| 引用本文: |
张文飞,刘娜,米浩铭,田栋峰,丁念.基于“痞坚之处，必有伏阳”理论探析肺结节的中医病机与治疗思路[J].湖南中医药大学学报,,():[点击复制] |
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| 基于“痞坚之处，必有伏阳”理论探析肺结节的中医病机与治疗思路 |
| 张文飞,刘娜,米浩铭,田栋峰,丁念 |
| (湖北中医药大学, 湖北 武汉 430061;武汉市中医医院, 湖北 武汉 430014;武汉市中医医院, 湖北 武汉 430014;湖北中医药大学附属国医医院, 湖北 武汉 430014) |
| 摘要: |
| 中医学认为，肺结节的发生与阳气功能失常密切相关。脏腑失和、阳气功能失司、痰湿瘀毒结聚肺络是肺结节发生的重要病机。本文基于“痞坚之处，必有伏阳”理论,提出肺结节的“痞坚”属性与阳气虚郁形成的“伏阳”病理状态具有高度一致性，并系统探讨肺结节的中医病机演变规律与临床辨治思路，构建肺结节“阳虚为本”“阳郁为枢”“郁火为变”的核心病机体系，确立温阳化气、通阳行气、清解郁火治其本，化痰消瘀治其标的治疗原则。并附医案一则，以资佐证，为肺结节的临床治疗提供参考。 |
| 关键词: 肺结节 痞坚 伏阳 病因病机 治法 阳虚为本 阳郁为枢 郁火为变 |
| DOI： |
| 投稿时间：2026-03-07 |
| 基金项目:湖北省中医药创新发展联合基金项目（2026AFC0812）；湖北省自然科学基金重点项目（2019CFB633）；湖北省中医药管理局中医药科研项目（ZY2023F053）。 |
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| TCM pathogenesis and therapeutic approaches of pulmonary nodules based on the theory of "where there is hardness and pain, there must be hidden yang" |
| ZHANG Wenfei,LIU Na,MI Haoming,TIAN Dongfeng,DING Nian |
| (Hubei University of Chinese Medicine, Wuhan, Hubei 430061, China;Wuhan Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430014, China;Wuhan Hospital of Traditional Chinese Medicine, Wuhan, Hubei 430014, China;National Medicine Hospital Affiliated to Hubei University of Chinese Medicine, Wuhan, Hubei 430014, China) |
| Abstract: |
| Chinese medicine holds that the onset of pulmonary nodules is closely related to dysfunction of yang qi. Disharmony of the zang-fu organs, impaired function of yang qi, and the accumulation of phlegm, dampness, blood stasis, and toxin in the pulmonary collaterals constitute important pathogenesis for the development of pulmonary nodules. Based on the theory of "where there is hardness and pain, there must be hidden yang," this paper proposes that the "hardness and pain" attribute of pulmonary nodules is highly consistent with the "hidden yang" pathological state formed by yang qi deficiency and stagnation, and systematically explores the TCM pathogenesis evolution and clinical pattern identification and treatment approaches for pulmonary nodules. It constructs a core pathogenesis system for pulmonary nodules characterized by "yang deficiency as the root," "yang stagnation as the pivot," and "stagnant fire as the transformation," and establishes the treatment principles of warming yang and transforming qi, unblocking yang and promoting qi movement, and clearing and resolving stagnant fire to treat the root, while resolving phlegm and eliminating blood stasis to treat the manifestations. A medical record is also attached as supporting evidence, providing reference for the clinical treatment of pulmonary nodules. |
| Key words: pulmonary nodules hardness and pain hidden yang etiology and pathogenesis therapeutic method yang deficiency as the root yang stagnation as the pivot stagnant fire as the transformation |
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