基于"亢害承制"理论探讨巨噬细胞极化在慢性阻塞性肺疾病中的作用及治疗OA
Exploring the role of macrophage polarization in chronic obstructive pulmonary disease and its management based on the theory of restraining excessiveness to acquire harmony
慢性阻塞性肺疾病(COPD)是临床常见呼吸系统疾病,其发病机制复杂.巨噬细胞M1/M2极化失衡可参与COPD炎症损伤、氧化应激及气道重塑等病理进程.本文首次基于"亢害承制"理论阐释该病理过程,主张肺脾肾虚损失制,痰浊血瘀亢而为害与巨噬细胞极化失衡存在同构性,运用中医药靶向调控巨噬细胞极化动态平衡,维持机体内稳态,以期达到治疗COPD的效果.
Chronic obstructive pulmonary disease(COPD)is a common respiratory disease in clinical practice,featuring a complex pathogenesis.An imbalance in M1/M2 macrophage polarization plays a significant role in the pathogenesis of COPD,contributing to pathological processes such as inflammatory injury,oxidative stress,and airway remodeling.This study innovatively tries to elucidate on this disease based on the theory of"restraining excessiveness to acquire harmony",proposing that the disharmony caused by deficiency of the lung,spleen and kidney,and the damage induced by excessive phlegm-turbidity and blood stasis,share isomorphism with the imbalance in macrophage polarization.It is suggested that TCM targeted interventions be employed to regulate the dynamic balance of M1/M2 macrophage polarization,aiming to maintain bodily homeostasis and achieve a significant effect for COPD.
贺甜甜;郭思佳;封继宏;孙玥枫;曾昭璐;郭安;孙露颜;孙增涛
天津中医药大学,天津 301617天津中医药大学第二附属医院呼吸与危重症医学科,天津 300250天津中医药大学第二附属医院呼吸与危重症医学科,天津 300250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
医药卫生
亢害承制巨噬细胞极化慢性阻塞性肺疾病
restraining excessiveness to acquire harmonymacrophage polarizationchronic obstructive pulmonary disease
《吉林中医药》 2026 (9)
1114-1117,4
国家自然科学基金项目(81673747,81403222)国家科技重大专项(2025ZD0548803)孙增涛天津市名中医传承工作室(RS24010307)
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