周大勇教授论治肺结节思路探析

Discussion on the Treatment of Pulmonary nodules by Professor Zhou Dayong

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DOI 10.12208/j.ircm.20220061
刊名
International Research in Chinese Medicine
年,卷(期) 2022, 2(3)
作者
作者单位

安徽中医药大学研究生院 安徽合肥 ;
安徽中医药大学第一附属医院 安徽合肥 ;

摘要
肺结节是当前社会的常见病多发病,中医多属于“肺积”范畴。周大勇教授认为,本病的病位主要在肺,与肝、脾密切相关。主要病因不外乎虚实两端,实与气机郁滞、痰浊内阻等邪盛相关,虚则以脾气虚、阳气虚等正虚为主。基本病机为正气不固,痰气交阻。临床治疗上主张治肺不忘理肝,祛湿重在理脾,怪病不离化痰,祛邪不离温阳,固本培元贯穿始终。针对肺结节相对于西医采取被动的随访影像复查,中医提倡早期进行干预,安内攘外,可以有效延缓肺结节的进展,甚至逆转肺结节的发展。
Abstract
Pulmonary nodules are common diseases frequently occurring in the current society, and most of them belong to the category of "pulmonary accumulation" in Traditional Chinese medicine. Professor Zhou Dayong believes that the location of the disease is mainly in the lung, closely related to liver and spleen. The main cause is nothing more than the deficiency and the fact. The latter is related to the stagnation of qi and the internal obstruction of phlegm, while the deficiency is mainly positive deficiency such as qi deficiency and Yang qi deficiency. The basic pathogenesis is that positive qi is not solid and spittoon qi is blocked. In clinical treatment, it is advocated that treating lung without forgetting liver, removing dampness focuses on spleen, strange diseases without resolving phlegm, removing pathogens without warming Yang, and strengthening the root and peiyuan throughout. Compared with western medicine, passive follow-up imaging review of pulmonary nodules is adopted. Chinese medicine advocates early intervention and internal and external security, which can effectively delay the progression of pulmonary nodules and even reverse the development of pulmonary nodules
关键词
肺结节;周大勇;肺积;论治思路
KeyWord
pulmonary nodules; Da-yong zhou; Lung volume; Thinking of treatment
基金项目
页码 55-58
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潘晓幢,周大勇*. 周大勇教授论治肺结节思路探析 [J]. 国际中医药研究. 2022; 2; (3). 55 - 58.

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