国医大师熊继柏基于"痰夹瘀血,遂成窠囊"病机论治肺结节经验总结OA
Clinical experience of National Chinese Medicine Master Xiong Jibo in treatment of pulmonary nod-ules based on the theory of"phlegm mixed with blood stasis forms nest-like cysts"
系统阐述国医大师熊继柏教授(以下尊称"熊老")诊治肺结节的经验,为肺结节的辨证施治提供具有实践操作价值的参考.熊老深耕中医学经典,秉持"守正创新"的理念,创新性拓展"窠囊"理论,将《丹溪心法》中"痰夹瘀血,遂成窠囊"的病机理论应用于肺结节的临床诊疗实践.熊老认为,肺结节本质为痰浊与瘀血胶结日久形成的"窠囊",病机主要为肺、肝、脾三脏功能失调所致的痰瘀互结,辨证要点为"辨痰瘀、辨寒热、辨虚实",治疗原则为"痰瘀并治",并主张"既病防变,瘥后防复"的理念.附验案1则,以供参考.
This article systematically elaborates on the experience of National Chinese Medicine Master Professor Xiong Jibo(hereafter respectfully referred to as Master Xiong)in the diagnosis and treatment of pulmonary nodules,in order to provide practical guidance for the syndrome differentiation-based treatment of pulmonary nodules.Master Xiong has deeply studied the classics of traditional Chinese medicine and adhered to the philosophy of"upholding fundamental principles while innovating".He innovatively expands the theory of"nest-like cysts"and applies the classic theory of"phlegm mixed with blood stasis forms nest-like cysts"in Danxi's Mastery of Medicine to the clinical diagnosis and treatment of pulmonary nodules.Master Xiong believes that pulmonary nodules are essentially"nest-like cysts"formed by the long-term cementation of turbid phlegm and blood stasis,with the main pathogenesis of intermingled phlegm and blood stasis caused by dysfunction of the lung,liver,and spleen.The key points for syndrome differentiation are"distin-guishing phlegm and stasis,distinguishing cold and heat,and distinguishing deficiency and excess",and the main treat-ment principle is"simultaneous treatment of phlegm and stasis".Master Xiong advocates the prevention and treatment concept of"preventing disease progression and complications after onset and preventing recurrence after recovery".A proven case is attached for reference.
张毅;张涛;谭超
湖南中医药大学第一中医临床学院,湖南 长沙,410007深圳市宝安纯中医治疗医院,广东 深圳,518100湖南中医药大学第一中医临床学院,湖南 长沙,410007||国医大师熊继柏传承工作室,湖南 长沙,410007
医药卫生
肺结节窠囊痰瘀互结痰瘀并治国医大师熊继柏
pulmonary nodulesnest-like cystsintermingled phlegm and blood stasissimultaneous treatment of phlegm and stasisNational Chinese Medicine MasterXiong Jibo
《湖南中医杂志》 2026 (7)
1-6,6
中国中医科学院科技创新工程学部委员学术传承与传播专项项目(CI2022E043XB)国家中医药管理局第六批全国中医临床优秀人才研修项目-中医药青年拔尖人才培养项目(国中医药人教函[2025]256号)湖南省普通高等学校教学改革研究项目(HNJG-20230540)湖南中医药大学第一附属医院院级国医大师熊继柏传承工作室开放基金资助项目(XJB202204)湖南中医药大学学位与研究生教育教改研究项目(2023JG02)广东省深圳市基础研究专项-深圳市自然科学基金面上项目(JCYJ20240813180803005)广东省深圳市中医药学会中医药课题资助项目(2024029)
评论