneumonia Based on the Theory of"Xuanfu-Lung Collateral"
"玄府"这一概念最早在《黄帝内经》中被提出,后经历代医家不断补充与完善,逐渐形成系统的玄府理论,并在临床疾病的诊断与治疗中得到广泛应用.本文以宏观辨证与微观结构的融合为基本切入点,从玄府-肺络理论探析病毒性肺炎发病进展病理演变,认为病机为玄府失宣、脾胃失运、痰瘀阻络、神机失用,治疗原则为宣通玄府,疏通肺络,以恢复其通利特性,并总结出疏散肌表、调畅气机、疏通瘀滞、补虚养玄4种治疗方法.本文从玄府-肺络理论出发探讨病毒性肺炎,以期为临床治疗提供新思路,提高临床疗效.
The concept of Xuanfu was first proposed in Huangdi Neijing,and later supplemented and improved by physicians of successive dynasties,gradually forming a systematic Xuanfu theory,which has been widely applied in the diagnosis and treatment of clinical diseases.Taking the integration of macroscopic syndrome differ-entiation and microscopic structure as the basic starting point,this paper explores the pathogenesis and pathologi-cal evolution of viral pneumonia based on the Xuanfu-Lung collateral theory.It holds that the pathogenesis is char-acterized by blocked Xuanfu function,dysfunction of the spleen and stomach,obstruction of collaterals by phlegm and blood stasis,and loss of mental activity regulation.The therapeutic principles are summarized as unblocking Xuanfu and dredging lung collaterals to restore their unobstructed characteristics,and four therapeutic methods are put forward:dispersing pathogenic factors on the muscle surface,regulating qi movement,removing stagnation,and tonifying deficiency to nourish Xuanfu.This paper discusses the treatment of viral pneumonia based on the Xuan-fu-Lung collateral theory,aiming to provide new ideas for clinical treatment and improve clinical efficacy.
杨坤;郭安;彭鑫;党梓铭;张鹏;封继宏
天津中医药大学,天津 301617天津中医药大学,天津 301617天津中医药大学,天津 301617天津中医药大学,天津 301617天津中医药大学,天津 301617天津中医药大学第二附属医院,天津 300250
医药卫生
玄府络脉病毒性肺炎中医药理论探讨
XuanfuCollateralsViral pneumoniaTraditional Chinese medicineTheoretical discussion
《中国中医急症》 2026 (1)
47-51,5
国家重点研发计划(2022YFC3500803)国家中医药管理局青年岐黄学者培养项目(国中医药人教函[2022]256号)天津中医药大学第二附属医院薪火相传领军人才(津中医二附政发[2023]50号)
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