基于气街理论探讨荆防败毒散治疗PM2.5致肺损伤的"枢转气机"效应OA
Exploring the"qi movement-pivoting"effect of Jingfang Baidu Powder in treating PM2.5-induced lung injury based on the qi pathway theory
PM2.5 致肺损伤已成为重大公共卫生问题,西医学目前尚未形成针对性根治方案,中医学现有研究多聚焦肺局部病机,而对经络气血运行的整体视角关注不足、探讨不够.传统"肺失宣降"理论仅局限于气的运行节律异常,难以覆盖本病复杂的病理状态.因此,本文基于气街理论,结合PM2.5 风、寒、湿、浊、毒属性的复合致病特点,系统探讨PM2.5 致肺损伤的核心病机为"浊毒痹阻胸气街",导致气机枢转失常,进而引发气血津液代谢紊乱、肺络损伤,病情呈"气街闭塞-枢机失转-全身受累"三阶段演变.荆防败毒散通过君臣佐使精准配伍,形成"开街启闭、枢转气机"的完整治疗体系,为PM2.5 相关肺疾病的中医论治提供了新的理论框架,也为经典方剂的现代应用拓展了思路.
PM2.5-induced lung injury has emerged as a major public health concern.Western medicine currently lacks targeted curative approaches,whereas existing research in traditional Chinese medicine(TCM)has focused primarily on localized pathological mechanisms of the lung,with insufficient attention paid to the holistic perspective of meridian-qi-blood circulation.The classical theory of"lung failure in dispersion and descent"is limited to describing abnormalities in the rhythmic flow of qi,thus failing to encompass the complex pathological state of this disease.Consequently,drawing on the qi pathway theory and considering the composite pathogenic characteristics of PM2.5,which encompasses wind,cold,dampness,turbidity,and toxicity,this paper systematically elucidates the core pathogenesis of PM2.5-induced lung injury as"obstruction of the thoracic qi pathway by turbid toxins."This disruption leads to impaired pivoting movement of qi dynamics,subsequently inducing metabolic disorders of qi,blood,and body fluids,as well as lung-collateral damage.The disease progression evolves through three distinct stages:"qi pathway obstruction-pivoting dysfunction-systemic involvement."Jingfang Baidu Powder,through its precisely balanced composition of sovereign,minister,assistant,and envoy herbs,establishes a comprehensive therapeutic system aimed at"unblocking the pathway and restoring pivoting movement of qi."This offers a novel theoretical framework for the TCM-based diagnosis and treatment of PM2.5-related lung diseases,while also expanding the modern application of classical formulations.
邵威;程发峰;王雪茜;姚景春;徐燕;王庆国
北京中医药大学 北京 100029北京中医药大学 北京 100029北京中医药大学 北京 100029鲁南贝特制药有限公司鲁南制药集团有限公司北京中医药大学 北京 100029
医药卫生
气街胸气街PM2.5肺损伤荆防败毒散
qi pathwaythoracic qi pathwayPM2.5lung injuryJingfang Baidu Powder
《北京中医药大学学报》 2026 (5)
601-606,6
国家中医药管理局北京中医药薪火传承"3+3"工程项目(No.2025-SZ-C-97)北京中医药大学横向课题(No.BUCM-2024-JS-FW-125) Beijing Traditional Chinese Medicine Inheritance Project"3+3"of the National Administration of Traditional Chinese Medicine(No.2025-SZ-C-97)
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