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宋康教授从虚实夹杂论治肺痹肺痿OA

Professor SONG Kang's experience in treating lung obstruction and lung atrophy from the perspective of deficiency-excess complex

中文摘要英文摘要

目的:系统探讨宋康教授从"虚实夹杂"论治肺痹、肺痿的学术思想与临床经验,构建完整的辨证论治体系.方法:通过系统梳理肺痹、肺痿的理论源流与病机特点,结合宋康教授临床诊疗经验,深入分析其治疗体系的临床应用.结果:研究明确了肺痹与肺痿作为同一病理进程中相互关联、动态演变的两个阶段,其病机本质为肺、脾、肾三脏气阴亏虚为本,痰浊、瘀血痹阻肺络为标,呈现"本虚标实、痹痿相兼"的复杂局面.基于虚实夹杂动态进行辨证,在改善临床症状、延缓疾病进展等方面取得较好疗效.结论:本研究总结的名老中医辨治肺系疑难病特色经验,将中医学理论与动态辨证相结合,为临床诊治肺痹肺痿提供了理论依据和实践方案,具有一定的学术价值和临床意义.

Objective:To systematically summarize Professor SONG Kang's academic thoughts and clinical experience in treating lung obstruction and lung atrophy from the theory of"deficiency-excess complex",and to construct a complete system of syndrome differentiation and treatment.Methods:By systematically reviewing the theoretical origins and pathological characteristics of lung obstruction and lung atrophy,combined with Professor SONG Kang's clinical diagnosis and treatment experience,we deeply analyzed the clinical application of its treatment system for the two diseases.Results:The study clarified that lung obstruction and lung atrophy are two interrelated and dynamically evolving stages within the same pathological spectrum.The essence of the pathogenesis was the deficiency of Qi(气)and Yin(阴)in the lungs,spleen,and kidneys as the root,and the obstruction of the lung collaterals by phlegm turbidity and blood stasis as the branch,presenting a complex situation of"deficiency in the root and excess in the branch,with both obstruction and atrophy coexisting".Through dynamic syndrome differentiation based on the deficiency-excess complex,significant therapeutic effects were achieved in improving clinical symptoms and delaying disease progression.Conclusion:This study summarizes the characteristic experiences of renowned veteran traditional Chinese medicine practitioners in the diagnosis and treatment of lung obstruction and lung atrophy.By combining traditional theory with dynamic syndrome differentiation,it provides a theoretical basis and practical solutions for the modern clinical diagnosis and treatment of lung obstruction and lung atrophy,holding significant academic value and clinical importance.

陶木子;宋康;郑兰芝

浙江中医药大学第一临床医学院,浙江 杭州,310053浙江省中医院,浙江 杭州,310006浙江省中医院,浙江 杭州,310006

医药卫生

肺痹肺痿虚实夹杂名医经验

Lung obstructionLung atrophyDeficiency-excess complexExpert clinicians'experience

《中医临床研究》 2026 (5)

97-101,5

浙江中医药科技计划项目(2022ZB101)浙江省医药卫生科技计划项目(2022RC219)浙江中医药大学校级科研项目(2023JKZKTS32)第七批全国老中医药专家学术经验继承项目.

10.3969/j.issn.1674-7860.2026.05.014

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