Diagnosis and treatment of multiple pulmonary nodules based on collateral disease theory

LYU Mingsheng; WANG Hongwu; LI Lei; WANG Yahui; HONG Qinyan; FANG Bixia; LU Lanlan

doi:10.3969/j.issn.1006-2157.2023.08.016

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Diagnosis and treatment of multiple pulmonary nodules based on collateral disease theory

Clinical Studies | 更新时间：2023-09-08

- Diagnosis and treatment of multiple pulmonary nodules based on collateral disease theory
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 8, Pages: 1166-1171(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院　北京　100700
  2.北京清华长庚医院
  3.北京中医药大学研究生院
- 作者简介：
  
  Prof. WANG Hongwu, M.D., Chief Physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5, Haiyuncang Hutong, Dongcheng District, Beijing 100700. E-mail: wanghongwu2015@126.com
- 基金信息：
  
  China Postdoctorals Science Foundation(2023M730344);Young Physicians Innovative Development Project of the Respiratory Disease Drug Research Professional Committee of the China Association of Traditional Chinese Medicine(HXQNJJ-2023-009)
- DOI：10.3969/j.issn.1006-2157.2023.08.016
  CLC： R259.63
- Received：08 March 2023，
  
  Published Online：20 July 2023，
  
  Published：30 August 2023
- 稿件说明：
移动端阅览
LYU Mingsheng, WANG Hongwu, LI Lei, et al. Diagnosis and treatment of multiple pulmonary nodules based on collateral disease theory[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1166-1171.
DOI：

LYU Mingsheng, WANG Hongwu, LI Lei, et al. Diagnosis and treatment of multiple pulmonary nodules based on collateral disease theory[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(8): 1166-1171. DOI： 10.3969/j.issn.1006-2157.2023.08.016.

摘要

多发性肺结节是临床常见病、多发病，早期筛查并合理干预高危结节是本病管理的重中之重。目前，对于肺结节中医病因病机的认识尚未统一。本文基于中医络病理论，提出内外相合、正虚络结是肺结节的基本病理基础，肺络阳虚不化、阴形累聚伏结是其关键病机，癌毒内蕴是结节恶化的中心环节。本文结合西医学的研究进展，论述中低危及高危肺结节的诊疗策略，总以扶阳抑阴、通络散结为基本治法进行辨证施治，益气温阳、化痰消瘀、解毒消积等多法并举，使气血通畅，阴阳既济，则结节无所复生。

Abstract

Pulmonary nodules are common in clinical practice. Early screening of high-risk nodules and intervention are the top priority in the management of this disease. At present

the pathogenesis of pulmonary nodules in the field of traditional Chinese medicine (TCM) is still under discussion. Based on the theory of collateral diseases in TCM

we suppose that with the effect of internal and external pathogens

the basic pathological basis of pulmonary nodules is qi deficiency accompanied by phlegm and blood stasis in collateral vessels. The key pathogenesis of pulmonary nodules is yang deficiency and yin aggregation in pulmonary collateral vessels. Tumor toxin accumulation is the central cause of pulmonary nodule deterioration. Combined with recent studies of western medicine

we discuss the diagnosis and treatment of medium- to low-risk and high-risk pulmonary nodules. The basic treatment method is reinforcing yang and repressing yin

while dissipating phlegm and blood stasis from the pulmonary collateral vessels based on syndrome differentiations

and common treatments include tonifying qi

warming yang

resolving phlegm and accumulation

and detoxifying to dissipate nodules. Through all of these methods

the qi and blood will be harmonized

balancing yin and yang

and then dispersing the pulmonary nodules.

关键词

Keywords

references

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