基于久病入络探讨补阳还五汤治疗肺纤维化思路OA
Thoughts on Buyang Huanwu Decoction in the Treatment of Pulmonary Fibrosis Based on the Theory of Chronic Illness Entering the Collaterals
肺纤维化是一种慢性、进行性、间质性肺疾病,临床特征以刺激性干咳和进行性呼吸困难为主,属中医"肺络病"范畴,以肺络亏虚为本,邪气阻络为标,病程反复,迁延难愈,久病入络."络以通为用"是叶天士在《临证指南医案》中提出的临床治疗络病常用的一种方法,补阳还五汤是益气、活血、通络的代表方剂,临床应用较多,疗效较好,具有补气补肺络、活血消滞、通肺络的作用.
Pulmonary fibrosis is a chronic and progressive interstitial lung disease,clinically characterized by irritating dry cough and progressive dyspnea.It falls into the category of"lung collateral disease"in traditional Chinese medicine(TCM).The root cause is deficiency of lung collaterals,while the superficial manifestation is pathogenic obstruction of collaterals.The disease course is recurrent,protracted and difficult to cure,conforming to the theory of TCM that"chronic illness enters the collaterals"."Collaterals function by unobstructed circulation"is a commonly used method for treating collateral diseases clinically proposed by Ye Tianshi in Linzheng Zhinan Yi'an.Buyang Huanwu decoction is a representative prescription for benefiting qi,activating blood circulation,and unblocking collaterals,which is widely applied in clinical practice with favorable efficacy,and has functions to reinforce qi and tonify lung collaterals,activate blood circulation to resolve stagnation,and unblock lung collaterals.
王丽媛;朱伟宁;张伟
威海市中医院科教科,山东 威海 264200威海市中医院科教科,山东 威海 264200山东中医药大学附属医院呼吸科,山东 济南 250000
医药卫生
肺纤维化肺络补阳还五汤
pulmonary fibrosislung collateralsBuyang Huanwu decoction
《光明中医》 2026 (6)
92-95,4
国家自然科学基金面上项目(No.81874442)山东省齐鲁卫生与健康杰出青年人才(No.鲁卫人才字[2020]3号)
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