| 引用本文: |
姚曼,徐砚南,汪玉倩,韩睿.全国名中医凌昌全治疗肺结节的经验[J].湖南中医药大学学报,2024,44(2):251-256[点击复制] |
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| 全国名中医凌昌全治疗肺结节的经验 |
| 姚曼,徐砚南,汪玉倩,韩睿 |
| (海军军医大学第一附属医院中医肿瘤科, 上海 200433;凌昌全全国名中医传承工作室, 上海 200433;海军军医大学中医系, 上海 200433;海军军医大学第一附属医院中医肿瘤科, 上海 200433;凌昌全全国名中医传承工作室, 上海 200433;海军军医大学中医系, 上海 200433;上海中医药大学, 上海 201203) |
| 摘要: |
| 肺结节作为常见的肺部占位性疾病，具有发展成肺部恶性肿瘤的潜在风险，是肺癌预防的重要环节。肺结节归属于中医学“咳嗽”“喘证”“痰核”“积聚”等范畴，其病因可分为外感和内伤两大类。外感多为六淫邪气及环境毒邪等，而内伤多与禀赋不足、饮食不节、劳倦失度、情志内伤等有关。肺结节的主要病机为气滞痰瘀痹阻肺络。虚、痰、瘀贯穿本病发展的始终。治法当以行气、消痰、化瘀、散结并重。全国名中医凌昌全基于中医辨证论治优势、结合长期临证经验，以自拟肺结节方以及变方益气散结方、养阴散结方治疗肺结节，并取得积极的临床效果，为肺结节的中医临床诊疗提供新的参考。 |
| 关键词: 凌昌全 肺结节 气滞痰瘀 肺结节方 益气散结方 养阴散结方 |
| DOI：10.3969/j.issn.1674-070X.2024.02.011 |
| 投稿时间：2023-05-22 |
| 基金项目:国家自然科学基金项目（82204864）。 |
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| Experience of national famous TCM practitioner LING Changquan in treating pulmonary nodules |
| YAO Man,XU Yannan,WANG Yuqian,HAN Rui |
| (Oncology Department of Chinese Medicine, The First Hospital of Naval Medical University, Shanghai 200433, China;LING Changquan National Famous TCM Practitioner Inheritance Studio, Shanghai 200433, China;Department of Chinese Medicine, Naval Medical University, Shanghai 200433, China;Oncology Department of Chinese Medicine, The First Hospital of Naval Medical University, Shanghai 200433, China;LING Changquan National Famous TCM Practitioner Inheritance Studio, Shanghai 200433, China;Department of Chinese Medicine, Naval Medical University, Shanghai 200433, China;Shanghai University of Chinese Medicine, Shanghai 201203, China) |
| Abstract: |
| Pulmonary nodules, as a common pulmonary space-occupying lesion, with the potential risk of developing into pulmonary malignancy, is an important link in the prevention of lung cancer. pulmonary nodules belong to the categories of "cough" "dyspnea pattern" "subcutaneous nodules" and "mass" in TCM, and its etiology includes two categories, namely exogenous and endogenous factors. The exogenous etiological factors are mostly the six pathogenic factors and environmental toxic pathogens,while endogenous etiological factors are often related to constitutional insufficiency, dietary irregularities, fatigue due to overwork,internal damage caused by emotional disturbance and so on. The main pathogenesis of pulmonary nodules is obstruction of lung collaterals by qi stagnation, phlegm accumulation, and blood stasis, with deficiency, phlegm, and blood stasis running through the entire development of the disease. Therefore, the treatment should focus on circulating qi, resolving phlegm, eliminating stasis, and dissipating nodules simultaneously. Based on TCM advantages of treatment based on pattern identification and combined with his long-term clinical experience, national famous TCM practitioner LING Changquan has developed self-drafted Feijiejie Formula, Yiqi Sanjie Formula, and Yangyin Sanjie Formula to treat PN, with positive clinical efficacy, so as to provide new references for the clinical diagnosis and treatment of pulmonary nodules in TCM. |
| Key words: LING Changquan pulmonary nodules qi stagnation,phlegm accumulation,and blood stasis Feijiejie Formula Yiqi Sanjie Formula Yangyin Sanjie Formula |
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