摘要
肺结节是指影像学表现为直径≤3 cm的局灶性、类圆形、密度增高的实性或亚实性肺部阴影,常为肺癌的早期病变。气滞、津停、络郁是肺结节的核心病机,气、痰、瘀为肺结节的主要病理因素,外邪犯肺或情志不舒是肺结节的主要病因,肺络是肺结节的基本病位。临床施治以辛温通络散结为治疗大法,选用辛散温通、引经透络的药物,以射干麻黄汤为代表方,并随证加减变化,可提高临床疗效。
Pulmonary nodules are focal,round-like,solid,or sub-solid radiographic opacities that measures up to 3 cm.Pulmonary nodules can turn out to be cancerous.TCM theories believe that the basic pathogenesis of the condition is stagnation of lung qi,stasis of body fluids,and blockages of collaterals.In this framework,qi,phlegm,and stasis are the key pathological factors,and the main causes of pulmonary nodules are exogenous pathogens attacking the lungs or emotional discomfort,damaging the lung collaterals,the main location of the disease.In clinical practice,the basic method is unblocking collaterals and dissipating masses with acrid-warm medicinals.Shegan Mahuang Decoction is selected as the representative formula and adjusted as needed for different syndromes,to improve the clinical efficacy.
作者
马炳亚
李志明
刘殿娜
李泉旺
MA Bingya;LI Zhiming;LIU Dianna;LI Quanwang(Beijing University of Chinese Medicine,Beijing 100029;Department of Oncology and Hematology,Third Affiliated Hospital of Beijing University of Chinese Medicine;Department of Oncology,Dongfang Hospital,Beijing University of Chinese Medicine)
出处
《现代中医临床》
2022年第3期52-55,共4页
Modern Chinese Clinical Medicine
基金
北京市中医管理局中医药服务能力提升覆盖项目。
关键词
肺结节
辛温通络散结法
射干麻黄汤
pulmonary nodules
unblocking collaterals and dissipating masses with acrid-warm medicinals
Shegan Mahuang Decoction
